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Cited by 77Eating Disorders and BehaviorsNutrition, Health and Food BehaviorPersonality Disorders and Psychopathology

Relationships between features associated with vomiting in purging-type eating disorders

Reba, Lauren, Thornton, Laura, Tozzi, Federica, Klump, Kelly L., Brandt, Harry, Crawford, Steve, Crow, Scott, Fichter, Manfred M. +12 more·2005·International Journal of Eating Disorders
DOI 10.1002/eat.20189
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Abstract

OBJECTIVE: Vomiting is a pernicious symptom of eating disorders. We explored the relation between the symptom of vomiting and features of eating disorder course and severity, personality traits, and Axis I and II comorbidity in individuals with purging-type eating disorders. METHOD: The sample included participants from the multisite, international Price Foundation Genetic Studies, who had an eating disorder diagnosis (anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified) and had data available for the frequency of purging behaviors (n = 1,048). Axis I disorders, personality disorders, trait anxiety, perfectionism, and temperament and character dimensions were included as possible correlates. RESULTS: The presence of vomiting was associated with less regular laxative use, lower self-directedness, organization, personal standards, and higher novelty seeking. CONCLUSION: Vomiting remains a prevalent and potentially destructive symptom of eating disorders, with significant dental and medical morbidity. Our findings suggest that certain clinical and personality variables distinguish individuals with purging-type eating disorders who vomit from those who do not, although there were no marked differences in Axis I or II comorbidity. Specifically targeting treatment to decrease duration of exposure to this dangerous symptom continues to be an important clinical objective.

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Crossref · 10.1002/eat.20189

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Authors
Reba, L., Thornton, L., Tozzi, F., Klump, K. L., Brandt, H., Crawford, S., Crow, S., Fichter, M. M., Halmi, K. A., Johnson, C., Kaplan, A. S., Keel, P., LaVia, M., Mitchell, J., Strober, M., Woodside, D. B., Rotondo, A., Berrettini, W. H., Kaye, W. H., & Bulik, C. M.
Affiliations
  • University of Pittsburgh (US)
  • University of North Carolina at Chapel Hill (US)
  • Michigan State University (US)
  • University of Maryland, Baltimore (US)
  • University of Minnesota (US)
  • Ludwig-Maximilians-Universität München (DE)
  • NewYork–Presbyterian Hospital (US)
  • Laureate Psychiatric Clinic and Hospital (US)
  • University of Iowa (US)
  • Neuropsychiatric Research Institute (US)
  • University of California, Los Angeles (US)
  • University of Pisa (IT)
  • University of Pennsylvania (US)
Corresponding author
Bulik, Cynthia M.
ORCID
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2005-12
Volume
38
Issue
4
Pages
287-294
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
DOI
10.1002/eat.20189
OpenAlex
W2160672797
Cited by
77
References
41
Citations by year
2025: 3 · 2024: 1 · 2023: 2 · 2022: 2 · 2020: 2 · 2019: 1 · 2018: 5 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 7
FWCI
9.29
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3561 d)
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
vomiting, purging behavior, eating disorders, anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified, laxative use, personality traits, novelty seeking, self-direction, perfectionism, comorbidities
MeSH terms
Adolescent, Adult, Aged, Anorexia Nervosa, Anxiety Disorders, Feeding and Eating Disorders, Bulimia, Cathartics, Character, Cross-Sectional Studies, Exploratory Behavior, Female, Humans, Internal-External Control, Male, Middle Aged, Personality Disorders, Risk, Statistics as Topic, Temperament, Vomiting, Multicenter Studies as Topic, Comorbidity, Genetic Predisposition to Disease

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