scholarly journals The implications of previous history of anorexia nervosa in patients with current bulimia nervosa: Alterations in daily functioning, decision‐making, and bone status

2019 ◽  
Vol 28 (1) ◽  
pp. 34-45
Author(s):  
Robertas Strumila ◽  
Benedicte Nobile ◽  
Laurent Maimoun ◽  
Isabelle Jaussent ◽  
Maude Seneque ◽  
...  
1988 ◽  
Vol 152 (5) ◽  
pp. 654-656 ◽  
Author(s):  
G. O'Brien ◽  
F. Hassanyeh ◽  
A. Leake ◽  
K. Schapira ◽  
M. White ◽  
...  

In a study of the dexamethasone suppression test (DST) in patients with bulimia nervosa, a non-suppression rate of about 50% was found. The only clinical correlates of DST non-suppression were a previous history of weight loss and/or of anorexia nervosa. These results suggest that DST non-suppression in these subjects may be a trait rather than a state marker of anorexia nervosa.


1979 ◽  
Vol 9 (3) ◽  
pp. 429-448 ◽  
Author(s):  
Gerald Russell

SynopsisThirty patients were selected for a prospective study according to two criteria: (i) an irresistible urge to overeat (bulimia nervosa), followed by self-induced vomiting or purging; (ii) a morbid fear of becoming fat. The majority of the patients had a previous history of true or cryptic anorexia nervosa. Self-induced vomiting and purging are secondary devices used by the patients to counteract the effects of overeating and prevent a gain in weight. These devices are dangerous for they are habit-forming and lead to potassium loss and other physical complications. In common with true anorexia nervosa, the patients were determined to keep their weight below a self-imposed threshold. Its level was set below the patient‘s healthy weight, defined as the weight reached before the onset of the eating disorder. In contrast with true anorexia nervosa, the patients tended to be heavier, more active sexually, and more likely to menstruate regularly and remain fertile. Depressive symptoms were often severe and distressing and led to a high risk of suicide.A theoretical model is described to emphasize the interdependence of the various symptoms and the role of self-perpetuating mechanisms in the maintenance of the disorder. The main aims of treatment are (i) to interrupt the vicious circle of overeating and self-induced vomiting (or purging), (ii) to persuade the patients to accept a higher weight. Prognosis appears less favourable than in uncomplicated anorexia nervosa.


1990 ◽  
Vol 31 (2) ◽  
pp. 171-175 ◽  
Author(s):  
James E. Mitchell ◽  
Richard L. Pyle ◽  
Elke D. Eckert ◽  
Dorothy Hatsukami ◽  
Elizabeth Soll

1995 ◽  
Vol 25 (5) ◽  
pp. 1019-1025 ◽  
Author(s):  
I. F. Dancyger ◽  
P. E. Garfinkel

SYNOPSISA variety of sociocultural, familial and individual features associated with the eating disorders were examined in subjects with full syndrome (FS) and partial syndrome (PS) eating disorders and in normal high school students. The EAT-26 was administered to 995 high school students. This was followed by individual interviews with those who scored in the symptomatic range. Fifty-one students with PS eating disorders, 57 students without eating disorders (normal controls) and 30 hospital patients with FS, anorexia nervosa or bulimia nervosa were compared on subscales of the Eating Disorder Inventory, the Diagnostic Survey for Eating Disorders and the Beck Depression Inventory. The three groups displayed statistically significant differences on dimensions of EDI subscales Ineffectiveness and Interoceptive Awareness and also with respect to depression, history of being overweight and past history of emotional problems, as well as having mothers with medical illnesses. On these characteristics, the FS subjects displayed higher levels than the PS subjects, who in turn were higher than the NC subjects. The PS subjects displayed elevations on Body Dissatisfaction (EDI subscale), past medical illnesses, and mother's over-concern with eating and weight. These data support a continuum model of the eating disorders, but a continuum of multiple associated features rather than of dieting.


1991 ◽  
Vol 158 (4) ◽  
pp. 495-502 ◽  
Author(s):  
R. H. Ratnasuriya ◽  
I. Eisler ◽  
G. I. Szmukler ◽  
G. F. M. Russell

Forty-one patients with anorexia nervosa, admitted to the Maudsley Hospital between 1959 and 1966, were followed up after a mean of 20 years. An assessment of general outcome (based on the Morgan-Russell scales) yielded three outcome categories: ‘good’ (n = 12), ‘intermediate’ (n = 13) and ‘poor’ (n = 15). Six patients (15%) had died from causes related to anorexia nervosa; at least 15% had developed bulimia nervosa. There was a general consistency between the follow-up at 20 years and that previously conducted five years after admission, although with a few individual patients there were serious prognostic errors at the earlier follow-up. A poorer outcome was associated with a later age of onset, a history of neurotic and personality disturbances, disturbed relationships in the family and a longer duration of illness.


2012 ◽  
Vol 46 (2) ◽  
pp. 140-146 ◽  
Author(s):  
Andrea B. Goldschmidt ◽  
Carol B. Peterson ◽  
Stephen A. Wonderlich ◽  
Ross D. Crosby ◽  
Scott G. Engel ◽  
...  

2006 ◽  
Vol 47 (6) ◽  
pp. 519-522 ◽  
Author(s):  
Paolo Santonastaso ◽  
Tatiana Zanetti ◽  
Chiara De Antoni ◽  
Elena Tenconi ◽  
Angela Favaro

2015 ◽  
Vol 3 (Suppl 1) ◽  
pp. O24
Author(s):  
Emma Dove ◽  
Stephanie Hill ◽  
Bronwyn Raykos ◽  
Anthea Fursland ◽  
Susan Byrne

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