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Comparisons across groups tested the validity of OSFED\u2010BN and whether prior history of DSM\u20105 BN impacted evidence of its clinical significance and distinctiveness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Lower frequency of binge eating was the primary reason for diagnosis of OSFED\u2010BN vs. BN; more than 80% of those with OSFED\u2010BN met or exceeded frequency and duration criteria for inappropriate compensatory behaviors. The current DSM\u20105 threshold distinguishing BN from its OSFED variant or from BN in partial remission produced few differences relative to several large differences observed for comparisons of these diagnostic groups and non\u2010eating disorder controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Despite being associated with distinct DSM\u20105 diagnostic codes, BN, BN in partial remission, and OSFED\u2010BN appear to represent a single condition that may, at most, capture some dimensional differences in severity. Findings support lowering the current minimum frequency thresholds for diagnosing BN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24580","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T08:59:34Z","timestamp":1761123574000},"page":"311-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Significance and Distinctiveness of\n                    <scp>DSM<\/scp>\n                    \u20105 Other Specified Feeding or Eating Disorder\u2010Bulimia Nervosa of Low Frequency and\/or Limited Duration in Women"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6542-5147","authenticated-orcid":false,"given":"Pamela K.","family":"Keel","sequence":"first","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8346-7762","authenticated-orcid":false,"given":"Lindsay P.","family":"Bodell","sequence":"additional","affiliation":[{"name":"Department of Psychology Western University  London Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4604-7491","authenticated-orcid":false,"given":"Jonathan","family":"Appelbaum","sequence":"additional","affiliation":[{"name":"College of Medicine, Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3548-7440","authenticated-orcid":false,"given":"Diana L.","family":"Williams","sequence":"additional","affiliation":[{"name":"Kravis Department of Integrated Sciences Claremont McKenna College  Claremont California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"American Psychiatric Association.2024.\u201cAPA DSM5\u2010TR Update.\u201dhttps:\/\/www.psychiatry.org\/getmedia\/2ed086b0\u2010ec88\u201042ec\u2010aa0e\u2010f442e4af74e6\/APA\u2010DSM5TR\u2010Update\u2010September\u20102024.pdf."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24275"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2009.04.007"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101326.2008.00851.x"},{"key":"e_1_2_10_7_1","unstructured":"Brauser D.2025.\u201cAPA Unveils Early Plans for the Next DSM.\u201dMedscape June 2.https:\/\/www.medscape.com\/viewarticle\/apa\u2010unveils\u2010early\u2010plans\u2010next\u2010dsm\u20102025a1000eu1."},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3068"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2017.12.002"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108X(198707)6:4<485::AID\u2010EAT2260060405>3.0.CO;2\u2010O"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbm.23955"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24280"},{"key":"e_1_2_10_13_1","unstructured":"Fairburn C. 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