{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:33:06Z","timestamp":1780569186146,"version":"3.54.1"},"reference-count":56,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T00:00:00Z","timestamp":1648857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001945","name":"American Psychological Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001945","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F31\u2010MH105082"],"award-info":[{"award-number":["F31\u2010MH105082"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01\u2010MH111263"],"award-info":[{"award-number":["R01\u2010MH111263"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01\u2010MH61836"],"award-info":[{"award-number":["R01\u2010MH61836"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R03\u2010MH61320"],"award-info":[{"award-number":["R03\u2010MH61320"]}],"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":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The current study sought to examine the predictive validity of the purging disorder diagnosis at long\u2010term follow\u2010up by comparing naturalistic outcomes with bulimia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Women with purging disorder (<jats:italic>N<\/jats:italic>\u00a0=\u00a084) or bulimia nervosa (<jats:italic>N<\/jats:italic>\u00a0=\u00a0133) who had completed comprehensive baseline assessments as part of one of three studies between 2000 and 2012 were sought for follow\u2010up assessment. Nearly all (94.5%) responded to recruitment materials and 150 (69% of sought sample; 83.3% non\u2010Hispanic white; 33.40 [7.63] years old) participated at an average of 10.59 (3.71) years follow\u2010up. Participants completed the Eating Disorder Examination, the Structured Clinical Interview for DSM\u2010IV, and a questionnaire battery. Diagnostic groups were compared on eating disorder (illness status, recovery status, and eating pathology) and related outcomes. Group differences in predictors of outcome were explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in eating disorder presence (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.70), recovery status (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.87), and level of eating pathology (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.17) between diagnostic groups at follow\u2010up. Post hoc equivalence tests indicated group differences were smaller than a medium effect size (<jats:italic>p'<\/jats:italic>s\u2009\u2264\u2009.005). Groups differed in diagnosis at follow\u2010up (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.002); diagnostic stability was more likely than cross\u2010over to bulimia nervosa for women with baseline purging disorder (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Although purging disorder and bulimia nervosa do not differ in long\u2010term outcomes, the relative stability in clinical presentation suggests baseline group differences in clinical presentation may be useful in augmenting treatments for purging disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance Statement<\/jats:title><jats:p>While purging disorder is classified as an \u201cother specified\u201d eating disorder, individuals who experience this disorder have comparable negative long\u2010term outcomes as those with bulimia nervosa. This highlights the importance of screening for and treating purging disorder as a full\u2010threshold eating disorder.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23712","type":"journal-article","created":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T09:08:12Z","timestamp":1648890492000},"page":"810-819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating the predictive validity of purging disorder by comparison to bulimia nervosa at long\u2010term follow\u2010up"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8215-9335","authenticated-orcid":false,"given":"Katherine Jean","family":"Forney","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-7228","authenticated-orcid":false,"given":"Tiffany A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Auburn University  Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research  Fargo North Dakota USA"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly M.","family":"Klein","sequence":"additional","affiliation":[{"name":"VA Boston Healthcare System, Brockton Division  Brockton Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6542-5147","authenticated-orcid":false,"given":"Pamela K.","family":"Keel","sequence":"additional","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-013-9747-7"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.001"},{"key":"e_1_2_8_5_1","volume-title":"Manual for the Beck Depression Inventory\u2010II","author":"Beck A. T.","year":"1996"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(88)90050-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2021.105243"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2019.02.004"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80226-6"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198701)6:1<1::AID-EAT2260060102>3.0.CO;2-9"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22264"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.07060951"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13m08753"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m10393"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_8_20_1","volume-title":"Structured Clinical Interview for DSM\u2010IV Axis I Disorders","author":"First M.","year":"1995"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22508"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22717"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719003982"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.09.023"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11010059"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199907000-00012"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22806"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721003640"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20179"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.3.313"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20718"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707001390"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.9.1058"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22088"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2231"},{"key":"e_1_2_8_36_1","unstructured":"Kohl M.(2021).Package \u201cMKmisc\u201d(1.8) [Computer software].https:\/\/cran.r-project.org\/web\/packages\/MKmisc\/MKmisc.pdf"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2872"},{"key":"e_1_2_8_38_1","unstructured":"Lakens D.(2018).Package \u201cTOSTER\u201d(0.3.4) [Computer software].https:\/\/cran.r-project.org\/web\/packages\/TOSTER\/TOSTER.pdf"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199101)10:1<49::AID-EAT2260100106>3.0.CO;2-X"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23501"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23230"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.12.003"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-2657-y"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20770"},{"key":"e_1_2_8_45_1","unstructured":"Robitzsch A. Grund S. &Henke T.(2021).Package \u201cmiceadds\u201d(3.11\u20106) [Computer software].https:\/\/cran.r-project.org\/web\/packages\/miceadds\/miceadds.pdf"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199611)20:3<315::AID-EAT11>3.0.CO;2-Z"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000243"},{"key":"e_1_2_8_48_1","volume-title":"The State\u2010Trait Anxiety Inventory","author":"Speilberger C. D.","year":"1983"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.013"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20077"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030679"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqaa146"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(85)90010-8"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798006667"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2018.03.014"},{"key":"e_1_2_8_56_1","unstructured":"vanBuuren S.(2021).Package \u201cmice\u201d(3.14.0) [Computer software].https:\/\/cran.r-project.org\/web\/packages\/mice\/mice.pdf"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712002516"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23712","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23712","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T11:38:57Z","timestamp":1692877137000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,2]]},"references-count":56,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1002\/eat.23712"],"URL":"https:\/\/doi.org\/10.1002\/eat.23712","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,2]]},"assertion":[{"value":"2021-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}