An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents.

Stice, Eric; Marti, C. Nathan; Shaw, Heather; Jaconis, Maryanne

doi:10.1037/a0016481

Cited by 529Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents.

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Stice, Eric, Marti, C. Nathan, Shaw, Heather, Jaconis, Maryanne·2009·Journal of Abnormal Psychology

DOI 10.1037/a0016481PMC PMC2849679

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Abstract

The authors examined the natural history of threshold, subthreshold, and partial eating disorders in a community sample of 496 adolescent girls who completed annual diagnostic interviews over an 8-year period. Lifetime prevalence by age 20 years was 0.6% and 0.6% for threshold and subthreshold anorexia nervosa (AN), 1.6% and 6.1% for threshold and subthreshold bulimia nervosa (BN), 1.0% and 4.6% for threshold and subthreshold binge-eating disorder (BED), and 4.4% for purging disorder (PD). Overall, 12% of adolescents experienced some form of eating disorder. Subthreshold BN and BED and threshold PD were associated with elevated treatment, impairment, and distress. Peak age of onset was 17-18 years for BN and BED and 18-20 years for PD. Average episode duration in months was 3.9 for BN and BED and 5.1 for PD. One-year recovery rates ranged from 91% to 96%. Relapse rates were 41% for BN, 33% for BED, and 5% for PD. For BN and BED, subthreshold cases often progressed to threshold cases and diagnostic crossover was most likely for these disorders. Results suggest that subthreshold eating disorders are more prevalent than threshold eating disorders and are associated with marked impairment.

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The onset of eating disorders most often occurs during adolescence and early adulthood.
“The onset of eating disorders most often occurs during adolescence and early adulthood [1–4].”
From Recruitment, adherence and attrition challenges in internet-based indicated prevention programs for eating disorders: lessons learned from a randomised controlled trial of ProYouth OZ (2022) · cites this paper as [1]

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Authors: Stice, E., Marti, C. N., Shaw, H., & Jaconis, M.
Affiliations: The University of Texas at Austin (US)
ORCID: Stice, Eric
Marti, C. Nathan
Shaw, Heather
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2009-08
Volume: 118
Issue: 3
Pages: 587-597
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/a0016481
PMC: PMC2849679
OpenAlex: W2041413968
Cited by: 529
References: 60
Citations by year: 2026: 17 · 2025: 20 · 2024: 28 · 2023: 31 · 2022: 33 · 2021: 68 · 2020: 35 · 2019: 26 · 2018: 22 · 2017: 26 · 2016: 34 · 2015: 39 · 2014: 34 · 2013: 44 · 2012: 27
FWCI: 24.71
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Abnormal Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (MH01708; MH/DK61957)
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: eating disorders, subthreshold eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, purging disorder, adolescents, natural history (disease), prevalence, age of onset, episode duration, relapse, recovery, community sample
MeSH terms: Adolescent, Anorexia Nervosa, Child, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Personality Inventory, Psychometrics, Recurrence, Remission, Spontaneous, United States, Incidence, Disease Progression, Bulimia Nervosa, Young Adult

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An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents.

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