The Yale-Brown-Cornell eating disorder scale in women with anorexia nervosa: what is it measuring?

Full Abstract

OBJECTIVE: The Yale-Brown-Cornell Eating Disorder Scale (YBC-EDS) assesses eating disorder preoccupations, rituals, and symptom severity. This study examines the YBC-EDS in relation to eating disorder psychopathology, obsessionality, and impulsivity variables in women with anorexia nervosa (AN) and sensitivity of the YBC-EDS to change after psychotherapy. METHOD: Participants were 56 women with "spectrum" AN (14.5 < BMI < 19). Variables examined in relation to the YBC-EDS were as follows: eating pathology, obsessionality (obsessive compulsive disorder and personality diagnoses, perfectionism), and impulsivity (borderline personality, impulsive traits, and behaviors). YBC-EDS scores were examined pre- and post-treatment. RESULTS: Eating Disorder Examination scores most strongly predicted the YBC-EDS. As expected, perfectionism was significantly associated, but so was impulsivity. YBC-EDS scores were significantly different in those with good versus poor global outcome after therapy. Unexpectedly, maximum lifetime BMI was correlated with the YBC-EDS. DISCUSSION: The YBC-EDS most strongly measured eating disorder severity and reflected change after psychotherapy for AN. (c) 2008 by Wiley Periodicals, Inc.

Author information

Author/s: Jordan, Jennifer (J); Joyce, Peter R (PR); Carter, Frances A (FA); McIntosh, Virginia V W (VV); Luty, Suzanne E (SE); McKenzie, Janice M (JM); Frampton, Christopher M A (CM); Bulik, Cynthia M (CM);

Affiliation: Department of Psychological Medicine, University of Otago, Christchurch, New Zealand. jenny.jordan(-atsign-)otago.ac.nz

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: The International journal of eating disorders (Int J Eat Disord), published in United States. (Language: eng)

Reference: 2009-Apr; vol 42 (issue 3) : pp 267-74

Dates: Created 2009/04/06; Completed 2009/06/18;

PMID: 18951459, status: MEDLINE (last retrieval date: 6/18/2009, IMS Date: 18 Jun 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Anorexia Nervosa - diagnosis; pathology; psychology; therapy
Cognitive Therapy
Female
Humans
Impulsive Behavior - diagnosis; pathology; psychology; therapy
Interpersonal Relations
Obsessive-Compulsive Disorder - diagnosis; pathology; psychology; therapy

Obsessive-Compulsive Disorder - diagnosis; pathology; psychology; therapy
Personality Disorders - diagnosis; pathology; psychology; therapy
Personality Inventory - standards; statistics & numerical data
Psychiatric Status Rating Scales - standards
Psychotherapy - methods
Reproducibility of Results
Severity of Illness Index
Treatment Outcome
Young Adult

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