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A 4-year prospective study of eating disorder NOS compared with full eating disorder syndromes
International Journal of Eating Disorders, 07/01/09

Agras WS et al. - 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.

• Prospective study of 385 participants meeting DSM-IV criteria for AN, BN, BED, and EDNOS at three sites.
• Recruitment was from the community and specialty clinics.
• Participants were followed at 6-month intervals during a 4-year period using the Eating Disorder Examination as the primary assessment.

• EDNOS remitted significantly more quickly that AN or BN but not BED.
• There were no differences between EDNOS and full ED syndromes, or the subtypes 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.

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