{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:36:27Z","timestamp":1773012987000,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN 162306"],"award-info":[{"award-number":["FRN 162306"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["MOP\u2010142717"],"award-info":[{"award-number":["MOP\u2010142717"]}],"id":[{"id":"10.13039\/501100000024","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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Current diagnostic nomenclature includes \u201catypical\u201d eating disorders (EDs) under the term other specified feeding or eating disorder (OSFED). Previous studies suggest that individuals with OSFED have similar psychological and concurrent symptoms to individuals with \u201cclassical\u201d EDs. Our study compared people with OSFED to those with classical EDs on indices reflecting ED pathology, concurrent psychological symptoms, personality traits, functional impairment, illness duration, and pretreatment motivation. We also compared OSFED variants characterized solely by restrictive eating behaviors (OSFED\u2010R) to variants in which binge\u2010eating and\/or purging symptoms predominated (OSFED\u2010B\/P).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were 836 treatment\u2010seeking adults (185 AN\u2010Restricting type [AN\u2010R], 165 AN Binge\u2010eating\/purging type [AN\u2010B\/P], 276 BN, 104 OSFED\u2010R, and 106 OSFED\u2010B\/P) starting outpatient ED treatment. Data were analyzed with generalized linear models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, findings in individuals with OSFED were comparable to those in people with a \u201cclassical\u201d ED diagnosis on self\u2010reported measures of concurrent psychological symptoms, personality traits, functional impairment, illness duration, and treatment motivation. However, relative to people with AN\u2010R, individuals with OSFED\u2010R reported higher levels of psychological ED symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The OSFED\u2010B\/P group had even more ED\u2010related psychological symptoms than did the OSFED\u2010R group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), but did not differ from the AN\u2010B\/P and BN groups on any of our indices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings extend previous research, underscoring the point that OSFED syndromes have serious clinical implications, comparable to those associated with full\u2010threshold AN and BN. Results also highlight the relevance of examining heterogeneity within the OSFED category in function of a restrictive vs. binge\/purge distinction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24533","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T05:38:42Z","timestamp":1755927522000},"page":"2241-2245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Restrictive and Binge\u2010Purge\n                    <scp>OSFED<\/scp>\n                    Variants: Clinical Features and Comparisons With Classical Eating Disorders"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0863-8098","authenticated-orcid":false,"given":"Linda","family":"Booij","sequence":"first","affiliation":[{"name":"Eating Disorders Continuum &amp; Research Centre Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1636-724X","authenticated-orcid":false,"given":"Emily","family":"Mizzi","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum &amp; Research Centre Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5912-2993","authenticated-orcid":false,"given":"Samantha","family":"Ginsberg","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum &amp; Research Centre Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4887-7824","authenticated-orcid":false,"given":"Howard","family":"Steiger","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum &amp; Research Centre Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787.x10_Feeding_and_Eating_Disorders"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24330"},{"key":"e_1_2_12_4_1","first-page":"309","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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P.","year":"1991"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2872"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23021"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010016\u20100345\u2010x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23376"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(21)00040\u20107"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0b013e3282f2b4d6"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.psc.2025.08.003","article-title":"Atypical (Other or Unspecified) Feeding or Eating Disorders: Diagnosis, Clinical Implications and Treatment","author":"Steiger H.","year":"2025","journal-title":"Psychiatric Clinics of North America"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22734"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-016-9547-9"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23856"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2023.102267"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.784512"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300600919380"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T05:40:50Z","timestamp":1762926050000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,22]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/eat.24533"],"URL":"https:\/\/doi.org\/10.1002\/eat.24533","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,22]]},"assertion":[{"value":"2025-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}