Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up study
Open accessAbstract
Objective To examine long-term changes in polycystic ovarian morphology in women with polycystic ovaries and bulimia nervosa after treatment of the latter condition. Design Longitudinal follow-up study. Setting Eating disorder unit of a university hospital. Patient(s) Eight women originally treated for bulimia nervosa (T(0)) who underwent ultrasonography up to 2 years after treatment (T(1)) and had a second ultrasonographic scan 9 years later (T(2)). Intervention(s) Treatment of bulimia nervosa that combined cognitive behavioral therapy with insight-orientated psychotherapy. Main outcome measure(s) Ovarian morphology evaluated by ultrasonography, using the criteria of Adams to define polycystic ovaries; Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of eating disorders. Result(s) At T(1), 7 women had recent bulimia and 1 was quiescent. The woman with quiescent disease had normal ovaries. Of the 7 bulimic women, 6 had polycystic ovaries and 1 had multifollicular morphology. At T(2), 5 women were bulimic, all of whom had polycystic ovaries. Three women had normal eating patterns and normal ovarian morphology. Conclusion(s) This study clearly shows a strong association between resolution of bulimia and changes in ovarian morphology, suggesting that changes in the former mirror changes in the latter. It also demonstrates normalization of ovarian morphology in previously polycystic ovaries.
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In case-control studies, the prevalence of an eating disorder in PCOS ranges from 11% to 62%.
“and in case control studies, the prevalence of an eating disorder has been reported to range from 11% to 62%.132, 133, 134, 135, 136”
From Increased Prevalence of Adverse Health Outcomes Across the Lifespan in Those Affected by Polycystic Ovary Syndrome: A Canadian Population Cohort (2024) · cites this paper as [136]
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- Authors
- Morgan, J. F., McCluskey, S. E., Brunton, J. N., & Hubert Lacey, J.
- Affiliations
- University of London (GB)
- Corresponding author
- Morgan, John F
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 77
- Issue
- 5
- Pages
- 928-931
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2044774998
- Cited by
- 79
- References
- 27
- Citations by year
- 2024: 1 · 2023: 5 · 2022: 1 · 2021: 1 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 4
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- polycystic ovary syndrome, bulimia nervosa, ovarian morphology, eating disorders, long-term follow-up, cognitive behavioral therapy, insight-oriented psychotherapy, treatment outcomes
- MeSH terms
- Adult, Bulimia, Female, Follow-Up Studies, Humans, Ovary, Polycystic Ovary Syndrome, Psychotherapy, Ultrasonography, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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