title: Clinical utility of subtyping binge eating disorder by history of anorexia or bulimia nervosa in a treatment sample.
abstract: OBJECTIVE
  This study examined whether having a history of anorexia nervosa (AN) or bulimia nervosa (BN) is associated with response to treatment in adults with binge eating disorder (BED).
  
  
  METHODS
  Data from 189 adults diagnosed with BED who were randomly assigned to one of three group cognitive-behavioral (CBT) treatments were analyzed to compare those with and without a history of AN/BN.
  
  
  RESULTS
  A total of 16% of the sample had a history of AN/BN. The BED subgroup with a history of AN/BN presented with higher rates of mood disorders and greater eating-related symptom severity at baseline. Participants with a history of AN/BN also had higher global eating disorder (ED) symptoms at end of treatment (EOT), and more frequent objective binge-eating episodes at EOT and 12-month follow-up.
  
  
  CONCLUSIONS
  These findings suggest that in adults with BED, a history of AN/BN is predictive of greater eating-related symptom severity following group-based CBT and poorer short- and long-term binge-eating outcomes. These findings suggest that considering ED history in the treatment of adults with BED may be clinically useful.
authors.affiliation: Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.|Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
authors.forename: Linsey M
authors.initials: LM
authors.lastname: Utzinger
authors.affiliation: Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.|Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.
authors.forename: Li
authors.initials: L
authors.lastname: Cao
authors.affiliation: Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.|Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Department of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota.|The Emily Program, St. Paul, Minnesota.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Crow
authors.affiliation: Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.|Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Department of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota.|The Emily Program, St. Paul, Minnesota.
authors.forename: Carol B
authors.initials: CB
authors.lastname: Peterson
mesh_terms: D017668:Age of Onset; D000856:Anorexia Nervosa / Q000150:complications*; D056912:Binge-Eating Disorder / Q000150:complications / Q000628:therapy*; D052018:Bulimia Nervosa / Q000150:complications*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D016896:Treatment Outcome
keywords: binge eating disorder; classification; crossover; eating disorders; history; outcome; treatment