A transdiagnostic approach to understanding eating disorders.
Abstract
Categorical models dominate the eating disorder field, but the tandem use of categorical and dimensional models has been proposed. A transdiagnostic dimensional model, number of lifetime eating disorder behaviors (LEDB), was examined with respect to (1) its relationship to a variety of indicators of the individual's functioning, (2) the degree to which it was influenced by genetic and environmental risk factors, and (3) exposure to specific environmental risk factors. Data from self-report and interview from 1002 female twins (mean age = 34.91 years, SD = 2.09) were examined. While 15.4% women met criteria for a lifetime eating disorder, 29% had at least one LEDB. The dimensional measure provided an indicator of associated functioning, and was influenced primarily by the nonshared environment. The number of LEDB was associated with the degree of impaired functioning. This impairment was associated with conflict between parents and criticism from parents when growing up.
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Differences in the correlates and clinical profiles between discrete subtypes in this study provide evidence for the validity of these distinctions.
“Although the frequent crossover of eating disorder subtypes in longitudinal studies of adults37–39 suggests a lack of diagnostic specificity of eating disorder subtypes,40–42 differences in the correlates and clinical profiles between discrete subtypes in our study provide evidence for the validity of these distinctions.”
From Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement (2011) · cites this paper as [41]
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- Authors
- Wade, T. D., Bergin, J. L., Martin, N. G., Gillespie, N. A., & Fairburn, C. G.
- Affiliations
- Flinders University (AU)
- The University of Queensland (AU)
- Warneford Hospital (GB)
- Corresponding author
- Wade, Tracey D.
- Bergin, Jacqueline L.
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2006-07
- Volume
- 194
- Issue
- 7
- Pages
- 510-517
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2007003613
- Cited by
- 75
- References
- 48
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 5
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- Funders
- Wellcome Trust (046386, 079113, 079113/Z/06/Z)
- 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, transdiagnostic model, dimensional models, categorical models, genetic risk factors, environmental risk factors, nonshared environment, parent-child conflict, parental criticism, functioning impairment, women, twins
- MeSH terms
- Adult, Anorexia Nervosa, Feeding and Eating Disorders, Australia, Conflict, Psychological, Diseases in Twins, Female, Humans, Interviews as Topic, Models, Genetic, Models, Psychological, Parent-Child Relations, Personality Assessment, Personality Inventory, Psychiatric Status Rating Scales, Risk Factors, Social Environment, Twins, Dizygotic, Twins, Monozygotic, Logistic Models, Bulimia Nervosa
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