Evidence mapPaperPMID 39460725Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2025

Purging frequency and number of purging methods as indicators of severity in bulimia nervosa: Interactive effects with binge eating episodes.

Anna L Dieffenbacher, Adrian Meule, Ulrich Voderholzer

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Article in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Weight Suppression, Binge Eating, and Purging as Predictors of Weight Gain During Inpatient Treatment in Persons With Bulimia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  4. Article
4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Anna L DieffenbacherDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Adrian MeuleDepartment of Psychology, University of Regensburg, Regensburg, Germany.
Ulrich VoderholzerDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the Diagnostic and Statistical Manual of Mental Disorders-5, severity of bulimia nervosa (BN) is defined by the frequency of purging behaviour. Previous research suggests the number of purging methods as an alternative rating. The current analysis investigated characteristics (sociodemographic and treatment-related variables, body mass index [BMI], eating disorder-specific and general psychopathology) of persons with BN as a function of purging frequency and number of purging methods in order to examine which approach might be better suited for indicating severity of BN.

methodTwo-hundred and sixty-one persons (98.5% female; mean age 25.2 years, SD = 9.41; mean BMI 22.0 kg/m

resultsHigher severity based on either purging frequency or number of purging methods tended to relate to lower BMI and higher eating disorder-specific and general psychopathology. In addition, binge-eating frequency differentially related to eating disorder-specific and general psychopathology as a function of severity groups.

conclusionsThis study partially supports the utility of both purging frequency and the number of purging methods as indicators of severity in persons with BN. However, focussing only on purging behaviours may be short-sighted as it appears necessary to consider the number of binge-eating episodes as well when evaluating severity of BN.

Indexed as

Binge-Eating DisorderBulimiaBulimia NervosaAdultBody Mass IndexFemaleHumansMaleSeverity of Illness IndexSurveys and QuestionnairesYoung Adultbinge eatingbulimia nervosapsychopathologypurgingseverity

Identifiers

PMID39460725
PMCPMC11786931

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.