{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:46:24Z","timestamp":1786117584523,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Few studies have examined differences in eating disorder (ED) and general psychopathology among those who self\u2010induce vomiting only compared to those who misuse laxatives only and those who engage in both types of behaviors. The current study aimed to fill this gap in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were 1652 adults receiving treatment for an ED at a large multisite treatment facility in the United\u00a0States\u00a0between January 2021 and December 2024. Participants completed measures of ED psychopathology (Eating Disorders Examination\u2010Questionnaire; EDE\u2010Q), depression (Patient Health Questionnaire\u20109; PHQ\u20109), anxiety (Generalized Anxiety Disorder\u20107; GAD\u20107), and obsessive\u2010compulsive symptoms (Obsessive\u2010Compulsive Inventory\u2010Revised; OCI\u2010R) at admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant differences among groups were found on all EDE\u2010Q subscales and the Global score, with the laxative only group and the group engaging in both behaviors scoring significantly higher than the vomiting only group. A similar pattern of results was found for the PHQ\u20109, while significant differences on the GAD\u20107 and OCI\u2010R failed to remain significant after multiple comparison corrections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>It is possible that those who misuse laxatives, or engage in both laxative misuse and vomiting, may benefit from more intensive treatment than those who engage in self\u2010induced vomiting only. These individuals may also need a different form of treatment if laxative misuse is conceptualized as an addiction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70114","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T03:29:59Z","timestamp":1777087799000},"page":"1794-1799","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Differences Among Purging Presentations at Admission to Treatment: Eating Disorder and General Psychopathology Symptoms"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0423-7403","authenticated-orcid":false,"given":"Renee D.","family":"Rienecke","sequence":"first","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood &amp; Anxiety Centers  Denver Colorado USA"},{"name":"Department of Psychiatry and Behavioral Sciences Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8349-9825","authenticated-orcid":false,"given":"Dan V.","family":"Blalock","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center  Durham North Carolina USA"},{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8697-9285","authenticated-orcid":false,"given":"Alan","family":"Duffy","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood &amp; Anxiety Centers  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9655-3600","authenticated-orcid":false,"given":"Timothy D.","family":"Brewerton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6798-9085","authenticated-orcid":false,"given":"Thomas","family":"Joiner","sequence":"additional","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7798-0612","authenticated-orcid":false,"given":"Jamie","family":"Manwaring","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood &amp; Anxiety Centers  Denver Colorado USA"},{"name":"School of Medicine, University of Colorado  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9598-6428","authenticated-orcid":false,"given":"Philip S.","family":"Mehler","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood &amp; Anxiety Centers  Denver Colorado USA"},{"name":"School of Medicine, University of Colorado  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.5.726"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10116"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20267"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.04.010"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3147"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20416"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_13_10_1","first-page":"309","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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