Changes in eating disorder characteristics over the years

Eur Eat Disord Rev. 2018 Sep;26(5):417-421. doi: 10.1002/erv.2603. Epub 2018 May 17.

Abstract

Since 1980, the diagnostic criteria of patients with eating disorders (ED) have changed over the years. Are these changes also expressed in the clinical features of the ED patients? A cross-sectional sample was drawn consisting of 100 consecutive female patients' files diagnosed with anorexia nervosa (AN) and bulimia nervosa (BN) and bulimia nervosa and admitted at an inpatient unit from the first of January 1990, 2000, and 2010, respectively. Several reliable and well-validated questionnaires (Eating Disorder Inventory, Body Attitude Test, Symptom Checklist, and the Beck Depression Inventory) were administered and scores were compared. The ratio AN/BN remained the same (65/35). No differences were found between the three cohorts except for depression, which increased over the years. This pattern is the same for the subsamples of anorexia nervosa and bulimia nervosa. Specific characteristics of eating disorder pathology did not change across time.

Keywords: body image; diagnostic characteristics; eating disorders; inpatient treatment.

MeSH terms

  • Adult
  • Anorexia Nervosa / complications
  • Anorexia Nervosa / epidemiology*
  • Anorexia Nervosa / psychology
  • Bulimia Nervosa / complications
  • Bulimia Nervosa / epidemiology*
  • Bulimia Nervosa / psychology
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / diagnosis
  • Depression / epidemiology*
  • Feeding and Eating Disorders / complications
  • Feeding and Eating Disorders / epidemiology*
  • Feeding and Eating Disorders / psychology
  • Female
  • Humans
  • Inpatients / statistics & numerical data*
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Severity of Illness Index
  • Surveys and Questionnaires