Bulimia Nervosa

The Eating Disorders Arena provides professionals, researchers, instructors and students in Eating Disorders with information on the range of books and journals by Psychology Press, Routledge Mental Health and Guilford Press, as well as links to various o

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Psychoneuroendocrinology
Klein, D.A., et al. - Elevated physical activity is commonly observed among patients with Anorexia Nervosa (AN) and can manifest in several forms...These data suggest that some women with AN have a higher "drive" for physical activity that persists into early hospitalization. HPA axis abnormalities may be associated with this state - [Read more]

Eating Disorders
Gadalla, T., et al. - The objective of this study was to examine the co-morbidity between eating disorders and substance use in a large nationally representative sample of Canadian women and men while including varied measures of substance consumption and a wide range of substance classes...The study findings support the importance of developing assessment instruments and treatment strategies that address the co-occurrence of eating disorders and substance use for both women and men - [Read more]

Australian and New Zealand Journal of Psychiatry
Touyz , S., et al. - To investigate eating disorder psychopathology, restraint and eating concern in young women with and without an eating disorder from two different ethnic groups in Australia and Singapore...Conclusion: In eating disorder psychopathology, the specific symptom of eating concern may transcend cultural influences - [Read more]

Eating Disorders
Cummins, L.H., et al. - This review examines the literature on the prevalence of eating disorders and negative body image in Asian American women and describes current research on the efficacy of a variety of theoretical approaches for treatment, including psychodynamic, cognitive-behavioral, and feminist perspectives. Recommendations for considering culture and gender when working clinically with Asian American women who experience eating concerns as well as suggestions for future research directions are provided - [Read more]

Eating Disorders
Witton, N.S., et al. - Seventy-two patients and parents completed the "Research Directions Survey" (RDS), consisting of an open-ended question and four rank-ordered lists. The RDS was designed to examine aspects of eating disorders (ED) that these individuals perceive as priorities for future research...This paper discusses the implications of our findings and directions for future research in ED - [Read more]

Eating Disorders
Munoz, D.J., et al. - The present study extended previous research reporting an association between frequency of family mealtimes and bulimia nervosa by exploring whether family mealtimes might be a component of a larger construct of family stability. One hundred thirty-four female undergraduates completed retrospective measures of family stability, frequency of shared family mealtimes, and a measure of bulimia symptomatology. Results indicate that family stability is a more comprehensive predictor of bulimia symptomatology than meal frequency alone. Implications for intervention and treatment options are discussed - [Read more]

Journal of Clinical Endocrinology and Metabolism
Misra, M., et al. - The aim of the study was to determine whether adipokines and insulin are independently associated with measures of BMD in adolescents with AN and controls. Levels of adiponectin and insulin, fasting and after oral glucose, were evaluated in 17 AN patients and 19 controls (age, 1218 yr), in whom hormonal parameters [GH, IGF-I, cortisol, estradiol, leptin, ghrelin, and peptide YY (PYY)] had been previously determined. Findings show that adiponectin contributes significantly to the variability of bone density, and insulin contributes to bone turnover markers in adolescent girls - [Read more]

Eating Disorders
Humphreys J.D., et al. - The cognitive and affective variables were significantly associated with disordered eating and with OC symptoms in a sample of 160 college women. Results also indicated that perfectionism is an important link between disordered eating behavior and OC symptoms, although the nature of perfectionism differs somewhat for the two types of behavior. Implications of the current results and directions for future research are discussed - [Read more]

American Journal of Psychiatry
Mayer, L., et al. - The goal of this study was to investigate the relationship of body composition and neuroendocrine levels with clinical outcome in women with anorexia nervosa in a relapse-prevention trial...Conclusion: In recently weight-restored women with anorexia nervosa, lower percent body fat was associated with poor long-term outcome - [Read more]

Eating Disorders
Russell-Mayhew S., et al. - This study examines the effectiveness of a wellness-based prevention program on elementary and junior high students' body image, personal attitudes, and eating behaviors...Results indicate that a one-time wellness-based eating disorder prevention program with students, which have in the past shown to be minimally effective, may be more effective in changing attitudes and behaviors when teachers and parents are involved - [Read more]

Journal of Adolescent Health
Peters, T, et al. - To describe a case of Wernickes encephalopathy in a 15-year-old female patient with anorexia nervosa - restricting type...Conclusion: Wernickes encephalopathy should be considered in patients with anorexia nervosa. Thiamine therapy could be considered in cases of anorexia nervosa with significant confusion - [Read more]

Journal of Child Psychology and Psychiatry and Allied Disciplines
Eisler, Ivan, et al. - Conclusions: This study confirms the efficacy of family therapy for adolescent anorexia nervosa, showing that those who respond well to outpatient family intervention generally stay well. The study provides further support for avoiding the use of conjoint family meetings at least early on in treatment when raised levels of parental criticism are evident - [Read more]

Eating Disorders
A. P. Winston, et al. - This study investigated the effect of a specialist eating disorders service on the attitudes and knowledge of local healthcare professionals. A questionnaire was sent to fully qualified psychiatrists, postgraduate trainees in psychiatry and general (internal) medicine, general practitioners (family physicians) and dietitians in two comparable cities: Leicester (which had a specialist eating disorders service) and Nottingham (which did not). Psychiatrists in training in Leicester had a greater knowledge of eating disorders than those in Nottingham - [Read more]

Indian Pediatrics
P. Mammen, et al. - There are no prevalence or co-morbidity studies on eating disorders in India. This retrospective chart review studied the prevalence and psychiatric co-morbidity among juveniles with eating disorders. Forty-one cases with ICD-10 diagnosis of eating disorders were identified and analyzed. The prevalence of eating disorders was 1.25%. Psychogenic vomiting was the commonest eating disorders and anorexia nervosa the emerging eating disorder - [Read more]

Eating Disorders
Edward J. Cumella, et al. - We analyzed the influence of co-occurring obsessive-compulsive disorder (OCD) on response to eating disorder (ED) treatment among 2,971 female inpatients...Results suggest that with co-occurring OCD treated using evidence-based interventions ED inpatients with and without OCD may have similar prognoses - [Read more]

BMC Medical Imaging
Anu K Koskela, et al. - Conclusions: Our finding of increased SERT binding in the midbrain in the purging BN women raises the possibility that this subgroup of bulimics might differ in serotonergic function from the non-purging ones. The similarity of the unaffected co-twins and the healthy controls doesn't support our initial assumption of a SERT-related endophenotype for BN. Due to the small sample size, our results need to be interpreted with caution and verified in a larger sample - [Read more]

Eating Disorders
Karin Nilsson, et al. - This qualitative study describes the perspectives of former anorexia nervosa (AN) patients with respect to why they believed they developed AN...Causes were attributed to self, family, and socio-cultural stressors outside of the family. Most common were high own demands and perfectionism. At the second follow-up there were more answers in the family categories. The results agreed with results from risk-factor research - [Read more]

Journal of Adolescent Health
Gillian Kirsh Ph.D., et al. - Children as young as 12 years of age are presenting for treatment of an eating disorder (ED), underscoring the need to understand the psychological and social make-up of this age group...Conclusion: This study has implications for early identification and early intervention - [Read more]

Obesity Research
Kelly C. Allison, et al. - What is the prevalence of binge eating disorder (BED) and night eating syndrome (NES) in Adults with Type 2 Diabetes
>Summary: A study of 845 participants, 58% women, in four sites Birmingham, Houston, Minneapolis, and Philadelphia. The Eating Disorders ExaminationQuestionnaire (EDE-Q) and the Night Eating Questionnaire (NEQ) were used to screen patients. Phone interviews were conducted using the EDE for those who reported at least eight episodes of objective binge eating in the past month and using the Night Eating Syndrome History and Interview for those who scored 25 on the NEQ
Outcomes: The study showed that Among obese adults with type 2 diabetes, NES was reported more frequently than BED, which, in turn, was less common than expected. Participants with eating disorders were younger, heavier, and reported more eating pathology than those without eating disorders - [Read more]

Canadian Journal of Psychiatry
Howard Steiger, PhD - Arguably, eating disorders have inspired more shifts in explanatory paradigms, over a shorter span of time, than have any other class of syndromes in the history of psychiatry. We once understood anorexia nervosa (AN) to be a response to well-meaning but overbearing intrusions of anxious parents (usually mothers) that drove affected children into a compensatory stance of food refusalpresumably, the sole means of self-assertion left to these unfortunate children - [Read more]