Subtyping women with bulimia nervosa along dietary and negative affect dimensions: further evidence of reliability and validity.

Abstract:

:Studies have found that individuals with bulimia nervosa can be classified into dietary and dietary-negative affect subtypes and that the latter exhibit greater eating pathology, psychiatric comorbidity, and functional impairment; a more protracted clinical course; and a worse treatment response. In this report, the authors describe 2 prospective studies that found that young women with threshold (n = 48) and subthreshold (n = 83) bulimic pathology can be classified into dietary and dietary-negative affect subtypes; that two subtyping approaches produced similar results (mean kappa = .94); that the subtyping distinction showed 4-week test-retest reliability (kappa = .61); and that the dietary-negative affect subtype showed greater eating pathology, emotional distress, functional impairment, treatment seeking, and lower likelihood of recovery over 6-month and 3-year follow-ups than the dietary subtype. The dieting-negative affect subtyping distinction evidenced greater test-retest reliability and concurrent and predictive validity than did the purging-nonpurging subtyping distinction. The additional evidence for the reliability and validity of this subtyping scheme, particularly the prognostic utility, suggests it is worth additional inquiry.

journal_name

J Consult Clin Psychol

authors

Stice E,Bohon C,Marti CN,Fischer K

doi

10.1037/a0013887

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1022-33

issue

6

eissn

0022-006X

issn

1939-2117

pii

2008-16943-003

journal_volume

76

pub_type

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