Binge-eating and Self-induced Vomiting in the Community

1983 ◽  
Vol 142 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Peter J. Cooper ◽  
Christopher G. Fairburn
Keyword(s):  
Body Weight ◽  
Family Planning ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Diagnostic Criteria ◽  
Weight Control ◽  
Family Planning Clinic ◽  
Psychiatric Disturbance ◽  
Menstrual Dysfunction ◽  
Psychiatric State

SummaryThis study examined by questionnaire the prevalence of binge-eating and self-induced vomiting among a sample of 369 consecutive attenders at a family planning clinic. 20.9 per cent reported current episodes of uncontrollable and excessive eating (‘binges’), 2.9 per cent currently induced vomiting as a means of weight control; and 4.9 per cent reported using laxatives. Binge-eating and self-induced vomiting were strongly associated with disturbed attitudes to food, eating, body weight and shape; and with psychiatric disturbance. Menstrual dysfunction was not associated with either body weight or binge-eating; it was however associated with psychiatric state. Applying conservative rules, 1.9 per cent appeared to fulfil diagnostic criteria for the recently described syndrome bulimia nervosa.

Abuse of Laxatives to Reduce Weight

1988 ◽  
Vol 9 (7) ◽  
pp. 208-234
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Diagnostic Criteria ◽  
Normal Weight ◽  
Intense Fear ◽  
Maintain Body Weight ◽  
Psychiatric Conditions ◽  
Weight For Age

Two psychiatric conditions are commonly associated with laxative and/or diuretic abuse to control weight. They are anorexia nervosa and bulimia nervosa. The newest diagnostic criteria for anorexia nervosa now makes it possible to diagnose this disorder before profound weight loss has occurred. There are four criteria: (1) refusal to maintain body weight greater than a minimum normal weight for age and height, the minimum being 15% below that expected; (2) intense fear of gaining weight; (3) a disturbance in the way one's body weight, size, or shape is experienced; and (4) amenorrhea in girls. Anorexia nervosa usually begins in early to late adolescence. It is primarily a disorder of girls.

Binge Eating and Its Management

1982 ◽  
Vol 141 (6) ◽  
pp. 631-633 ◽  
Author(s):  
Christopher G. Fairburn
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Weight Control ◽  
Normal Weight ◽  
Loss Of Control ◽  
Normal Range ◽  
Eating Pattern ◽  
Normal Weight Control

It is well recognized that bouts of uncontrolled and excessive eating (binges) occur in both a small proportion of patients who are overweight and in about 50 per cent of patients with anorexia nervosa. However, it has only recently been appreciated that many people who fall into neither category also have an eating disorder which is principally characterized by episodes of binge-eating. These people experience a profound and distressing loss of control over eating which results in a grossly disturbed eating pattern. Despite this, their body weight tends to lie within the normal range. The disorder has attracted various names including ‘the dietary chaos syndrome’ (Palmer, 1979), ‘the abnormal normal weight control syndrome’ (Crisp, 1979), ‘bulimia nervosa’ (Russell, 1979), and simply ‘bulimia’ (DSM III, 1980). The term bulimia nervosa is probably the most satisfactory since it conveys the links with anorexia nervosa and emphasises the central role of binge-eating. Russell (1979) proposed the following diagnostic criteria for this syndrome:

A Self-rating Scale for Bulimia the ‘BITE’

1987 ◽  
Vol 150 (1) ◽  
pp. 18-24 ◽  
Author(s):  
M. Henderson ◽  
C. P. L. Freeman
Keyword(s):  
Bulimia Nervosa ◽  
Binge Eating ◽  
Diagnostic Criteria ◽  
Rating Scale ◽  
Reliability And Validity ◽  
Self Rating ◽  
Definition Of

A new brief questionnaire, the Bulimic Investigatory Test, Edinburgh (BITE), for the detection and description of binge-eating is described. Data from two separate populations demonstrate satisfactory reliability and validity. The scale has measures of both symptoms and severity. All items in the DSM-III definition of bulimia and Russell's definition of bulimia nervosa are covered but the questionnaire is more than just an operationalised checklist of these diagnostic criteria.

Evaluation of Coexisting Psychiatric Conditions in Women with Bulimia Nervosa and Partial Bulimia, Eating Disorder Not Otherwise Specified

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Naessén ◽  
K. Carlström ◽  
A. Lindén Hirschberg
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Diagnostic Criteria ◽  
Psychiatric Diagnosis ◽  
Previous Attempt ◽  
Not Otherwise Specified ◽  
Psychiatric Conditions ◽  
Commit Suicide

Objective:The classification of eating disorders has been a matter of debate. Recent research indicates the clinical significance of eating disorder not otherwise specified (EDNOS). However, EDNOS is defined by exclusion, i.e.that not to fulfil criteria for anorexia nervosa (AN) or bulimia nervosa (BN). The aim of the present study was to compare bulimic behavior and psychiatric diagnosis in women with BN and EDNOS.Methods:All participants fulfilled the diagnosis according to DSM-IV. Women with BN (purging type, n=34) and age and body mass index matched women with EDNOS (n=31) were examined with respect to clinical condition, bulimic behaviour, purging methods and coexisting psychiatric conditions such as depression, anxiety disorders.Results:Apart from expected differences in binge eating and compensatory behavior, there were no differences between the two groups. Women with BN had higher scores for weight fobia, previous attempt to commit suicide, impulsive behaviour other than theft, and disturbed impulse control than women with EDNOS, while there were no differences in ten other psychiatric items such as depression, anxiety.Conclusions:Individuals with partial bulimia (EDNOS) seem to have the same spectrum of psychiatric diagnosis as women with BN even though they fail to meet diagnostic criteria for frequency of binge eating. There is a need to further specified the diagnostic criteria for BN.

scholarly journals 1544Baseline predictors of attrition in a randomised controlled trial of treatments for people with recurrent binge eating episodes associated to overweight or obesity

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Haider Mannan ◽  
Phillipa Hay
Keyword(s):  
Body Weight ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Lower Body ◽  
Treatment Attrition ◽  
Lower Body Weight ◽  
Lower Treatment ◽  
Overweight Or Obesity

Abstract Purpose Understanding the high rate of treatment attrition in trials of people with eating disorders is important as it can compromise the quality of the trials. In clinical practice, it may also contribute to illness chronicity, relapse, and costs. Thus, we investigated factors associated with treatment attrition to a new manualised psychotherapy HAPIFED compared to CBT-E, for individuals with Bulimia Nervosa or Binge Eating Disorder comorbid with overweight or obesity. Methods In total, 98 participants were recruited with 50 randomised to HAPIFED and 48 to the control intervention CBT-E, all administered in groups of up to 10 participants. An investigator external to the site conducted the random allocation, which was concealed from the statistician involved in the analysis, and known only to the therapists until the finalization of the 12-month follow-up after the end of active treatment. Three scenarios in the timeline treatment of a total of 30 sessions were assessed: 33% or 60% or 75% of presence. Logistic regression analysis was performed to find the correlates of attrition. Results None of the six variables - frequency of binge eating episodes, purging, eating disorder symptom severity, weight, illness duration and mental health-related quality of life - significantly predicted attrition at 33%, but longer illness duration predicted lower treatment attrition at both 60% and 75% presence of the interventions. Also for 75% presence, lower body weight predicted lower treatment attrition. Conclusions Lower attrition due to late treatment completion was associated with longer binge eating illness length and a lower body weight. More research is needed to recognize factors that may interfere with engagement in treatments aiming to avoid early dropout. Keywords binge eating disorder, bulimia nervosa, cognitive therapy, obesity, patient dropout Trial registration US National Institutes of Health clinical trial registration number NCT02464345, date of registration 1 June 2015.

scholarly journals An investigation of the joint longitudinal trajectories of low body weight, binge eating, and purging in women with anorexia nervosa and bulimia nervosa

2010 ◽  
Vol 44 (8) ◽  
pp. 679-686 ◽  
Author(s):  
Jason M. Lavender ◽  
Kyle P. De Young ◽  
Debra L. Franko ◽  
Kamryn T. Eddy ◽  
Andrea E. Kass ◽  
...  
Keyword(s):  
Body Weight ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Longitudinal Trajectories

Weight and Menstrual Function in Patients With Eating Disorders and Cystic Fibrosis

PEDIATRICS ◽  
1990 ◽  
Vol 85 (3) ◽  
pp. 282-287
Author(s):  
Elizabeth A. Weltman ◽  
Robert C. Stern ◽  
Carl F. Doershuk ◽  
Robin N. Moir ◽  
Karin Palmer ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Eating Disorders ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Ideal Body Weight ◽  
Average Weight ◽  
Menstrual Dysfunction ◽  
Secondary Amenorrhea ◽  
Regular Menses

Many patients with eating disorders have menstrual dysfunction. In patients with anorexia nervosa, amenorrhea has been linked to weight loss. However, many patients with bulimia nervosa, even those of average or greater than average weight, also experience menstrual abnormalities, including amenorrhea. It was hypothesized that low weight per se is not responsible for menstrual dysfunction in patients with eating disorders. First, 16 patients with bulimia nervosa of average weight and 29 patients with cystic fibrosis of below average weight of similar menstrual age were compared. Of the patients with bulimia nervosa, 11 (73%) had had secondary amenorrhea at some time compared with 8 (28%) of the patients with cystic fibrosis (P < .01). At the time of study, 6 (40%) of the patients with bulimia nervosa and 21 (78%) of the patients with cystic fibrosis were having regular cycles (P < .01). Next 18 patients with anorexia nervosa were compared with 18 patients with cystic fibrosis matched for weight and menstrual age. Although 18 (100%) of the patients with anorexia nervosa had had secondary amenorrhea, only 6 (33%) of the patients with cystic fibrosis had amenorrhea. Although only 1 (6%) of the anorexia nervosa group was currently having regular cycles, 14 (78%) of the patients with cystic fibrosis were (P < .0001). Closer approximation to ideal body weight was associated with regular menses only in the cystic fibrosis group. Exercise did not appear related to regularity of menstruation in any group. Body weight is not the major factor responsible for menstrual abnormalities in patients with eating disorders.

How to Maintain a Healthy Body Weight

2006 ◽  
Vol 76 (4) ◽  
pp. 208-215 ◽  
Author(s):  
Astrup
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Weight Loss ◽  
Body Weight ◽  
Glycemic Index ◽  
Dairy Products ◽  
Weight Control ◽  
Healthy Body Weight ◽  
Healthy Body

The epidemic of both obesity and type 2 diabetes is due to environmental factors, but the individuals developing the conditions possess a strong genetic predisposition. Observational surveys and intervention studies have shown that excess body fatness is the major environmental cause of type 2 diabetes, and that even a minor weight loss can prevent its development in high-risk subjects. Maintenance of a healthy body weight in susceptible individuals requires 45–60 minutes physical activity daily, a fat-reduced diet with plenty of fruit, vegetables, whole grain, and lean meat and dairy products, and moderate consumption of calorie containing beverages. The use of table values to predict the glycemic index of meals is of little – if any – value, and the role of a low-glycemic index diet for body weight control is controversial. The replacement of starchy carbohydrates with protein from lean meat and lean dairy products enhances satiety, and facilitate weight control. It is possible that dairy calcium also promotes weight loss, although the mechanism of action remains unclear. A weight loss of 5–10% can be induced in almost all obese patients providing treatment is offered by a professional team consisting of a physician and dieticians or nurses trained to focus on weight loss and maintenance. Whereas increasing daily physical activity and regular exercise does not significantly effect the rate of weight loss in the induction phase, it plays an important role in the weight maintenance phase due to an impact on daily energy expenditure and also to a direct enhancement of insulin sensitivity.

Sign in / Sign up

Export Citation Format

Share Document