Do adolescents with eating disorder not otherwise specified or full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost?

TY - JOUR

T1 - Do adolescents with eating disorder not otherwise specified or full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost?

AU - Schmidt, U

AU - Lee, S

AU - Perkins, S

AU - Eisler, I

AU - Treasure, J

AU - Beecham, J

AU - Berelowitz, M

AU - Dodge, L

AU - Frost, S

AU - Jenkins, M

AU - Johnson-Sabine, E

AU - Keville, S

AU - Murphy, R

AU - Robinson, P

AU - Winn, S

AU - Yi, I

PY - 2008/9

Y1 - 2008/9

N2 - Objective: we wanted to know whether adolescents with eating disorder not otherwise specified (EDNOS) differ from those With bulimia nervosa (BN) in clinical features, comorbidity, risk factors, treatment Outcome or cost.Method: Adolescents with EDNOS (n = 24) or BN (n = 61) took part in a trial of family therapy Versus guided self-care. At baseline. eating disorder symptoms, risk factors, and costs were assessed by interview. Patients were reinterviewed at 6 and 12 months.Results: Compared with EDNOS, BN patients hinged. vomited and purged significantly more, and were more preoccupied with food. Those with EDNOS had more depression and had more current and childhood obsessive-compulsive disorder. 66.6% of EDNOS versus 27.8% of BN patients were abstinent from bingeing and vomiting at 1 year. Diagnosis did not moderate treatment Outcome. Costs did not differ between groups.Conclusion: EDNOS in adolescents is not trival. It has milder eating disorder symptoms but more comorbidity than BN.

AB - Objective: we wanted to know whether adolescents with eating disorder not otherwise specified (EDNOS) differ from those With bulimia nervosa (BN) in clinical features, comorbidity, risk factors, treatment Outcome or cost.Method: Adolescents with EDNOS (n = 24) or BN (n = 61) took part in a trial of family therapy Versus guided self-care. At baseline. eating disorder symptoms, risk factors, and costs were assessed by interview. Patients were reinterviewed at 6 and 12 months.Results: Compared with EDNOS, BN patients hinged. vomited and purged significantly more, and were more preoccupied with food. Those with EDNOS had more depression and had more current and childhood obsessive-compulsive disorder. 66.6% of EDNOS versus 27.8% of BN patients were abstinent from bingeing and vomiting at 1 year. Diagnosis did not moderate treatment Outcome. Costs did not differ between groups.Conclusion: EDNOS in adolescents is not trival. It has milder eating disorder symptoms but more comorbidity than BN.

U2 - 10.1002/eat.20533

DO - 10.1002/eat.20533

M3 - Article

VL - 41

SP - 498

EP - 504

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

IS - 6

ER -