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The current study used an eating disorder sample to test the hypothesis that negative urgency maintains bulimia nervosa (BN) and purging disorder (PD) at long\u2010term follow\u2010up. It was also hypothesized that baseline differences in negative urgency between BN and PD would remain at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analyses were conducted on a sample of women who engaged in recurrent self\u2010induced vomiting (<jats:italic>n<\/jats:italic>\u2009=\u200968; 52.9% BN; 47.1% PD). Women completed diagnostic interviews and questionnaires at baseline and at a mean (SD) of 5.95 (1.58) years follow\u2010up (range\u2009=\u20092.51\u20139.62; retention rate\u2009=\u200975%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Negative urgency did not predict eating disorder diagnostic status, recovery status, or global eating pathology at follow\u2010up (<jats:italic>p<\/jats:italic>'s\u2009=\u2009.06\u2013.83). There were no significant differences in negative urgency across women with BN and PD at follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u2009.16). However, post hoc analyses indicated that negative urgency was not stable across time (ICC\u2009=\u2009.102). Increases in negative urgency from baseline to follow\u2010up were associated with greater global eating pathology at follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u2009.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Results suggest negative urgency does not predict long\u2010term eating disorder maintenance. Negative urgency may not be a stable personality trait but rather an indicator of overall poor emotion regulation. Future research should confirm that changes in negative urgency predict chronic eating pathology over long durations of follow\u2010up in women who have <jats:italic>increasing<\/jats:italic> negative urgency across time.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23683","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T11:39:50Z","timestamp":1711798790000},"page":"1607-1617","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining negative urgency as a predictor of eating disorder maintenance in purging syndromes"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7884-958X","authenticated-orcid":false,"given":"Sarah A.","family":"Horvath","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University Athens Ohio USA"},{"name":"Department of Psychiatry University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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 Tallahassee Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8215-9335","authenticated-orcid":false,"given":"K. 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