{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T12:00:10Z","timestamp":1780574410918,"version":"3.54.1"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2021R1A2C2009668"],"award-info":[{"award-number":["2021R1A2C2009668"]}],"id":[{"id":"10.13039\/501100003725","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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We examined the clinical validity of DSM\u20105 severity specifiers for bulimia nervosa (BN) and binge eating disorder (BED) in Korean outpatients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Seven hundred ninety\u2010nine outpatients with BN (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0668; mean age\u00a0=\u00a023.7\u00a0years; 95% female; mean BMI\u00a0=\u00a020.54\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) or BED (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0131; mean age\u00a0=\u00a026.1\u00a0years; 89% female; mean BMI\u00a0=\u00a025.07\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) were recruited from an eating disorders clinic. For BN, we assessed the validity of severity specifiers based on purging\u2010type behaviours and overall compensatory behaviours. For BED, we examined the validity of the current severity specifier and an alternative specifier with an adjusted threshold based on the frequency distribution.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For BN, severity based on purging\u2010type behaviours differentiated BMI and self\u2010injury, whereas severity based on overall compensatory behaviours differentiated the level of weight suppression as well as eating\u2010related and general psychopathology. In both classifications, increasing severity was linked to a greater likelihood of self\u2010injury. For BED, 90% of patients were classified as mild\u2010to\u2010moderate using the current specifier. The adjusted index correlated more strongly with EDE\u2010Q shape concerns and global scores than the current index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The BN specifier differentiated clinical variables across severity groups. The adjusted BED specifier may better differentiate severity in the Korean population than the DSM\u20105 specifier, suggesting the potential benefit of cultural adjustments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70095","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:02:49Z","timestamp":1773025369000},"page":"1075-1088","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of DSM\u20105 Severity Specifiers for Bulimia Nervosa and Binge Eating Disorder and an Alternative Specifier for Binge Eating Disorder in a Korean Cohort"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-9013","authenticated-orcid":false,"given":"Zhen","family":"An","sequence":"first","affiliation":[{"name":"Institute of Eating Disorders and Mental Health Inje University  Seoul South Korea"},{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-7180","authenticated-orcid":false,"given":"Youl\u2010Ri","family":"Kim","sequence":"additional","affiliation":[{"name":"Institute of Eating Disorders and Mental Health Inje University  Seoul South Korea"},{"name":"Department of Psychiatry Ilsan Paik Hospital Inje University  Goyang South Korea"},{"name":"Institute for Gender Research Seoul National University  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0871-4596","authenticated-orcid":false,"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders (CREW) Department of Psychological Medicine Institute of Psychiatry, Psychology, and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u2010IV","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24023"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.22722\/KJPM.2018.26.2.152"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.02.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2012.07.035"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.510"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716000027"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010016\u20100324\u20102"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3156"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/cps0000078"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3147"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098108x(198701)6:13.0.co;2\u20109"},{"key":"e_1_2_10_15_1","first-page":"265","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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