{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:10:31Z","timestamp":1792393831953,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T00:00:00Z","timestamp":1488240000000},"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":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To test both the concurrent and predictive significance of the new DSM\u20105 severity specifier for binge\u2010eating disorder (BED) in adult outpatients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Existing data from 195 adults with DSM\u20105 BED who received evidence\u2010based treatment (manual\u2010based cognitive\u2010behavioral therapy) in an outpatient setting were re\u2010analysed to examine whether these patients sub\u2010grouped according to the DSM\u20105 severity levels, defined by the frequency of binge\u2010eating (BE) episodes, would show meaningful differences in a range of variables of clinical interest assessed at pre\u2010treatment and end\u2010of treatment abstinence from BE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants categorized with mild (33.3% of the sample), moderate (35.4%), severe (15.9%), and extreme (15.4%) severity of BED, based on their pre\u2010treatment clinician\u2010rated frequency of BE episodes, differed significantly from each other in physical characteristics (body mass index) and another sixteen variables of clinical interest assessed at pre\u2010treatment regarding eating disorder psychopathology and putative maintenance factors, lifetime and current psychiatric disorder comorbidity, general psychiatric distress, and psychosocial impairment. The four DSM\u20105 severity groups were statistically indistinguishable in demographics or age\u2010of\u2010BED onset. However, significant between\u2010group differences were observed in the treatment outcome, i.e., abstinence from BE, achieved by 98.5%, 66.7%, 38.7% and 6.7% of participants categorized with mild, moderate, severe, and extreme severity respectively. The outcome analyses repeated in the completer sample (<jats:italic>n<\/jats:italic>\u2009=\u2009187) yielded the same pattern of the aforementioned intent\u2010to\u2010treat (<jats:italic>N<\/jats:italic>\u2009=\u2009195) results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The findings provide support for the severity specifier for BED introduced in the DSM\u20105 as a means of addressing within\u2010group variability in severity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22696","type":"journal-article","created":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T16:23:59Z","timestamp":1488299039000},"page":"917-923","source":"Crossref","is-referenced-by-count":36,"title":["Validity and utility of the <scp>DSM<\/scp>\u20105 severity specifier for binge\u2010eating disorder"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-3862","authenticated-orcid":false,"given":"Antonios","family":"Dakanalis","sequence":"first","affiliation":[{"name":"Department of Medicine and Surgery University of Milano\u2010Bicocca Milan\/Monza Italy"},{"name":"Department of Brain and Behavioral Sciences University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizia","family":"Colmegna","sequence":"additional","affiliation":[{"name":"Mental Health Department San Gerardo Monza Health and Social Care Trust Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Riva","sequence":"additional","affiliation":[{"name":"Applied Technology for Neuro\u2011Psychology Laboratory Istituto Auxologico Italiano Milan Italy"},{"name":"Department of Psychology Catholic University Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Clerici","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery University of Milano\u2010Bicocca Milan\/Monza Italy"},{"name":"Mental Health Department San Gerardo Monza Health and Social Care Trust Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-011-0231-z"},{"key":"e_1_2_6_3_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_5_1","first-page":"213","volume-title":"Overcoming binge eating","author":"Clerici M.","year":"2015"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2010.07.007"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-014-0649-1"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-014-0560-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-014-0152-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2015.03.003"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22535"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223980.2013.842141"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2016.05.002"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2433"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2014.07.022"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2013.10.003"},{"key":"e_1_2_6_17_1","volume-title":"The Brief Symptom Inventory (BSI): Administration, scoring and procedures manual","author":"Derogatis L. 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