Logo image
Associations of elevated weight status with symptom severity and treatment outcomes in binge/purge eating disorders
Journal article   Open access   Peer reviewed

Associations of elevated weight status with symptom severity and treatment outcomes in binge/purge eating disorders

Joanna Y Chen, Laura A Berner, Tiffany A Brown, Christina E Wierenga and Walter H Kaye
The International journal of eating disorders, v 54(4), pp 621-626
Apr 2021
PMID: 33340380
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8207454View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Adult Binge-Eating Disorder - diagnosis Binge-Eating Disorder - therapy Bulimia Nervosa - diagnosis Bulimia Nervosa - therapy Female Humans Overweight Thinness Treatment Outcome
Binge-eating and purging behaviors commonly co-occur with overweight. However, little is known about the potential associations of elevated weight status with eating disorder severity or treatment outcomes. Thus, the present study compared binge-eating and purging patients with low, normal, and high weight statuses on eating disorder and mood symptoms at treatment admission, and tested whether weight status was associated with symptom change over treatment. The sample included 135 adult female patients in an intensive outpatient program, who completed self-assessments at admission and discharge. MANOVAs compared the groups at treatment admission, and multilevel models examined changes over time. At admission, the high-weight group reported greater fasting frequency than the normal-weight group, and higher shape and weight concerns than the low-weight group. Over time, the high-weight group additionally showed higher eating disorder psychological symptom severity than the normal-weight group. The groups did not differ on mood symptoms at admission. Longitudinal results indicated that the groups showed comparable symptom improvements over treatment. These findings highlight the severity of higher-weight patients with bulimia nervosa. Additionally, although these patients may present with more severe symptoms, their response to an intensive treatment may be comparable to that of normal- or lower-weight groups.

Metrics

6 Record Views
6 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
Psychiatry
Psychology
Psychology, Clinical
Logo image