{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:33:03Z","timestamp":1757705583189,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T00:00:00Z","timestamp":1548806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["MH0118261\u201033"],"award-info":[{"award-number":["MH0118261\u201033"]}],"id":[{"id":"10.13039\/100000002","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":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study tested clinical utility of the DSM\u20105 severity specifier for bulimia nervosa (BN) in predicting treatment response among adolescents (<jats:italic>N<\/jats:italic>\u2009=\u2009110) within a randomized clinical trial of two psychosocial treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Analyses grouped individuals meeting criteria for BN diagnosis by baseline severity, per DSM\u20105. Associations among baseline severity classification and BN behavior (i.e., binge eating and compensatory behavior) and eating disorder examination (EDE) Global scores at end\u2010of\u2010treatment (EOT), 6\u2010 and 12\u2010month follow\u2010up were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Associations between severity categories with BN symptoms were not significant at EOT, or follow\u2010up. Test for linear trend in BN behavior was significant at EOT, <jats:italic>F<\/jats:italic>\u2009=\u20095.23, <jats:italic>p<\/jats:italic>\u2009=\u20090.02, without demonstrating a linear pattern. Relation between severity categories with EDE Global scores was significant at 6\u2010month follow\u2010up, <jats:italic>F<\/jats:italic>\u2009=\u20093.76, <jats:italic>p<\/jats:italic>\u2009=\u20090.01. Tests for linear trend in EDE Global scores were significant at EOT, <jats:italic>F<\/jats:italic>\u2009=\u20095.40, <jats:italic>p<\/jats:italic>\u2009=\u20090.02, and at 6 months, <jats:italic>F<\/jats:italic>\u2009=\u200910.73, <jats:italic>p<\/jats:italic>\u2009=\u20090.002, with the expected linear pattern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings suggest the DSM\u20105 BN severity specifier holds questionable utility in anticipating outpatient treatment response in adolescents with BN. The specifier may have improved ability to predict attitudinal rather than behavioral treatment outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23034","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T04:49:29Z","timestamp":1548910169000},"page":"586-590","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A test of the DSM\u20105 severity specifier for bulimia nervosa in adolescents: Can we anticipate clinical treatment outcomes?"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8861-8547","authenticated-orcid":false,"given":"Sasha","family":"Gorrell","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of California  San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Hail","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of 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California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5169-1484","authenticated-orcid":false,"given":"James","family":"Lock","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7293-9496","authenticated-orcid":false,"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Francisco California"},{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago (Emeritus)  Chicago 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