{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:56:27Z","timestamp":1778104587664,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,9,7]],"date-time":"2019-09-07T00:00:00Z","timestamp":1567814400000},"content-version":"am","delay-in-days":371,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2018,9,7]],"date-time":"2018-09-07T00:00:00Z","timestamp":1536278400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["DGE\u20101745303"],"award-info":[{"award-number":["DGE\u20101745303"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F32MH111127"],"award-info":[{"award-number":["F32MH111127"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study examined whether patterns of eating\u2010disorder (ED) psychopathology differed by gender across <jats:italic>DSM\u20105<\/jats:italic> severity specifiers in anorexia nervosa (AN) and bulimia nervosa (BN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We tested whether ED psychopathology differed across <jats:italic>DSM<\/jats:italic>\u20105 severity specifiers among 532 adults (76% female) in a residential treatment center with AN or BN. We hypothesized that severity of ED psychopathology would increase in tandem with increasing severity classifications for both males and females with AN and BN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among females with BN, <jats:italic>DSM\u20105<\/jats:italic> severity categories were significantly associated with increasing ED psychopathology, including Eating Disorder Examination\u2010Questionnaire dietary restraint, eating concern, shape concern, and weight concern; and Eating Disorder Inventory drive for thinness and bulimia. ED psychopathology did not differ across <jats:italic>DSM\u20105<\/jats:italic> severity levels for males with BN. For both males and females with AN, there were no differences in ED psychopathology across severity levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results demonstrate that <jats:italic>DSM\u20105<\/jats:italic> severity specifiers may function differently for males versus females with BN. Taken together, data suggest <jats:italic>DSM\u20105<\/jats:italic> severity specifiers may not adequately capture severity, as intended, for males with BN and all with AN. Future research should evaluate additional clinical validators of <jats:italic>DSM\u20105<\/jats:italic> severity categories (e.g., chronicity, treatment non\u2010response), and consider alternate classification schemes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22941","type":"journal-article","created":{"date-parts":[[2018,9,7]],"date-time":"2018-09-07T19:38:52Z","timestamp":1536349132000},"page":"1098-1102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Gender differences in eating disorder psychopathology across <i>DSM\u20105<\/i> severity categories of anorexia nervosa and bulimia nervosa"],"prefix":"10.1002","volume":"51","author":[{"given":"Lazaro V.","family":"Zayas","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8583-3014","authenticated-orcid":false,"given":"Shirley B.","family":"Wang","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychology Harvard University  Cambridge Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Coniglio","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychology Rutgers University  Piscataway New Jersey"},{"name":"Department of Psychology Drexel University  Philadelphia 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Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Klosterman","sequence":"additional","affiliation":[{"name":"Eating Disorder Center, Rogers Memorial Hospital  Oconomowoc Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Kay","sequence":"additional","affiliation":[{"name":"Eating Disorder Center, Rogers Memorial Hospital  Oconomowoc Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Bean","sequence":"additional","affiliation":[{"name":"Eating Disorder Center, Rogers Memorial Hospital  Oconomowoc Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Weltzin","sequence":"additional","affiliation":[{"name":"Eating Disorder Center Rogers Memorial Hospital  Oconomowoc Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra L.","family":"Franko","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School  Boston 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