Research Topics
| P K KeelSummaryAffiliation: University of Iowa Country: USA Publications
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Publications
Postremission predictors of relapse in women with eating disordersPamela K Keel
Department of Psychology, E11 Seashore Hall, University of Iowa, Iowa City, Iowa 52242, USA
Am J Psychiatry 162:2263-8. 2005..The authors sought to evaluate patterns and predictors of relapse among women with eating disorders...
The validity and clinical utility of purging disorderPamela K Keel
Department of Psychology, Florida State University, 1107 W Call St, Tallahassee, Florida 32306 4301, USA
Int J Eat Disord 42:706-19. 2009..To review evidence of the validity and clinical utility of Purging Disorder and examine options for the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-V)...- Application of a latent class analysis to empirically define eating disorder phenotypesPamela K Keel
Department of Psychology, Harvard University, Cambridge, MA, USA
Arch Gen Psychiatry 61:192-200. 2004..Diagnostic criteria for eating disorders influence how we recognize, research, and treat eating disorders, and empirically valid phenotypes are required for revealing their genetic bases... - Evidence-based psychosocial treatments for eating problems and eating disordersPamela K Keel
Department of Psychology, University of Iowa, Iowa, City, IA 52242, USA
J Clin Child Adolesc Psychol 37:39-61. 2008.... - Purging disorder: an ominous variant of bulimia nervosa?Pamela K Keel
Department of Psychology, University of Iowa, Iowa City, Iowa 52242, USA
Int J Eat Disord 38:191-9. 2005..The current study evaluates the clinical significance and distinctiveness of purging disorder (PD), an eating disorder characterized by recurrent purging in the absence of objective binge episodes (OBE) among normal-weight individuals... - Co-morbidity and disorder-related distress and impairment in purging disorderP K Keel
Department of Psychology, The University of Iowa, Iowa City, IA, USA
Psychol Med 38:1435-42. 2008..However, no study has established evidence of disorder-related impairment or whether distress is specifically related to PD rather than to co-morbid disorders... - Shared transmission of eating disorders and anxiety disordersPamela K Keel
Department of Psychology, University of Iowa, Iowa City, Iowa 55242, USA
Int J Eat Disord 38:99-105. 2005..Using twins from the population-based Minnesota Twin Family Study (MTFS), we examined comorbidity and shared transmission between eating pathology and these disorders... - Purging disorder: subthreshold variant or full-threshold eating disorder?Pamela K Keel
Department of Psychology, The University of Iowa, Iowa City 52242, USA
Int J Eat Disord 40:S89-94. 2007..To review evidence of the clinical significance, distinctiveness, and prevalence of a newly characterized form of eating disorder not otherwise specified, purging disorder (PD)... - Clinical features and physiological response to a test meal in purging disorder and bulimia nervosaPamela K Keel
Department of Psychology, The University of Iowa, Iowa City, IA 52242, USA
Arch Gen Psychiatry 64:1058-66. 2007..However, more data are needed to determine how purging disorder differs from bulimia nervosa... - Gender and age differences in associations between peer dieting and drive for thinnessJulie A Gravener
Department of Psychology, The University of Iowa, Iowa City, Iowa 52242, USA
Int J Eat Disord 41:57-63. 2008..To examine associations between peer dieting and drive for thinness (DT) in men and women of three age groups and to compare rates of perceived vs. reported peer dieting... - Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiologyPamela K Keel
Department of Psychology, Harvard University, USA
Psychol Bull 129:747-69. 2003..Thus, heritability estimates for BN may show greater variability cross-culturally than heritability estimates for AN, and the genetic bases of these disorders may be associated with differential pathoplasticity... - A 20-year longitudinal study of body weight, dieting, and eating disorder symptomsPamela K Keel
Department of Psychology, University of Iowa, Iowa City, IA 52242, USA
J Abnorm Psychol 116:422-32. 2007..Despite different developmental trajectories, women demonstrated more weight dissatisfaction, dieting, and disordered eating compared with men across the period of observation... - Point prevalence of bulimia nervosa in 1982, 1992, and 2002Pamela K Keel
Department of Psychology, University of Iowa, Iowa City, IA 52242, USA
Psychol Med 36:119-27. 2006..Conclusion. These data support a decline in BN rates that cannot be attributed to changes in service utilization. Changing socio-cultural factors may explain a true decrease in BN incidence and prevalence... - Predictive validity of bulimia nervosa as a diagnostic categoryP K Keel
Department of Psychology, University of Minnesota, Minneapolis, USA
Am J Psychiatry 157:136-8. 2000..The authors sought to investigate the predictive validity of bulimia nervosa as a diagnostic category... 
Preliminary evidence that estradiol moderates genetic influences on disordered eating attitudes and behaviors during pubertyK L Klump
Department of Psychology, Michigan State University, East Lansing, MI 48824 1116, USA
Psychol Med 40:1745-53. 2010..The aim of this pilot study was to examine whether estradiol levels moderate genetic influences on disordered eating during puberty...- Impact of definitions on the description and prediction of bulimia nervosa outcomeP K Keel
Department of Psychology, Harvard University, Cambridge, MA 02138, USA
Int J Eat Disord 28:377-86. 2000..The authors sought to compare definitions of eating disorder outcome found in the bulimia nervosa literature and to determine the impact of definitions on the description and prediction of outcome... - Social adjustment over 10 years following diagnosis with bulimia nervosaP K Keel
Department of Psychology, Harvard University, Cambridge, MA 02138, USA
Int J Eat Disord 27:21-8. 2000..The authors sought to describe social adjustment among women diagnosed with bulimia nervosa more than a decade earlier... - Weight suppression predicts maintenance and onset of bulimic syndromes at 10-year follow-upPamela K Keel
Department of Psychology, Florida State University, Tallahassee, FL 32306, USA
J Abnorm Psychol 119:268-75. 2010..Future research should address mechanisms that could account for the effects of weight suppression over a long duration of follow-up... - Ovarian hormones and binge eating: exploring associations in community samplesK L Klump
Department of Psychology, Michigan State University, East Lansing, MI 48824 1116, USA
Psychol Med 38:1749-57. 2008..However, no study has examined these relationships in a non-clinical sample, despite the need for these data for designing risk-factor studies... - Requiring remission of undue influence of weight and shape on self-evaluation in the definition of recovery for bulimia nervosaCatherine B Cogley
Department of Psychology, Harvard University, Cambridge, Massachusetts 02138, USA
Int J Eat Disord 34:200-10. 2003..Future research should evaluate the role played by cognitive symptoms in triggering relapse... - A pilot study of personality pathology in patients with anorexia nervosa: modifiable factors related to outcome after hospitalizationL M McCormick
Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA
Eat Weight Disord 14:e113-20. 2009..To assess improvement in aspects of personality in patients hospitalized with anorexia nervosa (AN) and its relationship to improved depression, body mass index (BMI), and eating disorder outcome after treatment... - Predictors of mortality in eating disordersPamela K Keel
Department of Psychology, Harvard University, 1320 William James Hall, 33 Kirkland St, Cambridge, MA 02138, USA
Arch Gen Psychiatry 60:179-83. 2003..However, potential predictors of mortality, such as comorbid psychiatric illnesses, remain unclear. We sought to determine mortality ratios and predictors of fatal outcome in women diagnosed as having anorexia or bulimia nervosa... - Personality characteristics of women before and after recovery from an eating disorderKelly L Klump
Department of Psychology, Michigan State University, East Lansing, MI 48824 1116, USA
Psychol Med 34:1407-18. 2004..This study compares personality characteristics among women who are ill with eating disorders, recovered from eating disorders, and those without eating or other Axis I disorder pathology... - Relationships between perfectionism and specific disordered eating behaviorsKelsie Forbush
Department of Psychology, The University of Iowa, Iowa City, Iowa, USA
Int J Eat Disord 40:37-41. 2007..This study examined whether these differences are due to differential associations between perfectionism and specific eating disorder behaviors... - The influence of puberty and ethnicity on awareness and internalization of the thin idealSusan F Hermes
Department of Psychology, Harvard University, Cambridge, Massachusetts 02138, USA
Int J Eat Disord 33:465-7. 2003..This study examined the effects of puberty and ethnicity on awareness and internalization of the thin ideal... - Implications of starvation-induced change in right dorsal anterior cingulate volume in anorexia nervosaLaurie M McCormick
Department of Psychiatry, University of Iowa, Carver College of Medicine, Iowa City, Iowa 52242, USA
Int J Eat Disord 41:602-10. 2008..This study sought to determine whether ACC volume was affected by starvation in active AN and, if so, whether this had any clinical significance... - Locating eating pathology within an empirical diagnostic taxonomy: evidence from a community-based sampleKelsie T Forbush
Department of Psychology, University of Iowa, Iowa City, IA 52242, USA
J Abnorm Psychol 119:282-92. 2010..These findings underscore the value of developing more comprehensive empirically based models of psychopathology to increase researchers' understanding of diverse mental disorders... - Importance of size in defining binge eating episodes in bulimia nervosaP K Keel
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
Int J Eat Disord 29:294-301. 2001..DISCUSSION: These results partially validate current diagnostic criteria for bulimia nervosa and elucidate one factor, impulsiveness, that may be important in understanding objective binge episodes in bulimia nervosa... - Relationship between depression and body dissatisfaction in women diagnosed with bulimia nervosaP K Keel
Department of Psychology, Harvard University, Cambridge, Massachusetts 02138, USA
Int J Eat Disord 30:48-56. 2001..Body dissatisfaction and depression have consistently demonstrated a positive association in women. This study sought to determine the independence of this association from bulimic symptomatology among women diagnosed with bulimia nervosa... - Importance of multiple purging methods in the classification of eating disorder subtypesAlissa A Haedt
Department of Psychology, The University of Iowa, Iowa City, Iowa 52242, USA
Int J Eat Disord 39:648-54. 2006..Differences were maintained at 10-year follow-up. CONCLUSION: Purging behaviors may be interchangeable but the use of multiple purging methods is associated with greater severity over time... - The use of multiple purging methods as an indicator of eating disorder severityCrystal Edler
Department of Psychology, University of Iowa, Iowa City, Iowa 52242, USA
Int J Eat Disord 40:515-20. 2007..The current study examined whether purging frequency or the use of multiple purging (MP) methods provides more information about eating disorder severity... - Long-term impact of treatment in women diagnosed with bulimia nervosaPamela K Keel
Department of Psychology, Harvard University, Cambridge, Massachusetts 02138, USA
Int J Eat Disord 31:151-8. 2002..This study sought to determine if treatment with CBT and antidepressant medication was associated with better long-term outcome among women diagnosed with bulimia nervosa... - Comparing definitions of purging disorder on point prevalence and associations with external validatorsAlissa A Haedt
Department of Psychology, The University of Iowa, Iowa City, Iowa, USA
Int J Eat Disord 43:433-9. 2010..purging and nonpurging [broad]) and minimum behavioral frequency (once vs. twice per week) to examine their impact on syndrome validity... - Disordered eating attitudes and behaviors in ballet students: examination of environmental and individual risk factorsJennifer J Thomas
Department of Psychology, Yale University, New Haven, Connecticut 06520 8205, USA
Int J Eat Disord 38:263-8. 2005..The current study compared the prevalence of disordered eating attitudes and behaviors among adolescent ballet dancers at national, regional, and local schools... - Gender differences in implicit weight identityVishal P Grover
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
Int J Eat Disord 34:125-35. 2003..DISCUSSION: These findings may provide additional insight into why men are underrepresented among those seeking weight loss and why women are at increased risk for developing eating disorders... - Influence of sexual orientation and age on disordered eating attitudes and behaviors in womenFiona Moore
Extension School, Harvard University, Cambridge, Massachusetts 02138, USA
Int J Eat Disord 34:370-4. 2003..However, homosexual and heterosexual women reported more similarities than differences... - Eating-disordered behaviors and personality characteristics of high school athletes and nonathletesJ A Fulkerson
Department of Psychology, University of Minnesota, Minneapolis 55455, USA
Int J Eat Disord 26:73-9. 1999..To assess whether high school athletes are at risk for an eating disorder, whether personality characteristics differentiate athletes from nonathletes, and whether high levels of perfectionism put athletes at risk... - Symptom fluctuation in bulimia nervosa: relation to menstrual-cycle phase and cortisol levelsN A Lester
Department of Psychology, Harvard University, Cambridge, MA, USA
Psychol Med 33:51-60. 2003..Improved understanding of the hormonal causes and consequences of symptom fluctuation may lead to improved psychological and pharmacological treatments for bulimia nervosa... - Genetic and environmental influences on anorexia nervosa syndromes in a population-based twin sampleK L Klump
Department of Psychology, Michigan State University, East Lansing, USA
Psychol Med 31:737-40. 2001..CONCLUSIONS: Findings support previous research indicating significant genetic and non-shared environmental influences on AN syndromes... - Does "excessive" or "compulsive" best describe exercise as a symptom of bulimia nervosa?Emily C Adkins
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
Int J Eat Disord 38:24-9. 2005.... - Peer influence on bulimic symptoms in college studentsAlyson K Zalta
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
J Abnorm Psychol 115:185-9. 2006..The findings support an etiological model that integrates social and individual risk factors in creating environments that influence disordered eating among college students... - Homosexuality as a specific risk factor for eating disorders in menChristopher J Russell
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
Int J Eat Disord 31:300-6. 2002..DISCUSSION: Future research may benefit from exploring aspects of homosexuality that may contribute specifically to risk for disordered eating in men... - Update on course and outcome in eating disordersPamela K Keel
Department of Psychology, Florida State University, Tallahassee, Florida 32306, USA
Int J Eat Disord 43:195-204. 2010..To review recent studies describing eating disorder course and outcome... - Stigmatization of anorexia nervosaMaria-Christina Stewart
Department of Psychology, University of Hawaii, Honolulu, Hawaiii, USA
Int J Eat Disord 39:320-5. 2006..CONCLUSION: Negative perceptions of a person with AN fell into stigma categories of self-attribution and responsibility. These attitudes may contribute to reluctance to seek treatment among individuals with AN... - Trans-cultural comparison of disordered eating in Korean womenSafia C Jackson
Department of Psychology, University of Washington, Seattle, Washington, USA
Int J Eat Disord 39:498-502. 2006..CONCLUSION: This study supports the importance of native cultural factors in the development of eating disorders in non-Western contexts... - Ovarian hormones and binge eating in bulimia nervosaCrystal Edler
Department of Psychology, University of Iowa, IA 52242, USA
Psychol Med 37:131-41. 2007..Symptom fluctuation in bulimia nervosa (BN) is related to menstrual cycle phase. However, the relationship between bulimic symptoms and ovarian hormones (estrogens and progesterone) has not been examined directly in women with BN... - Assessment of eating disorders: comparison of interview and questionnaire data from a long-term follow-up study of bulimia nervosaPamela K Keel
Department of Psychology, Harvard University, Cambridge, MA, USA
J Psychosom Res 53:1043-7. 2002..This paper examines diagnostic agreement between interview and questionnaire assessments of women participating in a long-term follow-up study of bulimia nervosa... - Long-term menstrual and reproductive function in patients with bulimia nervosaScott J Crow
Department ofPsychiatry, University of Minnesota Medical School, Minneapolis, 55454 1495, USA
Am J Psychiatry 159:1048-50. 2002..Whether this is associated with diminished fertility is unknown. This study examined menstrual and reproductive function in bulimia nervosa patients retrospectively, with 10-15-year follow-ups... - Longitudinal comparison of anorexia nervosa subtypesKamryn T Eddy
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Int J Eat Disord 31:191-201. 2002..The high crossover rate in our sample from ANR to ANBP suggests that ANR represents a phase in the course of AN rather than a distinct subtype... - How do eating disorders and alcohol use disorder influence each other?Debra L Franko
Harvard Eating Disorders Center, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Int J Eat Disord 38:200-7. 2005..Although eating disorders and alcohol use disorder (AUD) are known to co-occur, the influence of one on the other has not been studied... - Predictors of treatment utilization among women with anorexia and bulimia nervosaPamela K Keel
Department of Psychiatry, Massachusetts General Hospital, Boston, USA
Am J Psychiatry 159:140-2. 2002..CONCLUSIONS: Women with more severe pathology have higher treatment utilization rates. This pattern may explain the seeming lack of treatment efficacy for eating disorders outside of randomized controlled studies... - Parental psychopathology as a predictor of long-term outcome in bulimia nervosa patientsAimee Arikian
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA
Eat Disord 16:30-9. 2008..The association between maternal severe depression and long-term outcome in BN suggests that specific parental variables may indicate longer course of BN... - Drug abuse in women with eating disordersDavid B Herzog
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Int J Eat Disord 39:364-8. 2006..Drug abuse in women with eating disorders has received relatively little attention. The frequency of drug use disorder (DUD) by specific drug type was examined in the current longitudinal study... - Eating disorder diagnoses: empirical approaches to classificationStephen A Wonderlich
Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58107 1415, USA
Am Psychol 62:167-80. 2007..Such studies would enable the creators of the next DSM eating disorder classification to increase understanding of the advantages and disadvantages associated with choosing various diagnostic criteria sets for the eating disorders... - Suicidality in eating disorders: occurrence, correlates, and clinical implicationsDebra L Franko
Department of Counseling and Applied Educational Psychology, Northeastern University, Boston, MA 02115 5000, USA
Clin Psychol Rev 26:769-82. 2006..Patients with eating disorders, particularly those with comorbid disorders, should be assessed routinely for suicidal ideation, regardless of the severity of eating disorder or depressive symptoms... - Alcohol use disorder comorbidity in eating disorders: a multicenter studyCynthia M Bulik
Department of Psychiatry, University of North Carolina at Chapel Hill, 27599 7160, USA
J Clin Psychiatry 65:1000-6. 2004..Our aim was to explore the nature of the co-morbid relation between AUDs and eating disorders in a large and phenotypically well-characterized group of individuals... - Bulimia symptoms and other risk behaviors during pregnancy in women with bulimia nervosaScott J Crow
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota 55454, USA
Int J Eat Disord 36:220-3. 2004..The current study examined the change in bulimic symptoms as well as alcohol, drug, and tobacco use during pregnancy in subjects with bulimia nervosa... - Interactions between eating disorders and drug abuseDebra L Franko
Department of Psychiatry, Harris Center for Eating Disorders, Massachusetts General Hospital, Boston, MA 02114, USA
J Nerv Ment Dis 196:556-61. 2008..Drug abuse in women with eating disorders is an area of clinical concern and should be monitored routinely...
Research Grants
- Binge Eating: Clinical Patterns & Biological CorrelatesPamela Keel; Fiscal Year: 2003..Further, this study has the potential to identify a new subtype of eating disorder that is worthy of study, treatment, and inclusion in nosological schemes. ..