{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T02:08:54Z","timestamp":1783044534006,"version":"3.54.6"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH63758"],"award-info":[{"award-number":["R01MH63758"]}],"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":["R01MH126990"],"award-info":[{"award-number":["R01MH126990"]}],"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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Specific diagnostic criteria for purging disorder (PD) are not currently provided in the DSM\u20105. The current study aims to compare point prevalence estimates and evidence of predictive validity for four alternative criteria sets for PD for men and women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Survey data collected in college (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20093291) and at 10\u2010year follow\u2010up (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092223) were used in analyses. Point prevalence was assessed at both time points and compared in men versus women as well as in college versus at 10\u2010year follow\u2010up. Predictive validity was assessed using multiple linear regressions to determine prospective associations for each PD definition versus no eating disorder across external validators.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Point prevalence was greater in women than in men in college across all definitions of PD, and no sex differences were found at follow\u2010up. Point prevalence was greater in college than at follow\u2010up in all but the narrowest definition of PD which required purging, on average, twice per week. Predictive validity was supported for PD defined by self\u2010induced vomiting, laxative or diuretic misuse, with evidence of lower satisfaction with work and career at follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Together, findings support defining PD through self\u2010induced vomiting, laxative use, or diuretic use to influence body shape or weight, on average, at least once per week. Specifying diagnostic criteria for PD that demonstrate evidence of concurrent and predictive validity will contribute to improved diagnostic reliability, screening, assessment, and support future research efforts to improve treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70039","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T04:40:07Z","timestamp":1769488807000},"page":"919-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictive Validity of Purging Disorder: A 10\u2010Year Follow\u2010Up Study Comparing Prevalence and Psychosocial Outcomes for Alternative Criteria Sets"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7094-0864","authenticated-orcid":false,"given":"Holly K.","family":"Spinner","sequence":"first","affiliation":[{"name":"Department of Psychology Florida State University  Panama City Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5865-681X","authenticated-orcid":false,"given":"Alissa","family":"Haedt\u2010Matt","sequence":"additional","affiliation":[{"name":"College of Health Professions, Rosalind Franklin University of Medicine and Science  Chicago Illinois 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  Panama City Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/aoo34004"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24275"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23808"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000519"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13817"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24280"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2020.101365"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24498"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10220"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23712"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22212"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108X(198321)2:2<15::AID\u2010EAT2260020203>3.0.CO;2\u20106"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.09.023"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20712"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102015\u2010010843"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010017\u20100149\u2010z"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2241"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2013.10.005"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000541"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24262"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103999(02)00491\u20109"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098\u2010108X(200001)27:1<21::AID\u2010EAT2>3.0.CO;2\u2010F"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20718"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707001390"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2017.42.2.152"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2872"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2769"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2022.2154571"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010080822\u2010051727"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1988.10478722"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610926.2016.1228962"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22811"},{"key":"e_1_2_12_37_1","unstructured":"Mangiafico S. 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