{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:32:34Z","timestamp":1780579954601,"version":"3.54.1"},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010198","name":"Ministerio de Asuntos Econ\u00f3micos y Transformaci\u00f3n Digital, Gobierno de Espa\u00f1a","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010198","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015439","name":"Centres de Recerca de Catalunya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015439","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to compare treatment outcomes associated with three severity indicators\u2014DSM\u20135 for anorexia nervosa (AN) and bulimia nervosa (BN), ICD\u201311 for AN, and drive for thinness (DT) for AN and BN\u2014within a treatment\u2010seeking population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 628 female participants diagnosed with either AN (<jats:italic>n<\/jats:italic>\u00a0=\u00a0266; mean age\u00a0=\u00a026.71) or BN (<jats:italic>n<\/jats:italic>\u00a0=\u00a0362; mean age\u00a0=\u00a029.49) were recruited from an ED unit. Upon admission, participants were classified based on DSM\u20135 (AN and BN) and ICD\u201311 severity categories. They underwent CBT\u2010E comprehensive manualised programs, according to ED subtype, and were categorised into \u2018full remission\u2019, \u2018partial remission\u2019, \u2018non\u2010remission\u2019 or \u2018drop\u2010out\u2019 based on DSM\u20135 diagnostic criteria at discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant associations were found only for ICD\u201311 AN severity groups (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03, Cramer's <jats:italic>V<\/jats:italic>\u00a0=\u00a00.18), with \u2018dangerously low BMI\u2019 associated with poorer outcomes than \u2018significantly low BMI\u2019. No other significant relationships were found with DSM\u20135 or DT severity groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study reveals the limitation of using a single severity indicator and emphasises the necessity of a comprehensive assessment to capture the complexities of AN and BN. Future research should also evaluate the validity of these severity measures across various factors, including biological correlates and psychopathology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3156","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T04:55:23Z","timestamp":1732337723000},"page":"460-471","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Unveiling Severity Indicators for Anorexia and Bulimia Nervosa Treatment Success: DSM\u20135 Versus ICD\u201311 Versus Drive for Thinness"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7961-6913","authenticated-orcid":false,"given":"An","family":"Dang","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roser","family":"Granero","sequence":"additional","affiliation":[{"name":"Ciber Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn) Instituto Salud Carlos III  Barcelona Spain"},{"name":"Department of Psychobiology and Methodology Universitat Aut\u00f2noma de Barcelona\u2014UAB  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Ciber Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn) Instituto Salud Carlos III  Barcelona Spain"},{"name":"Department of Clinical Psychology University Hospital of Bellvitge\u2010IDIBELL and CIBERobn  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura G\u00e1lvez","family":"Sol\u00e9","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department University Hospital of Bellvitge  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Jimenez\u2010del","family":"Toro","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department University Hospital of Bellvitge  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda","family":"Rosinska","sequence":"additional","affiliation":[{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group Neurosciences Program Bellvitge Biomedical Research Institute (IDIBELL)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Jimenez\u2010Murcia","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University Hospital of Bellvitge\u2010IDIBELL and CIBERobn  Barcelona Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group Neurosciences Program Bellvitge Biomedical Research Institute (IDIBELL)  Barcelona Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn) Instituto de Salud Carlos III  Barcelona Spain"},{"name":"Department of Clinical Sciences School of Medicine and Health Sciences University of Barcelona  Barcelona Spain"},{"name":"Psychological Services University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5275-3595","authenticated-orcid":false,"given":"Isabel","family":"Krug","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Fernandez\u2010Aranda","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University Hospital of Bellvitge\u2010IDIBELL and CIBERobn  Barcelona Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group Neurosciences Program Bellvitge Biomedical Research Institute (IDIBELL)  Barcelona Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn) Instituto de Salud Carlos III  Barcelona Spain"},{"name":"Department of Clinical Sciences School of Medicine and Health Sciences University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2005.10.017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470594001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_9_7_1","first-page":"320","volume-title":"Personality Disorders and Eating Disorders","author":"Bruce K. 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