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November 26, 2013International Journal of Eating Disorders

Bulimia nervosa‐nonpurging subtype: Closer to the bulimia nervosa‐purging subtype or to binge eating disorder?

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Authors

JJJennifer JordanCanterbury Health LaboratoriesVMVirginia V. W. McIntoshUniversity of CanterburyJCJanet D. CarterUniversity of Canterbury

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Overview

Cross-sectional analysis finds nonpurging bulimia nervosa displays intermediate features between purging bulimia and binge eating disorder, supporting its bulimia classification.

Key Points

  • To determine whether the nonpurging subtype of bulimia nervosa (BN-NP) more closely resembles the purging subtype (BN-P) or binge eating disorder (BED) regarding clinical features, symptomatology, and Axis I comorbidities.
  • Baseline assessment of women seeking outpatient psychotherapy for binge eating, categorized into BN-P (n = 29), BN-NP (n = 29), and BED (n = 54).
  • Evaluations administered included the Structured Clinical Interviews for DSM-IV, Eating Disorder Examination, and Eating Disorder Inventory-2.
  • BN-NP presented with intermediate BMI between BN-P and BED, whereas both BN subtypes exhibited higher Restraint and Drive for Thinness scores than the BED group.
  • Body dissatisfaction peaked in BN-NP and predicted BN-NP status over BN-P; higher dietary restraint and lower BMI predicted BN-NP relative to BED.
  • BN-NP resembled BED in having higher lifetime BMIs and greater utilization of weight-loss clinics than eating disorder clinics compared to BN-P; lifetime cannabis use disorder was significantly higher in BN-NP than BN-P.

Cite This Study

Jordan et al. (2013) studied this question.

synapsesocial.com/papers/6a79bdd914b028facf0df5c8https://doi.org/10.1002/eat.22218
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comorbid Anxiety and Substance Use Disorders and Fear and Approach‐Based Traits in Bulimic Syndromes2026
  2. 2Structural Brain Correlates of Bulimia Nervosa Diagnosis and Symptom Severity2026
  3. 3Binge, Purge, and Wander: Navigating Bulimia and Attention Deficit Hyperactivity Disorder (ADHD)2024 · 1 citations
  4. 4Comparing Psychopathologies Between Anorexia Nervosa-restricting (AN-R) and Binge-eating/Purging (AN-BP) Subtypes (P2-7.006)2026
  5. 5A Comparison of Bulimia Nervosa and Its OSFED Variant on Trait and Behavioural Indicators of Reward Constructs2026