Relations of bulimic symptom frequency and intensity to psychosocial impairment and health care utilization: Results from a community-recruited sample.

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Title: Relations of bulimic symptom frequency and intensity to psychosocial impairment and health care utilization: Results from a community-recruited sample.
Authors: Spoor, Sonja T. P., Stice, Eric, Burton, Emily, Bohon, Cara
Source: International Journal of Eating Disorders. Sep2007, Vol. 40 Issue 6, p505-514. 10p. 1 Chart, 3 Graphs.
Subjects: Appetite disorders, Diagnosis of eating disorders, Bulimia, Psychological manifestations of general diseases, Metabolic manifestations of general diseases, Psychosocial factors, Pathological psychology
Abstract: Objective: To determine the frequency and intensity of bulimic symptoms related to psychosocial impairment and health care utilization. Method: Females (N = 1231, M age = 17.7, range 13–55) from four community-recruited samples varying in bulimic pathology completed the eating disorder examination, social adjustment scale, and health survey utilization scale. Results: Co-occurrence of binge eating and compensatory behaviors and solely compensatory behaviors ≥1 time/month were associated with elevations in psychosocial impairment. Co-occurrence of both binge eating and compensatory behaviors and solely compensatory behaviors ≥8 times/month were related to greater service utilization. Solely binge eating and duration of bulimic behaviors were unrelated to these functional outcomes. Overvaluation of body shape and weight showed significant linear relations to the functional outcomes. Conclusion: Results suggest that current diagnostic thresholds for bulimia nervosa may be too high when considering functional impairment and service utilization and that different cut-points need to be considered for different bulimic symptoms. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007 [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Relations of bulimic symptom frequency and intensity to psychosocial impairment and health care utilization: Results from a community-recruited sample.
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Sep2007, Vol. 40 Issue 6, p505-514. 10p. 1 Chart, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Appetite+disorders%22">Appetite disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+eating+disorders%22">Diagnosis of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Bulimia%22">Bulimia</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+manifestations+of+general+diseases%22">Psychological manifestations of general diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Metabolic+manifestations+of+general+diseases%22">Metabolic manifestations of general diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink>
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  Data: Objective: To determine the frequency and intensity of bulimic symptoms related to psychosocial impairment and health care utilization. Method: Females (N = 1231, M age = 17.7, range 13–55) from four community-recruited samples varying in bulimic pathology completed the eating disorder examination, social adjustment scale, and health survey utilization scale. Results: Co-occurrence of binge eating and compensatory behaviors and solely compensatory behaviors ≥1 time/month were associated with elevations in psychosocial impairment. Co-occurrence of both binge eating and compensatory behaviors and solely compensatory behaviors ≥8 times/month were related to greater service utilization. Solely binge eating and duration of bulimic behaviors were unrelated to these functional outcomes. Overvaluation of body shape and weight showed significant linear relations to the functional outcomes. Conclusion: Results suggest that current diagnostic thresholds for bulimia nervosa may be too high when considering functional impairment and service utilization and that different cut-points need to be considered for different bulimic symptoms. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007 [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/eat.20410
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        Text: English
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      – SubjectFull: Psychological manifestations of general diseases
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              Text: Sep2007
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