{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:23:45Z","timestamp":1793247825000,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,3,29]],"date-time":"2011-03-29T00:00:00Z","timestamp":1301356800000},"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":[[2012,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine prospectively the natural course of bulimia nervosa (BN) and eating disorder not\u2010otherwise\u2010specified (EDNOS) and test for the effects of stressful life events (SLE) on relapse after remission from these eating disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      117 female patients with BN (\n                      <jats:italic>N<\/jats:italic>\n                      = 35) or EDNOS (\n                      <jats:italic>N<\/jats:italic>\n                      = 82) were prospectively followed for 72 months using structured interviews performed at baseline, 6\u2010 and 12\u2010months, and then yearly thereafter. ED were assessed with the structured clinical interview for DSM\u2010IV, and monitored over time with the longitudinal interval follow\u2010up evaluation. Personality disorders were assessed with the diagnostic interview for DSM\u2010IV\u2010personality\u2010disorders, and monitored over time with the follow\u2010along\u2010version. The occurrence and specific timing of SLE were assessed with the life events assessment interview. Cox proportional\u2010hazard\u2010regression\u2010analyses tested associations between time\u2010varying levels of SLE and ED relapse, controlling for comorbid psychiatric disorders, ED duration, and time\u2010varying personality\u2010disorder status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>ED relapse probability was 43%; BN and EDNOS did not differ in time to relapse. Negative SLE significantly predicted ED relapse; elevated work and social stressors were significant predictors. Psychiatric comorbidity, ED duration, and time\u2010varying personality\u2010disorder status were not significant predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Higher work and social stress represent significant warning signs for triggering relapse for women with remitted BN and EDNOS. \u00a9 2011 Wiley Periodicals, Inc. (Int J Eat Disord 2012)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.20909","type":"journal-article","created":{"date-parts":[[2011,3,29]],"date-time":"2011-03-29T11:00:01Z","timestamp":1301396401000},"page":"185-192","source":"Crossref","is-referenced-by-count":78,"title":["Stressful life events predict eating disorder relapse following remission: Six\u2010year prospective outcomes"],"prefix":"10.1002","volume":"45","author":[{"given":"Carlos M.","family":"Grilo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Pagano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Stout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Markowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily 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