{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:26:22Z","timestamp":1788175582113,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,6,17]],"date-time":"2017-06-17T00:00:00Z","timestamp":1497657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01\u2010DK\u201061912, R01\u2010MHDK\u201058820"],"award-info":[{"award-number":["R01\u2010DK\u201061912, R01\u2010MHDK\u201058820"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01\u2010MH\u2010059674, T32\u2010MH\u2010082761"],"award-info":[{"award-number":["R01\u2010MH\u2010059674, T32\u2010MH\u2010082761"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The DSM\u20105 includes severity specifiers (i.e., mild, moderate, severe, extreme) for anorexia nervosa (AN), bulimia nervosa (BN), and binge\u2010eating disorder (BED), which are determined by weight status (AN) and frequencies of binge\u2010eating episodes (BED) or inappropriate compensatory behaviors (BN). Given limited data regarding the validity of eating disorder (ED) severity specifiers, this study examined the concurrent and predictive validity of severity specifiers in AN, BN, and BED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Adults with AN (<jats:italic>n<\/jats:italic>\u2009=\u2009109), BN (<jats:italic>n<\/jats:italic>\u2009=\u200976), and BED (<jats:italic>n<\/jats:italic>\u2009=\u2009216) were identified from previous datasets. Concurrent validity was assessed by measures of ED psychopathology, depression, anxiety, quality of life, and physical health. Predictive validity was assessed by ED symptoms at the end of the treatment in BN and BED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Severity categories did not differ in baseline validators, though the mild AN group evidenced greater ED symptoms compared to the severe group. In BN, greater severity was related to greater end of treatment binge\u2010eating and compensatory behaviors, and lower likelihood of abstinence; however, in BED, greater severity was related to lower ED symptoms at the end of the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results demonstrated limited support for the validity of DSM\u20105 severity specifiers. Future research is warranted to explore additional validators and possible alternative indicators of severity in EDs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22739","type":"journal-article","created":{"date-parts":[[2017,6,17]],"date-time":"2017-06-17T23:18:46Z","timestamp":1497741526000},"page":"1109-1113","source":"Crossref","is-referenced-by-count":58,"title":["The validity of <scp>DSM<\/scp>\u20105 severity specifiers for anorexia nervosa, bulimia nervosa, and binge\u2010eating disorder"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6555-0060","authenticated-orcid":false,"given":"Kathryn E.","family":"Smith","sequence":"first","affiliation":[{"name":"Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo M.","family":"Ellison","sequence":"additional","affiliation":[{"name":"Essentia Health Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott G.","family":"Engel","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1827-5075","authenticated-orcid":false,"given":"Scott J.","family":"Crow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9152-4552","authenticated-orcid":false,"given":"Carol B.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute Fargo North Dakota"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0264-x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22696"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20200"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034010"},{"key":"e_1_2_5_8_1","first-page":"317","volume-title":"Binge eating: Nature, assessment, and treatment","author":"Fairburn C. 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