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The classification of bulimic eating disorders: a community-based cluster analysis study

  • P. J. Hay (a1), C. G. Fairburn (a1) and H. A. Doll (a1)
  • DOI: http://dx.doi.org/10.1017/S003329170003782X
  • Published online: 01 July 2009
Abstract
Synopsis

There is controversy over how best to classify eating disorders in which there is recurrent binge eating. Many patients with recurrent binge eating do not meet diagnostic criteria for either of the two established eating disorders, anorexia nervosa or bulimia nervosa. The present study was designed to derive an empirically based, and clinically meaningful, diagnostic scheme by identifying subgroups from among those with recurrent binge eating, testing the validity of these subgroups and comparing their predictive validity with that of the DSM-IV scheme.

A general population sample of 250 young women with recurrent binge eating was recruited using a two-stage design. Four subgroups among the sample were identified using a Ward's cluster analysis. The first subgroup had either objective or subjective bulimic episodes and vomiting or laxative misuse; the second had objective bulimic episodes and low levels of vomiting or laxative misuse; the third had subjective bulimic episodes and low levels of vomiting or laxative misuse; and the fourth was heterogeneous in character. This cluster solution was robust to replication. It had good descriptive and predictive validity and partial construct validity.

The results support the concept of bulimia nervosa and its division into purging and non-purging subtypes. They also suggest a possible new binge eating syndrome. Binge eating disorder, listed as an example of Eating Disorder Not Otherwise Specified within DSM-IV, did not emerge from the cluster analysis.

Copyright
Corresponding author
1Address for correspondence: Dr Phillipa Hay, Department of Psychiatry, University of Adelaide, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5001, Australia
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P. J. V. Beumont , E. M. Kopec-Schrader , P. Talbot & S. W. Touyz (1993). Measuring the specific psychopathology of eating disorder patients. Australian and New Zealand Journal of Psychiatry 27, 506511.

M. L. Brody , B. T. Walsh & M. J. Devlin (1994). Binge eating disorder: reliability and validity of a new diagnostic category. Journal of Consulting and Clinical Psychology 62. 381386.

B. Bruce & W. S. Agras (1992). Binge eating in females: a population-based investigation. International Journal of Eating Disorders 12, 365373.

D. W. Bunnell , I. R. Shenker , M. P. Nussbaun , M. S. Jacobson & P. J. Cooper (1990). Subclinical versus formal eating disorders: differentiating psychological features. International Journal of Eating Disorders 9. 357362.

Z. Cooper & C. G. Fairburn (1987). The Eating Disorder Examination: a semistructured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders 6, 18.

Z. Cooper , P. J. Cooper & C. G. Fairburn (1989). The validity of the Eating Disorder Examination and its subscales. British Journal of Psychiatry 154, 807812.

C. G. Fairburn , S. L. Welch & P. J. Hay (1993). The classification of recurrent overeating: the ‘binge eating disorder’ proposal. International Journal of Eating Disorders 13, 155159.

J. Gormally , S. Black , S. Daston & D. Rardin (1982). The assessment of binge-eating severity among obese persons. Addictive Behaviours 7, 4755.

J. I. Hudson , H. G. Pope Jr, J. Wurtman , D. Yurgelun-Todd , S. Mark & N. E. Rosenthal (1988). Bulimia in obese individuals: relationship to normal weight bulimia. Journal of Nervous and Mental Disease 176, 144152.

P. H. Keefe , D. Wyshogrod , E. Weinberger & W. S. Agras (1984). Binge eating and outcome of behavioural treatment of obesity: a preliminary report. Behavior Research and Therapy 22, 319321.

M. D. Marcus , R. R. Wing & D. M. Lamparski (1985). Binge eating and dietary restraint in obese patients. Addictive Behaviors 10, 163168.

J. E. Mitchell , L. Davis , G. Goff & R. Pyle (1986). A follow-up study of patients with bulimia. International Journal of Eating Disorders 5, 441450.

J. C. Rosen , L. Vara , S. Wendt & H. Leitenberg (1990). Validity studies of the Eating Disorder Examination. International Journal of Eating Disorders 9, 519528.

S. Specker , M. de Zwaan , N. Raymond & J. Mitchell (1994). Psychopathology in subgroups of obese women with and without binge eating disorder. Comprehensive Psychiatry 35, 185190.

R. L. Spitzer , J. B. W. Williams , M. Gibbon & M. B. First (1992 b). The structured clinical interview for DSM-III-R (SCID) I. History, rationale, and description. Archives of General Psychiatry 49, 624629.

C. F. Telch & W. S. Agras (1994). Obesity, binge eating and psychopathology: are they related? International Journal of Eating Disorders 15, 5361.

T. A. Wadden , G. D. Foster , K. A. Letizia & J. E. Wilk (1993). Metabolic, anthropometric, and psychological characteristics of obese binge eaters. International Journal of Eating Disorders 14, 1725.

J. H. Ward (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association 58, 236244.

G. T. Wilson & K. Eldredge (1991). Frequency of binge eating in bulimia nervosa: diagnostic validity. International Journal of Eating Disorders 10, 557561.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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