State/trait distinctions in bulimic syndromes
Bibliographic record
Abstract
OBJECTIVE: This study compared 55 women with active bulimic symptoms, 18 in remission from a bulimic eating disorder, and 31 who showed no evidence of a past or present eating disorder, on selected personality and psychiatric features. METHOD: Discriminant function analyses were used to isolate dimensions that differentiated active patients from patients in remission, and controls (i.e., that would logically constitute "state"-related disturbances), and then dimensions that differentiated clinical cases (whether active or in remission) from non-eating-disordered controls (i.e., that might reflect stable trait pathology associated with bulimic syndromes, whether active or not). RESULTS: Measures of depression, suicidality, and anxiety loaded significantly on the first function (differentiating active bingers from all other cases), whereas narcissism differentiated both clinical groups from non-eating-disordered controls. DISCUSSION: In light of theoretical and empirical evidence stressing the etiological role of narcissistic disturbances in bulimic syndromes, we interpret our findings as suggesting that narcissim may be a common trait characteristic (persisting even after remission of bulimic symptoms) in those who develop bulimic eating syndromes. Alternatively, depression, suicidality, and anxiety appear to be state-dependent features that resolve in many cases, along with remission of bulimic symptoms. We discuss various clinical and theoretical implications of our findings.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.007 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".