International Journal of Eating Disorders · 1993 · 118 citations · 12 references
MedicinePsychiatryPsychologyAbnormal PsychologyEating DisordersPsychiatric AssessmentAnorexia NervosaBulimia NervosaDisordered EatingEating Disorder AssessmentEating Disorder RecoveryEating Disorder TreatmentDisorderEating Disorder DiagnosisEating Disorder Diagnostic CriteriaEating Disorder Severity MeasurementEating Disorder SymptomatologyEating Pathology
Thirty-three women with subdiagnostic anorexia or bulimia nervosa were reinterviewed 2–4 years after treatment. Participants completed a semi‑structured telephone interview assessing functioning, symptoms, illness course, and treatment. Nearly half progressed to full anorexia or bulimia diagnoses, with only 18 % recovering, indicating that current diagnostic criteria may be too restrictive. © 1993 John Wiley & Sons, Inc.
Thirty-three female subjects with subdiagnostic DSM-III-R anorexia nervosa (SAN) and/or subdiagnostic bulimia nervosa (SBN) were reinterviewed 24 to 52 months (mean 41 months) after seeking treatment for an eating disorder. Subjects were administered a semi structured interview by telephone and assessed for level of functioning, eating disorder symptoms, course of illness, and treatment sought. During the course of the follow-up, 15 (46%) subjects went on to meet full DSM-III-R criteria for AN and/or BN. At follow-up, 4 (12%) met full DSM-III-R criteria for AN and/or BN, 22 (67%) were subdiagnostic, and 6 (18%) had recovered. The high percentage of subdiagnostic women that eventually develop full DSM-III-R criteria for AN and/or BN and the low rates of recovery at 2 to 4 years suggest that the current diagnostic criteria may be too restrictive. © 1993 by John Wiley & Sons, Inc.
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