Purging disorder: an ominous variant of bulimia nervosa?
OBJECTIVE
The current study evaluates the clinical significance and distinctiveness of purging disorder (PD), an eating disorder characterized by recurrent purging in the absence of objective binge episodes (OBE) among normal-weight individuals.


METHODS
Women with PD (n = 37), bulimia nervosa (BN; n = 39), or no eating disorder (n = 35) completed clinical assessments. Women with PD (n = 23) and BN (n = 25) completed 6-month follow-up assessments.


RESULTS
Compared with controls, both eating-disordered groups reported significantly higher eating, Axis I, and Axis II pathology. Compared with BN, PD was associated with significantly lower eating concerns, disinhibition, and hunger. At 6-month follow-up, rates of remission did not differ significantly between PD and BN, and crossover between disorders was rare.


CONCLUSIONS
PD appears to be a clinically significant and potentially distinctive eating disorder.
Keel
Pamela K
PK
Department of Psychology, University of Iowa, Iowa City, Iowa 52242, USA. pamela-keel@uiowa.edu
Haedt
Alissa
A
Edler
Crystal
C
D000293:Adolescent; D000328:Adult; D052018:Bulimia Nervosa / Q000150:complications* / Q000523:psychology*; D016022:Case-Control Studies; D001068:Feeding and Eating Disorders / Q000145:classification / Q000523:psychology*; D005260:Female; D006801:Humans; D006815:Hunger; D007266:Inhibition, Psychological; D008875:Middle Aged; D011379:Prognosis