Differentiating purging and nonpurging bulimia nervosa and binge eating disorder

Araceli Núñez-Navarro, Susana Jiménez-Murcia, Eva Ãlvarez-Moya, Cynthia Villarejo, Isabel Sanchez Díaz, Cristina Masuet Augmantell, Roser Granero, Eva Penelo, Isabel Krug, Francisco J. Tinahones, Cynthia M. Bulik, Fernando Fernández-Aranda

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22 Citations (Scopus)


Objective To explore similarities and differences in clinical and personality variables across three groups: binge eating disorder (BED), bulimia nervosa-purging type (BN-P), and bulimia nervosa-non purging type (BN-NP). Method The participants were 102 female eating disorders patients (34 BED, 34 BN-P, and 34 BN-NP) consecutively admitted to the eating disorders unit, at the University Hospital of Bellvitge, and diagnosed according to DSM-IV criteria. Results BED patients were older, and more likely to have personal and family history of obesity. A gradient in psychopathological scores emerged with BN-P patients having higher pathological scores on the SCL-90-R, followed by BN-NP and BED patients. No statistically significant differences were observed in personality traits. Discussion Our data supported that eating disorders (namely BED, BN-NP, and BN-P) followed a linear trend in general psychopathology. Whereas personality may represent a shared vulnerability factor, differences in clinical severity suggest there to be a continuum with BN-P being the most severe and BED being the least severe. © 2011 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)488-496
Number of pages9
JournalInternational Journal of Eating Disorders
Issue number6
Early online date24 Sept 2010
Publication statusPublished - 1 Sept 2011


  • binge eating disorder
  • bulimia nervosa
  • classification
  • personality
  • psycho-pathology


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