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Clustering of eating disorder symptoms in a general population female twin sample: a latent class analysis

Abstract
ABSTRACTBackground

Previous studies have reported that the current DSM-IV eating disorder (ED) criteria do not adequately describe ED symptomatology. The objective of the current study was to examine the clustering of ED symptoms in a general population sample using latent class analysis (LCA).

Method

ED symptoms from 3723 female young adult twins (mean age 22) were analyzed using LCA, and resulting classes were compared on external validators reflecting ED and other co-morbid psychiatric diagnoses, substance use disorders (SUDs), and suicidality.

Results

The optimal solution consisted of five latent classes characterized as: (1) Unaffected; (2) Low Weight Gain; (3) Weight Concerned; (4) Dieters; and (5) ED. Members of the ED class had significantly higher prevalence of co-morbid psychiatric disorders, SUDs, and suicidality than the Unaffected and Low Weight Gain classes, and elevated rates of suicidality and major depression compared to the Weight Concerned and Dieter classes, which differed from each other primarily in terms of current body mass index (BMI). Dieter class members were more likely to be overweight and obese and less likely to be underweight than Weight Concerned class members. The majority of women with an ED diagnosis were assigned to the ED class, and few differences were found between ED class members with and without an ED diagnosis.

Conclusions

The results add to the evidence that many women with significant ED psychopathology are not being identified by the DSM-IV ED categories.

Copyright
Corresponding author
*Address for correspondence: Alexis Duncan, Ph.D., Washington University School of Medicine, Department of Psychiatry, 660 S. Euclid, Box 8134, St Louis, MO 63110, USA. (Email: duncana@psychiatry.wustl.edu)
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

Huber L. R. Brunner (2007). Validity of self-reported height and weight in women of reproductive age. Maternal and Child Health Journal 11, 137144.

K. K. Bucholz , R. Cadoret , C. Cloninger , S. H. Dinwiddie , V. M. Hesselbrock , J. I. Nurnberger , T. Reich , I. Schmidt & M. A. Schuckit (1994). A new, semi-structured psychiatric interview for use in genetic linkage studies: a report of the reliability of the SSAGA. Journal of Studies on Alcohol 55, 149158.

C. M. Bulik , K. L. Klump , L. Thornton , A. S. Kaplan , B. Devlin , M. M. Fichter , K. A. Halmi , M. Strober , D. B. Woodside , S. J. Crow , J. E. Mitchell , A. Rotondo , M. Mauri , G. Cassano , P. K. Keel , W. H. Berrettini & W. H. Kaye (2004). Alcohol use disorder comorbidity in eating disorders: a multicenter study. Journal of Clinical Psychiatry 65, 10001006.

C. M. Bulik , P. F. Sullivan & K. S. Kendler (2000). An empirical study of the classification of eating disorders. American Journal of Psychiatry 157, 886895.

F. M. Cachelin & B. A. Maher (1998). Is amenorrhea a critical criterion for anorexia nervosa? Journal of Psychosomatic Research 44, 435440.

C. C. Clogg (1995). Latent class models. In Handbook of Statistical Modeling for the Social and Behavioral Sciences (ed. G. Arminger , C. C. Clogg and M. E. Sobel ), pp. 311359. Plenum: New York.

M. Corcos , O. Taieb , S. Benoit-Lamy , S. Paterniti , P. Jeammet & M. F. Flament (2002). Suicide attempts in women with bulimia nervosa: frequency and characteristics. Acta Psychiatrica Scandinavica 106, 381386.

L. B. Cottler , L. N. Robins , B. F. Grant , J. Blaine , L. H. Towle , H.-U. Wittchen & N. Sartorius (1991). The CIDI-core substance abuse and dependence questions: cross-cultural and nosological issues. The WHO/ADAMHA Field Trial. British Journal of Psychiatry 159, 653658.

A. E. Duncan , R. J. Neuman , V. Hesselbrock , J. Kramer , S. Kuperman , T. Reich & K. K. Bucholz (2005). Are there subtypes of bulimia nervosa based on psychiatric comorbidity? International Journal of Eating Disorders 37, 1925.

P. E. Garfinkel , E. Lin , P. Goering , C. Spegg , D. S. Goldbloom , S. Kennedy , A. S. Kaplan & D. B. Woodside (1996). Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample. British Journal of Psychiatry 168, 500506.

K. G. Gotestam & W. S. Agras (1995). General population-based epidemiological study of eating disorders in Norway. International Journal of Eating Disorders 18, 119126.

A. C. Heath , W. Howells , K. K. Bucholz , A. L. Glowinski , E. C. Nelson & P. A. F. Madden (2002). Ascertainment of a Mid-Western US female adolescent twin cohort for alcohol studies: assessment of sample representativeness using birth record data. Twin Research 5, 107112.

A. C. Heath , P. A. F. Madden , J. D. Grant , T. L. McLaughlin , A. A. Todorov & K. K. Bucholz (1999). Resiliency factors protecting against teenage alcohol use and smoking: influences of religion, religious involvement and values, and ethnicity in the Missouri Adolescent Female Twin Study. Twin Research 2, 145155.

J. I. Hudson , E. Hiripi , H. G. Pope Jr. & R. C. Kessler (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry 61, 348358.

W. H. Kaye , C. M. Bulik , L. Thornton , N. Barbarich & K. Masters (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. American Journal of Psychiatry 161, 22152221.

P. K. Keel , M. M. Fichter , N. Quadflieg , C. M. Bulik , M. G. Baxter , L. Thornton , K. A. Halmi , A. S. Kaplan , M. Strober , D. B. Woodside , S. J. Crow , J. E. Mitchell , A. Rotondo , M. Mauri , G. Cassano , J. Treasure , D. Goldman , W. H. Berrettini & W. H. Kaye (2004). Application of a latent class analysis to empirically define eating disorder phenotypes. Archives of General Psychiatry 61, 192200.

P. K. Keel , A. Haedt & C. Edler (2005). Purging disorder: an ominous variant of bulimia nervosa? International Journal of Eating Disorders 38, 191199.

K. S. Kendler , L. M. Karkowski , C. A. Prescott & N. L. Pedersen (1998). Latent class analysis of Temperance Board registrations in Swedish male–male twin pairs born 1902–1949: searching for subtypes of alcoholism. Psychological Medicine 28, 803813.

J. E. Mitchell , T. Cook-Myers & S. A. Wonderlich (2005). Diagnostic criteria for anorexia nervosa: looking ahead to DSM-V. International Journal of Eating Disorders 37, S95S97.

R. J. Neuman , A. C. Heath , W. Reich , K. K. Bucholz , P. A. F. Madden , L. Sun , R. D. Todd & J. J. Hudziak (2001). Latent class analysis of ADHD and comorbid symptoms in a population sample of adolescent female twins. Journal of Child Psychology and Psychiatry and Allied Disciplines 42, 933942.

G. Schwarz (1978). Estimating the dimension of a mode. Annals of Statistics 6, 461464.

P. F. Sullivan , C. M. Bulik & K. S. Kendler (1998). The epidemiology and classification of bulimia nervosa. Psychological Medicine 28, 599610.

T. T. M. Wade , R. D. Crosby & N. G. Martin (2006). Use of latent profile analysis to identify eating disorder phenotypes in an adult Australian twin cohort. Archives of General Psychiatry 63, 13771384.

D. A. Williamson , D. H. Gleaves & T. M. Stewart (2005). Categorical versus dimensional models of eating disorders: an examination of the evidence. International Journal of Eating Disorders 37, 110.

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