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The Heterogeneity of Anorexia Nervosa: Bulimia as a Distinct Subgroup
Abstract
Bulimia is a poor prognostic sign in anorexia nervosa. This raised the question of whether bulimia represented an "end stage" of chronic anorexia nervosa or whether bulimic patients were a distinct subgroup. All subjects seen by us personally from 1970 to 1978 were included in this study provided they met modified criteria of Feighner et al (1972). Of this group, 68 experienced bulimia and 73 did not (restricters). Bulimic patients had a history of weighing more and were more commonly premorbidly obese. Bulimic patients were those who vomited and misused laxatives. The bulimic group displayed a variety of impulsive behaviors, including use of alcohol and street drugs, stealing, suicide attempts, and self-mutilation. With regard to family history, the high frequency of obesity in the mothers of bulimic patients was noteworthy. The two groups share features common to patients with primary anorexia nervosa. However, these results suggest a different group of women are predisposed to have anorexia nervosa develop with bulimia.
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Cited by
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Zlotnick, C., Shea, M. T., Pearlstein, T., Simpson, E., Costello, E., & Begin, A. (1996) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(96)90044-9 · Cited by 308
Binge eating and dietary restraint in obese patients
Marcus, M. D., Wing, R. R., & Lamparski, D. M. (1985) · Addictive Behaviors · doi:10.1016/0306-4603(85)90022-x · Cited by 272
Toward a unified theory of serotonin dysregulation in eating and related disorders
Brewerton, T. D. (1995) · Psychoneuroendocrinology · doi:10.1016/0306-4530(95)00001-5 · Cited by 245
Fassino, S., Abbate‐Daga, G., Amianto, F., Leombruni, P., Boggio, S., & Rovera, G. G. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10099 · Cited by 224
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A controlled family history study of bulimia
Hudson, J. I., Pope, H. G., Jonas, J. M., Yurgelun-Todd, D., & Frankenburg, F. R. (1987) · Psychological Medicine · doi:10.1017/s0033291700000684 · Cited by 137
A controlled family study of anorexia nervosa
Strober, M., Morrell, W., Burroughs, J., Salkin, B., & Jacobs, C. (1985) · Journal of Psychiatric Research · doi:10.1016/0022-3956(85)90024-x · Cited by 134
Chiodera, P., Volpi, R., Capretti, L., Marchesi, C., d'Amato, L., De Ferri, A., Bianconi, L., & Coiro, V. (1991) · Metabolism · doi:10.1016/0026-0495(91)90220-q · Cited by 63
Penadés (2007) · doi:10.1016/j.eurpsy.2007.03.004 · Cited by 59
Subtyping eating disorders: is it justified?
HERZOG, D. B., FIELD, A. E., KELLER, M. B., WEST, J. C., ROBBINS, W. M., STALEY, J., & COLDITZ, G. A. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199607000-00020 · Cited by 48
Metadata
- Authors
- Garfinkel, P. E.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1980-09-01
- Volume
- 37
- Issue
- 9
- Pages
- 1036
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W1980815925
- Cited by
- 565
- References
- 0
- FWCI
- 43.86
- Type
- journal article
- Language
- en
- Open access
- closed
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