The significance of amenorrhea as a criterion for anorexia nervosa was
examined. Twelve nonamenorrheic women treated for anorexia were compa
red with 40 women meeting full DSM-IV criteria. The nonamenorrheic gro
up displayed the same high levels of eating disorder, body-image distu
rbance, and psychopathology as the amenorrheic group, as measured by t
he following variables: body-size overestimation on the Image Marking
Procedure; body distortion on the Body Distortion Questionnaire; eatin
g disorder on the Eating Disorder Inventory; depression on the Beck De
pression Inventory; psychopathology on the MMPI; and external locus of
control on the Rotter Locus of Control Scale. Amenorrhea does not app
ear to be a useful criterion for distinguishing full-syndrome anorexia
nervosa from partial-syndrome cases. (C) 1998 Elsevier Science Inc.