{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:18:54Z","timestamp":1759335534598,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T00:00:00Z","timestamp":1608336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F32MH108311","K23MH118418","R01MH113588","R21MH118409"],"award-info":[{"award-number":["F32MH108311","K23MH118418","R01MH113588","R21MH118409"]}],"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":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Binge\u2010eating and purging behaviors commonly co\u2010occur with overweight. However, little is known about the potential associations of elevated weight status with eating disorder severity or treatment outcomes. Thus, the present study compared binge\u2010eating and purging patients with low, normal, and high weight statuses on eating disorder and mood symptoms at treatment admission, and tested whether weight status was associated with symptom change over treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The sample included 135 adult female patients in an intensive outpatient program, who completed self\u2010assessments at admission and discharge. MANOVAs compared the groups at treatment admission, and multilevel models examined changes over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At admission, the high\u2010weight group reported greater fasting frequency than the normal\u2010weight group, and higher shape and weight concerns than the low\u2010weight group. Over time, the high\u2010weight group additionally showed higher eating disorder psychological symptom severity than the normal\u2010weight group. The groups did not differ on mood symptoms at admission. Longitudinal results indicated that the groups showed comparable symptom improvements over treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings highlight the severity of higher\u2010weight patients with bulimia nervosa. Additionally, although these patients may present with more severe symptoms, their response to an intensive treatment may be comparable to that of normal\u2010 or lower\u2010weight groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23446","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T15:29:50Z","timestamp":1608391790000},"page":"621-626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Associations of elevated weight status with symptom severity and treatment outcomes in binge\/purge eating disorders"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3771-5769","authenticated-orcid":false,"given":"Joanna Y.","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania USA"},{"name":"Department of Psychiatry University of California  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1430-8028","authenticated-orcid":false,"given":"Laura A.","family":"Berner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Diego California USA"},{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-7228","authenticated-orcid":false,"given":"Tiffany A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Diego California USA"},{"name":"San Diego State University Research Foundation  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4843-1809","authenticated-orcid":false,"given":"Christina E.","family":"Wierenga","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4478-4906","authenticated-orcid":false,"given":"Walter H.","family":"Kaye","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,19]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Psychiatric Association. 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