{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:21:04Z","timestamp":1787160064510,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,10,6]],"date-time":"2005-10-06T00:00:00Z","timestamp":1128556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The current study evaluates the clinical significance and distinctiveness of purging disorder (PD), an eating disorder characterized by recurrent purging in the absence of objective binge episodes (OBE) among normal\u2010weight individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Women with PD (\n                      <jats:italic>n<\/jats:italic>\n                      = 37), bulimia nervosa (BN;\n                      <jats:italic>n<\/jats:italic>\n                      = 39), or no eating disorder (\n                      <jats:italic>n<\/jats:italic>\n                      = 35) completed clinical assessments. Women with PD (\n                      <jats:italic>n<\/jats:italic>\n                      = 23) and BN (\n                      <jats:italic>n<\/jats:italic>\n                      = 25) completed 6\u2010month follow\u2010up assessments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with controls, both eating\u2010disordered groups reported significantly higher eating, Axis I, and Axis II pathology. Compared with BN, PD was associated with significantly lower eating concerns, disinhibition, and hunger. At 6\u2010month follow\u2010up, rates of remission did not differ significantly between PD and BN, and crossover between disorders was rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PD appears to be a clinically significant and potentially distinctive eating disorder. \u00a9 2005 by Wiley Periodicals, Inc.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.20179","type":"journal-article","created":{"date-parts":[[2005,10,6]],"date-time":"2005-10-06T21:46:41Z","timestamp":1128635201000},"page":"191-199","source":"Crossref","is-referenced-by-count":154,"title":["Purging disorder: An ominous variant of bulimia nervosa?"],"prefix":"10.1002","volume":"38","author":[{"given":"Pamela K.","family":"Keel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alissa","family":"Haedt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Edler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,10,6]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.2307\/3002000"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.4.472"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.6.807"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/65.1.114"},{"key":"e_1_2_1_9_1","first-page":"317","volume-title":"Binge eating: Nature, assessment and treatment","author":"Fairburn C.","year":"1993"},{"key":"e_1_2_1_10_1","volume-title":"Structured Clinical Interview for DSM\u2010IV Axis I Disorders\u2014patient ed. 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