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Defining Subgroups of Dieting Disorder Patients by Means of the Eating Disorders Examination (EDE)

Published online by Cambridge University Press:  02 January 2018

P. J. V. Beumont ,
E. Kopec-Schrader  and
S. W. Touyz
P. J. V. Beumont*
Affiliation:
Department of Psychiatry, University of Sydney, NSW 2006, Australia
E. Kopec-Schrader
Affiliation:
Department of Psychiatry, University of Sydney, NSW 2006, Australia
S. W. Touyz
Affiliation:
Department of Psychiatry, University of Sydney, NSW 2006, Australia
*
Professor Beumont, Department of Psychiatry, University of Sydney, NSW 2006, Australia
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Abstract

Background

It is important to determine the optimal manner of categorising eating disorder patients so as to aid in the understanding of their specific psychopathological state.

Method

We compared subgroups of eating disorder patients divided according to different sets of factors, using a structured interview which elicits the specific psychopathological features of these illnesses. The patients, comprising 116 consecutive women admitted to two university-affiliated eating disorder clinics, were grouped according to DSM–III–R criteria, clinical presentation (purging, binge eating), nutritional status, and age.

Result

The clearest separation of groups was afforded by the clinical dimension of purging as opposed to not purging. This was superior to DSM–III–R criteria. Other systems, such as presence of binge eating, and various levels of nutritional status and of age, were clearly inferior.

Conclusion

The presence or absence of purging behaviour appears to offer the most heuristic means of categorising eating disorder patients with respect to their specific psychopathological state.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 4 , April 1995 , pp. 472 - 474
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Beumont, P. J. V., George, G. W. & Smart, D. E. (1976) ‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa. Psychological Medicine, 6, 617–622.CrossRefGoogle ScholarPubMed
Beumont, P. J. V., Garner, D. & Touyz, S. W. (1994) The diagnoses of eating or dieting disorders: what may we learn from past mistakes? International Journal of Eating Disorders, 16, 349–362.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Beumont, P. J. V., Kopec-Schrader, E. M., Talbot, P., et al (1994) Measuring the specific psychopathology of eating disorder patients. Australian and New Zealand Journal of Psychiatry, 27, 506–511.CrossRefGoogle Scholar
Cooper, Z. & Fairburn, C. G. (1989) Eating Disorder Examination (EDE); Diagnostic Version, Edition 11.3D. Oxford: Oxford University Department of Psychiatry.Google Scholar
Dally, P. (1969) Anorexia Nervosa. London: Heinemann.Google Scholar
Garner, D. M., Garner, M. V. & Rosen, L. W. (1993) Anorexia nervosa ‘restricters’ who purge: implications for subtyping anorexia nervosa. International Journal of Eating Disorders, 13, 171–185.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
Hall, R. C. W., Hoffman, R. S., Beresford, T. P., et al (1989) Physical illness encountered in patients with eating disorder. Psychosomatics, 30, 174–191.CrossRefGoogle Scholar
Janet, P. (1929) The Major Symptoms of Hysteria. New York: Macmillan.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
World Health Organization (1992) International Classification of Diseases (10th edn) (ICD–10). Chapter V. Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
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