A 4-year prospective study of eating disorder NOS compared with full eating disorder syndromes
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Objective: To examine the course of Eating Disorder NOS (EDNOS) compared with anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Method: Prospective study of 385 participants meeting DSM‐IV criteria for AN, BN, BED, and EDNOS at three sites. Recruitment was from the community and specialty clinics. Participants were followed at 6‐month intervals during a 4‐year period using the Eating Disorder Examination as the primary assessment. Results: EDNOS remitted significantly more quickly that AN or BN but not BED. There were no differences between EDNOS and full ED syndromes, or the subtypes of EDNOS, in time to relapse following first remission. Only 18% of the EDNOS group had never had or did not develop another ED diagnosis during the study; however, this group did not differ from the remaining EDNOS group. Discussion: EDNOS appears to be a way station between full ED syndromes and recovery, and to a lesser extent from recovery or EDNOS status to a full ED. Implications for DSM‐V are examined. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2009
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Including community-based participants in addition to clinic-ascertained participants potentially increases the ability to observe the course of anorexia nervosa with greater variation in disease severity.
“the inclusion of a community-based participants in addition to clinic-ascertained participants potentially increases the ability to observe the course of AN with greater variation in disease severity (Agras et al., 2009).”
From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Agras et al., 2009
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- Authors
- Agras, W. S., Crow, S., Mitchell, J. E., Halmi, K. A., & Bryson, S.
- Affiliations
- Stanford Medicine (US)
- University of Minnesota (US)
- University of North Dakota (US)
- Cornell University (US)
- Corresponding author
- Agras, W. Stewart
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2009-06-19
- Volume
- 42
- Issue
- 6
- Pages
- 565-570
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC2862563
- OpenAlex
- W2088387648
- Cited by
- 97
- References
- 21
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 7 · 2012: 12
- FWCI
- 12.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- McKnight Foundation
- University of Minnesota
- National Institute of Mental Health (K02MH065919, K02-MH65919, U01MH076290)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK 50456, P30DK050456)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, bulimia nervosa, binge eating disorder, remission, relapse, DSM-V, diagnostic classification, Eating Disorder Examination
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Feeding and Eating Disorders, Mental Disorders, Female, Follow-Up Studies, Humans, Middle Aged, Personality Assessment, Prospective Studies, Recurrence, Comorbidity, Body Mass Index, Bulimia Nervosa, Kaplan-Meier Estimate, Young Adult
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