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Anamnestic similarities in bulimic inpatients with and without a history of anorexia nervosa

Published online by Cambridge University Press:  28 April 2020

S. Bossert ,
R. Laessle  and
M. Junker
S. Bossert
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
R. Laessle
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
M. Junker
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
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Summary

The significance of a history of anorexia nervosa as regards the diagnosis and treatment outcome for bulimia is unclear. In a retrospective analysis of medical records of 59 inpatients with bulimia (DSM-III), variables related to personal and psychiatric family history did not reveal any differences in bulimics subtyped according to previous anorexia nervosa as defined in the criteria of Russell (1979). These anamnestic data support the results of studies indicating that no specific clinical and outcome variables are correlated with a history of anorexia nervosa in bulimia. The lower body weight and longer duration of bulimia found in bulimic inpatients with a history of anorexia nervosa, however, should be further examined.

Résumé

Résumé

L‘importance des antécédents anorexiques pour le diagnostic et le résultat du traitement des malades avec un diagnostic d'une boulimie est peu clair. Dans une analyse rétrospective des protocoles de 59 malades hospitalisés (et répondant dans leur état actuel aux critères du DSM-III pour bulimia) les antécédants familiaux et personnels ne montraient aucune différence entre boulimiques avec ou sans antécédents anorexiques selon les critères pour boulimie de Russell (1979). Nos résultats supportent le résultat d'autres études indiquant qu ‘il n'y a pas de corrélation entre antécédants anorexiques d'une part et les manifestations cliniques et le résultat du traitement d'autre part. Cependant le poids réduit et la durée prolongée des symptômes chez les malades avec l'histoire d'une anorexie devrait être examinés en plus de détail.

Keywords

bulimiapsychiatric family historyimpulsivenessanorexia nervosabody weightbulimieanamnèse psychiatrique de familleimpulsivitéanorexiepoids
Type
Original article
Information
Psychiatry and Psychobiology , Volume 4 , Issue 2 , 1989 , pp. 107 - 110
Copyright
Copyright © European Psychiatric Association 1989

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References

American Psychiatric Association (1980) DSM-III: Diagnostic and Statistical Manual of Mental Disorders (3rd edn) Washington, DCGoogle Scholar
Bossert, S.Schnabel, E.Dippel, B”Berger, M. & Krieg, J.C. (1988) Behavioral hospital treatment of bulimia: outcome and revision. In: Annual Series of European Research in Behavior Therapy, vol. III: Theory and Practice in Behavior Therapy (P. Emmelkamp, W., EveraerdF., Kraaymaat & M., van Son, eds.), Swets Publishing Service, Lisse, pp. 161–172Google Scholar
Connors, M.E.Johnson, C.L. & Stuckey, M.K. (1984) Treatment of bulimia with brief psychoeducational group therapy. Am. J. Psychiatry 141, 1512–1516Google ScholarPubMed
Cooper, P. I. & Fairburn, C.G. (1983) Binge-eating and self-induced vomiting in the community: a preliminary study. Br. J. Psychiatry 142, 139–144.CrossRefGoogle ScholarPubMed
Fairburn, C.G. & Cooper, P.J. (1984) The clinical features of bulimia nervosa. Br. J. Psychiatry 144, 238–246CrossRefGoogle ScholarPubMed
Fairburn, C.G. & darner, D.M. (1986) The diagnosis of bulimia nervosa. Int. J. Hat. Disord. 5, 403–4193.0.CO;2-Z>CrossRefGoogle Scholar
Fairburn, C.G.Kirk, J.O'Connor, M.Anastasiades, P & Cooper, P.J. (1987) Prognostic factors in bulimia nervosa. Br. J. Clin. Psychol. 26, 223–224CrossRefGoogle ScholarPubMed
Garner, D.M.Garfinkel, P.E. & O'Shaughnessy, M (1985a) The validity of the distinction between bulimia with and without anorexia nervosa. Am. J. Psychiatry 142, 581–587Google Scholar
Garner, D.M.Olmsted, M.P. & Garfinkel, P.E. (1985b) Similarities among bulimic groups selected by weight and weight history. J. Psychiatr. Res. 19, 129–134CrossRefGoogle Scholar
Hsu, L.K.G. & Holder, D. (1986) Bulimia nervosa: treatment and short-term outcome. Psychol. Med. 16, 65–70CrossRefGoogle ScholarPubMed
Lacey, J.H. (1983) Bulimia nervosa, binge eating and psychogenic vomiting: a controlled treatment study and long-term outcome. Br. Med. J. 286, 1609–1613CrossRefGoogle ScholarPubMed
Laessle, R.G.Wittchen, H.U.Fichter, M.M. & Pirke, K.M. (in press) The significance of subgroups of bulimia and anorexia nervosa: lifetime frequency of psychiatric disorders. Int. J. Eat. Disord.Google Scholar
Metropolitain Life Insurance Company (1959) New weight standards for men and women. Stat. Bull. Metrop. Life Insur. Co. 40, 1–40Google Scholar
Mitchell, J.E.Hatsukami, D.Eckert, E.D. & Pyle, R.L. (1985) Characteristics of 275 patients with bulimia. Am. J. Psychiatry 142, 482–485Google ScholarPubMed
Pyle, R.L.Halvorson, P.A.Neuman, P.A. & Mitchell, I.E. (1986) The increasing prevalence of bulimia in freshman college students. Int. J. Eat. Disord. 5, 631–6473.0.CO;2-E>CrossRefGoogle Scholar
Russell, G.F.M. (1979) An ominous variant of anorexia nervosa. Psychol. Med. 9, 429–448CrossRefGoogle ScholarPubMed
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