Total CE Credit Hours: 1 Course Info URL: https://www.ce-credit.com/courses/101580
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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
Journal/Publisher:
International Journal of Eating Disorders/Wiley Publishing
Publication Date:
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
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
Course Objectives:
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
Disclosures
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.
Planners
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.
Commercial support
There is no commercial support for this distance-learning course.
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