Objective: To examine the course of Eating Disorder NOS (EDNOS) compared with anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED).
Method: Prospective study of 385 participants meeting DSM-IV criteria for AN, BN, BED and EDNOS at 3 sites. Recruitment was from the community and specialty clinics. Participants were followed at 6-month intervals over a 4-year period using the Eating Disorder Examination as the primary assessment.
Results: EDNOS remitted significantly more quickly that AN or BN but not BED. There were no differences between EDNOS and full ED syndromes, or the sub-types of EDNOS, in time to relapse following first remission. Only 18% of the EDNOS group had never had or did not develop another ED diagnosis during the study, however this group did not differ from the remaining EDNOS group.
Conclusion: EDNOS appears to be a way station between full ED syndromes and recovery, and to a lesser extent from recovery or EDNOS status to a full ED. Implications for DSM-V are examined.
Content for this course is based on an article from the International Journal of Eating Disorders, the official journal of the Association for Eating Disorders.
This course is based on the reading-based online article, A 4-Year Prospective Study of Eating Disorder NOS created by Scott Crow, M.D., Department of Psychiatry, University of Minnesota School of Medicine, Minneapolis, MN, James E. Mitchell, M.D., Neuropsychiatric Research Institute and Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Services, Fargo, ND, Katherine A. Halmi, M.D., Weill Medical College of Cornell University, White Plains, NY, Susan Bryson, M.A., M.S., Department of Psychiatry, Stanford University School of Medicine, Stanford, CA, and W. Stewart Agras, M.D., Department of Psychiatry, Stanford University School of Medicine, Stanford, CA
International Journal of Eating Disorders/Wiley Publishing
Aug. 6, 2009
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Scott Crow, M.D., Department of Psychiatry, University of Minnesota School of Medicine, Minneapolis, MN
James E. Mitchell, M.D., Neuropsychiatric Research Institute and Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Services, Fargo, ND
Katherine A. Halmi, M.D., Weill Medical College of Cornell University, White Plains, NY
Susan Bryson, M.A., M.S., Department of Psychiatry, Stanford University School of Medicine, Stanford, CA
W. Stewart Agras, M.D., Department of Psychiatry, Stanford University School of Medicine, Stanford, CA
Dan Rebek, Ph.D.
This course is recommended for physicians, psychologists, and other health workers who seek knowledge about the courses of sub-clinical eating disorders as compared with full eating disorder syndromes
After taking this course, you should be able to:
Describe the available evidence on the relative courses of EDNOS and AN, BN, BED.
Consider the evidence for EDNOS being the pathway between full syndromes and recovery and vice versa.
Identify the similarities to differences in time to remission and relapse between EDNOS and AN, BN, and BED
Disclosure of Relevant Financial Relationships
Disclosure of Relevant Financial Relationships
CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.
In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).
Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:
Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
any investigational, off-label, or non-FDA approved content or discussion
CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.
Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:
All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.
The planners have reported the following: There are no relevant disclosures.
Course Material Authors
The authors have disclosed any disclosures within the material.
Course Creator: Dan Rebek, Ph.D.
There are no relevant disclosures.
There is no commercial support for this distance-learning course.
All exam questions for the course are visible on this page for members of CE-Credit.com.
Membership is free, and you can register today!
You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.
If you're already a member, please sign in to see the exam questions for this and all other courses.
Discuss this course
When you're an Unlimited CE or Pay As You Go member you can discuss this course after you pass the exam.
Is this course approved for my continuing education requirements?
Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.
Do you have accommodations for my disability (ADA)?
If you are having trouble using CE-Credit.com, please contact us! We would be happy to accommodate your needs right away, and your input will help us make CE-Credit.com more accessible for future users too.
How do I enroll in this course?
Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready
to take an exam.
What do I have to do to complete the course?
To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.
How do I access the materials?
Most of our courses are based on online articles available for free to the public. Some courses, such as
those based on books, require that you purchase the material. Use the Materials tab above for more
info. You don't need to enroll in the course to access materials, whether free or paid. So you always
know what you're getting into before you commit to taking the exam.
How do I get my certificate?
Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.
Can I contact you for more help?
Yes! Use the Help widget at the bottom-right of the screen anywhere on CE-Credit.com to search our help docs, or to ask our support team for help. Unlike most of our competitors, CE-Credit.com has live US-based support reps to help you by email, chat, or phone.