TY - JOUR
T1 - Risk factors across the eating disorders
AU - Hilbert, Anja
AU - Pike, Kathleen M.
AU - Goldschmidt, Andrea B.
AU - Wilfley, Denise E.
AU - Fairburn, Christopher G.
AU - Dohm, Faith Anne
AU - Walsh, B. Timothy
AU - Striegel Weissman, Ruth
N1 - Funding Information:
This study was supported in part by NIH Grants MH-57533 (Pike), MH-52348 and a supplemental grant from the Office for Research on Women׳s Health at NIH (Striegel Weissman), and MH-070446 (Wilfley); German Federal Ministry of Education and Research 01EO1001 (Hilbert); and Wellcome Trust 046386 (Fairburn).
Publisher Copyright:
© 2014.
PY - 2014/12/15
Y1 - 2014/12/15
N2 - This study sought to examine risk and onset patterns in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Women with AN (n=71), BN (n=66), BED (n=160) and non-psychiatric controls (n=323) were compared retrospectively on risk factors, symptom onset, and diagnostic migration. Eating disorder groups reported greater risk exposure than non-psychiatric controls. AN and BED differed on premorbid personality/behavioral problems, childhood obesity, and family overeating. Risk factors for BN were shared with AN and BED. Dieting was the most common onset symptom in AN, whereas binge eating was most common in BN and BED. Migration between AN and BED was rare, but more frequent between AN and BN and between BN and BED. AN and BED have distinct risk factors and onset patterns, while BN shares similar risk factors and onset patterns with both AN and BED. Results should inform future classification schemes and prevention programs.
AB - This study sought to examine risk and onset patterns in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Women with AN (n=71), BN (n=66), BED (n=160) and non-psychiatric controls (n=323) were compared retrospectively on risk factors, symptom onset, and diagnostic migration. Eating disorder groups reported greater risk exposure than non-psychiatric controls. AN and BED differed on premorbid personality/behavioral problems, childhood obesity, and family overeating. Risk factors for BN were shared with AN and BED. Dieting was the most common onset symptom in AN, whereas binge eating was most common in BN and BED. Migration between AN and BED was rare, but more frequent between AN and BN and between BN and BED. AN and BED have distinct risk factors and onset patterns, while BN shares similar risk factors and onset patterns with both AN and BED. Results should inform future classification schemes and prevention programs.
KW - Anorexia nervosa
KW - Binge eating disorder
KW - Bulimia nervosa
KW - Eating disorders
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=84908260712&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2014.05.054
DO - 10.1016/j.psychres.2014.05.054
M3 - Article
C2 - 25103674
AN - SCOPUS:84908260712
VL - 220
SP - 500
EP - 506
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
IS - 1-2
ER -