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Cited by 48Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Subtyping eating disorders: is it justified?

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HERZOG, DAVID B., FIELD, ALISON E., KELLER, MARTIN B., WEST, JENNIFER C., ROBBINS, WENDI M., STALEY, JANET, COLDITZ, GRAHAM A.·1996·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199607000-00020
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Abstract

Objective DSM-IV subtypes anorexia nervosa by the presence or absence of bulimic symptoms. Assessing whether bulimic symptoms are related to the probability of recovery can provide justification for subtyping of anorexia.Method Two hundred twenty-five treatment-seeking women with anorexia and/or bulimia nervosa were interviewed every 3 months for up to 4 years. Survival methods were used for analyses.Results Less than half of the entire cohort recovered; however, the great majority of the women became less symptomatic over time. Contrary to findings from previous studies, bulimic anorexics had a higher rate of recovery than restricting anorexics.Conclusion Differences in course provide some support for the subtyping of anorexia nervosa. Additional prospective studies are needed before subtyping can be warranted.

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  • The restricting anorexia nervosa subtype is clinically homogeneous.

    “We focused on the RAN subtype because of its clinical homogeneity (Kaye et al. 1984; Herzog et al. 1996), which may represent a sample with greater genetic homogeneity.”

    From Evidence for a Susceptibility Gene for Anorexia Nervosa on Chromosome 1 (2002) · cites this paper as Herzog et al. 1996

    The Discussion reports a difference in recovery rates between restricting and bulimic anorexia and says this lends some support to subtyping. It does not establish that patients within the restricting subtype are clinically homogeneous; the authors also caution that more studies are needed before deciding the utility of subtyping. (LLM, conf=0.78)

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2 of the 59 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Abraham SF, Mira M, Llewellyn-Jones D (1983), Bulimia: a study of outcome. Int J Eat Disord2:175-180 American Psychiatric Association (1994), Diagnostic and Statistical Manual ofMental Disorders, 4th edition (DSM-lV). Washington, DC: American Psychiatric Association

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Authors
HERZOG, D. B., FIELD, A. E., KELLER, M. B., WEST, J. C., ROBBINS, W. M., STALEY, J., & COLDITZ, G. A.
Affiliations
  • Harvard University (US)
  • Brigham and Women's Hospital (US)
Corresponding author
HERZOG, DAVID B.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1996-07
Volume
35
Issue
7
Pages
928-936
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199607000-00020
OpenAlex
W2091694189
Cited by
48
References
59
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2018: 1 · 2016: 2 · 2012: 7
FWCI
2.63
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
NIMH ((R01-MH38333))
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, bulimic symptoms, recovery, clinical course, women, survival analysis
MeSH terms
Adolescent, Adult, Anorexia Nervosa, Feeding and Eating Disorders, Bulimia, Female, Humans, Massachusetts, Middle Aged, Personality Assessment, Psychiatric Status Rating Scales, Psychometrics, Cohort Studies, Survival Analysis, Treatment Outcome

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