Use of extreme weight control behaviors with and without binge eating in a community sample: implications for the classification of bulimic-type eating disorders

Mond, Jonathan, Hay, Phillipa, Rodgers, Bryan, Owen, Cathy, Crosby, Ross, and Mitchell, James (2006) Use of extreme weight control behaviors with and without binge eating in a community sample: implications for the classification of bulimic-type eating disorders. International Journal of Eating Disorders, 39 (4). pp. 294-302.

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View at Publisher Website: http://dx.doi.org/10.1002/eat.20265

Abstract

Objective and Method: To inform the classification of bulimic-type eating disorders not meeting formal diagnostic criteria for bulimia nervosa (BN), levels of eating disorder psychopathology and functional impairment associated with subjective and objective bulimic episodes (SBEs and OBEs) and purging and nonpurging methods of weight control were examined in a large community-based sample of women (n = 5,232).

Results: Participants who reported recurrent bulimic episodes had significantly higher levels of eating disorder psychopathology and functional impairment than those who did not and this was the case whether the episodes were objective or subjective. Similarly, participants who reported the use of extreme weight control behaviors had higher levels of eating disorder psychopathology and functional impairment than those who did not, and this was the case whether purging or nonpurging behaviors were employed. The combination of bulimic episodes and extreme weight control behaviors was associated with particularly high levels of eating disorder psychopathology and functional impairment.

Conclusion: The combination of bulimic episodes, objective or subjective, and extreme weight control behaviors, purging or nonpurging, is significant in terms of impairment in psychosocial functioning among individuals affected by eating disorders not meeting formal diagnostic criteria for BN. The combination of SBEs and extreme weight control behaviors, in particular, warrants further investigation.

Item ID: 4013
Item Type: Article (Refereed Research - C1)
Keywords: bulimia nervosa; classification; functional impairment
ISSN: 0276-3478
Date Deposited: 13 Nov 2009 03:43
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
Citation Count from Web of Science Web of Science 69
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