Eating pathology and DSM-III-R bulimia nervosa: a continuum of behavior

Am J Psychiatry. 1994 Aug;151(8):1217-9. doi: 10.1176/ajp.151.8.1217.


This longitudinal survey study of 557 college women used the new Eating Pathology Scale to classify respondents as nondieters, casual dieters, intensive dieters, dieters at risk, and bulimic. Shifts in the severity of dieting behavior over a 6-month period occurred primarily between adjacent scale categories. While new cases of bulimia were drawn from intensive dieters and dieters at risk, those women who no longer met DSM-III-R criteria for bulimia nervosa continued to engage in bulimic behavior.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Body Image
  • Body Weight
  • Bulimia / diagnosis*
  • Bulimia / epidemiology
  • Bulimia / psychology
  • Comorbidity
  • Diet, Reducing / statistics & numerical data
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / psychology
  • Female
  • Health Surveys
  • Humans
  • Longitudinal Studies
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Severity of Illness Index
  • Sex Factors
  • Students / psychology
  • Terminology as Topic