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The Importance of Loss of Control While Eating in Adolescents with Purging Disorder

Overview
Publisher Wiley
Specialty Social Sciences
Date 2016 Mar 13
PMID 26969189
Citations 5
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Abstract

Objective: Although many individuals with purging disorder (PD) report loss of control (LOC) eating, it is unclear whether they differ from those who do not, or from other eating disorders involving purging and/or LOC.

Method: We compared PD with LOC (PD-LOC), PD without LOC (PD-noLOC), bulimia nervosa (BN), and anorexia nervosa-binge/purge subtype (AN-B/P) on measures of eating-related and general psychopathology in treatment-seeking adolescents.

Results: PD-LOC comprised ∼30% of PD diagnoses. PD-LOC and PD-noLOC did not differ from one another, or from BN and AN-B/P, on most measures of psychopathology, with some exceptions. PD-noLOC was similar to AN-B/P (p = 0.99) and significantly different from BN on eating concerns (p < 0.001), while PD-LOC was similar to BN, AN-B/P, and PD-noLOC on this measure (ps ≥ 0.06). PD-LOC reported higher self-esteem than BN, AN-B/P, and PD-noLOC (ps < 0.001).

Discussion: PD was largely similar to other eating disorders characterized by purging, regardless of whether LOC eating was present. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:801-804).

Citing Articles

Network analysis of pediatric eating disorder symptoms in a treatment-seeking, transdiagnostic sample.

Goldschmidt A, Crosby R, Cao L, Moessner M, Forbush K, Accurso E J Abnorm Psychol. 2018; 127(2):251-264.

PMID: 29528678 PMC: 5851474. DOI: 10.1037/abn0000327.


A review of purging disorder through meta-analysis.

Smith K, Crowther J, Lavender J J Abnorm Psychol. 2017; 126(5):565-592.

PMID: 28691846 PMC: 5741973. DOI: 10.1037/abn0000243.


Are loss of control while eating and overeating valid constructs? A critical review of the literature.

Goldschmidt A Obes Rev. 2017; 18(4):412-449.

PMID: 28165655 PMC: 5502406. DOI: 10.1111/obr.12491.


A questionnaire survey regarding the support needed by teachers to take care of students suspected of having eating disorders (second report).

Seike K, Nakazato M, Hanazawa H, Ohtani T, Niitsu T, Ishikawa S Biopsychosoc Med. 2016; 10:28.

PMID: 27708695 PMC: 5041275. DOI: 10.1186/s13030-016-0079-z.


A Questionnaire Survey of the Type of Support Required by Yogo Teachers to Effectively Manage Students Suspected of Having an Eating Disorder.

Seike K, Hanazawa H, Ohtani T, Takamiya S, Sakuta R, Nakazato M Biopsychosoc Med. 2016; 10:15.

PMID: 27168762 PMC: 4862230. DOI: 10.1186/s13030-016-0065-5.

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