{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:24:30Z","timestamp":1789043070575,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,11,30]],"date-time":"2013-11-30T00:00:00Z","timestamp":1385769600000},"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":[[2014,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Objective: Little is known about the prevalence and correlates of eating disorders (ED) in middle\u2010aged women. Method: We mailed anonymous questionnaires to 1,500 Austrian women aged 40\u201360 years, assessing ED (defined by DSM\u2010IV), subthreshold ED, body image, and quality of life. We broadly defined \u201csubthreshold ED\u201d by the presence of either (1) binge eating with loss of control or (2) purging behavior, without requiring any of the other usual DSM\u2010IV criteria for frequency or severity of these symptoms. Results: Of the 715 (48%) responders, 33 [4.6%; 95% confidence interval (CI): 3.3\u20136.4%] reported symptoms meeting full DSM\u2010IV criteria for an ED [bulimia nervosa\u2009=\u200910; binge eating disorder\u2009=\u200911; eating disorder not otherwise specified (EDNOS)\u2009=\u200912]. None displayed anorexia nervosa. Another 34 women (4.8%; CI: 3.4\u20136.6%) displayed subthreshold ED. These women showed levels of associated psychopathology virtually equal to the women with full\u2010syndrome diagnoses. Discussion: ED appear common in middle\u2010aged women, with a preponderance of binge eating disorder and EDNOS diagnoses as compared to the \u201cclassical\u201d diagnoses of anorexia and bulimia nervosa. Interestingly, middle\u2010aged women with even very broadly defined subthreshold ED showed distress and impairment comparable to women with full\u2010scale ED. \u00a9 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:320\u2013324)<\/jats:p>","DOI":"10.1002\/eat.22232","type":"journal-article","created":{"date-parts":[[2013,11,30]],"date-time":"2013-11-30T19:24:37Z","timestamp":1385839477000},"page":"320-324","source":"Crossref","is-referenced-by-count":82,"title":["Prevalence of eating disorders in middle\u2010aged women"],"prefix":"10.1002","volume":"47","author":[{"given":"Barbara","family":"Mangweth\u2010Matzek","sequence":"first","affiliation":[{"name":"University Clinic of Psychosomatic Medicine Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans W.","family":"Hoek","sequence":"additional","affiliation":[{"name":"Parnassia Psychiatric Institute The Hague The Netherlands"},{"name":"Department of Psychiatry University Medical Center Groningen University of Groningen  The Netherlands"},{"name":"Department of Epidemiology Mailman School of Public Health Columbia University New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia I.","family":"Rupp","sequence":"additional","affiliation":[{"name":"University Clinic of Biological Psychiatry Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Lackner\u2010Seifert","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadja","family":"Frey","sequence":"additional","affiliation":[{"name":"University Clinic for Psychiatry Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra B.","family":"Whitworth","sequence":"additional","affiliation":[{"name":"Psychiatric CL\u2010Service at the General Public Hospital of the Brothers of St. John of God Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harrison G.","family":"Pope","sequence":"additional","affiliation":[{"name":"Biological Psychiatry Laboratory McLean Hospital\/Harvard Medical School Boston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johann","family":"Kinzl","sequence":"additional","affiliation":[{"name":"University Clinic of Psychosomatic Medicine Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-008-0031-8"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20743"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22030"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0001541"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0029125"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1740-1445(03)00002-0"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.12.002"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22157"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6"},{"key":"e_1_2_5_11_1","first-page":"91","volume-title":"Structured Clinical Interview for DSM\u2010IV (German Version, SKID)","author":"Wittchen HU","year":"1996"},{"key":"e_1_2_5_12_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_5_13_1","first-page":"34","volume-title":"Handbook of psychotherapy for anorexia nervosa and bulimia","author":"Johnson C","year":"1993"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798006667"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(200004)27:3<270::AID-EAT3>3.0.CO;2-1"},{"key":"e_1_2_5_17_1","unstructured":"Statistik Austria.Mikrozensus Volksz\u00e4hlung 1971\u20132001; Available at: at:www.statistik.at\/web_de\/statistiken\/bevoelkerung\/volkszaehlungen_registerzaehlungen; Accessed October 10 2013."},{"key":"e_1_2_5_18_1","first-page":"1","volume-title":"Eating Disorders and Cultures and Transition","author":"Gordon RA","year":"2001"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048450"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.08.003"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10162"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.22232","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.22232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T22:40:29Z","timestamp":1696545629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.22232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,30]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1002\/eat.22232"],"URL":"https:\/\/doi.org\/10.1002\/eat.22232","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,30]]}}}