Characteristics of eating disorder patients without a drive for thinness

Carla E. Ramacciotti, Liliana Dell'Osso, Riccardo A. Paoli, Antonio Ciapparelli, Elisabetta Coli, Allan S. Kaplan, Paul E. Garfinkel

Research output: Contribution to journalArticlepeer-review


Objective: The aim of this study was to investigate two samples of patients affected by anorexia nervosa (AN) or bulimia nervosa (BN), respectively, with and without the diagnostic feature of drive for thinness (DT). Method: The samples comprised 70 consecutive eating disorder (ED) outpatients at the Department of Psychiatry (University of Pisa) and 106 AN patients admitted to a day hospital in Toronto, Canada. Subjects were assessed on clinical and psychometric parameters. Results: In both countries, 17% of the subjects had low DT as measured by the Eating Disorder Inventory (EDI). They comprised the atypical group and appeared to have less severe psychopathology. Discussion: Weight phobia should not be viewed as critical to the diagnosis of ED and DT could be a culture-bound dimension. Considering the differences between the two groups, the characterization of patients as typical and atypical may be clinically useful.

Original languageEnglish
Pages (from-to)206-212
Number of pages7
JournalInternational Journal of Eating Disorders
Issue number2
Publication statusPublished - 2002


  • Anorexia nevosa
  • Bulimia nervosa
  • Drive for Thinness

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Food Science
  • Psychology(all)
  • Clinical Psychology


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