Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-26T05:12:42.722Z Has data issue: false hasContentIssue false

Perceptivity and Paraceptivity During Measurement of Gastric Emptying in Anorexia and Bulimia Nervosa

Published online by Cambridge University Press:  02 January 2018

P. H. Robinson*
Affiliation:
Academic Department of Psychological Medicine, King's College Hospital School of Medicine, Denmark Hill, London SE5

Abstract

Gastric emptying of a mixed meal was measured in 22 patients with anorexia nervosa, ten with bulimia nervosa and ten controls. Ratings on a visual analogue scale (VAS) were made during the test. Patients with anorexia nervosa felt fuller and less hungry than controls, although satiety was not related to gastric emptying rate. Controls showed a correlation of about 0.6 between gastric contents and reported hunger and satiety. Patients with anorexia nervosa had significantly lower correlations between gastric contents and hunger, but normal correlations with fullness. Significant correlations were often observed between gastric contents and symptoms of eating disorder in both anorexic and bulimic groups, but not in controls.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bruch, H. (1966) Anorexia nervosa and its differential diagnosis. Journal of Nervous and Mental Disease, 141, 555566.Google Scholar
Cannon, W. B. & Washburn, A. L. (1912) An explanation of hunger. American Journal of Physiology, 29, 441454.Google Scholar
Coddington, R. D. & Bruch, H. (1970) Gastric perceptivity in normal, obese and schizophrenic subjects. Psychosomatics, 11, 571579.CrossRefGoogle ScholarPubMed
Fairburn, C. G. & Cooper, P. J. (1984) The clinical features of bulimia nervosa. British Journal of Psychiatry, 144, 238246.Google Scholar
Farfinkel, P. E. (1974) Perception of hunger and satiety in anorexia nervosa. Psychological Medicine, 4, 309315.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1979) The eating attitudes test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273279.Google Scholar
Owen, W. P., Halmi, K. A., Gibbs, J., et al (1985) Satiety responses in eating disorders. Journal of Psychiatric Research, 19, 279284.Google Scholar
Robinson, P. H., Checkley, S. A. & Russell, G. F. M. (1985) Suppression of eating by fenfluramine in patients with bulimia nervosa. British Journal of Psychiatry, 146, 169176.CrossRefGoogle ScholarPubMed
Robinson, P. H., Barrett, J. & Clarke, M. (1988) Determinants of delayed gastric emptying in anorexia nervosa and bulimia nervosa. Gut, 29, 458464.Google Scholar
Robinson, R. G., Tortosa, M., Sullivan, J., et al (1983) Quantitative assessment of psychologic state of patients with anorexia nervosa or bulimia: response to caloric stimulus. Psychosomatic Medicine, 45, 283292.CrossRefGoogle ScholarPubMed
Russell, G. F. M. (1979) Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429448.Google Scholar
Russell, G. F. M. (1983) Anorexia nervosa and bulimia nervosa. In Handbook of Psychiatry 4. Neuroses and Personality Disorders (eds Russell, G. F. & Hersov, L. A.), pp. 285298. London: Cambridge University Press.Google Scholar
Slade, P. (1985) A review of body-image studies in anorexia nervosa and bulimia nervosa. Journal of Psychiatric Research, 19, 255265.Google Scholar
Stunkard, A. & Koch, C. (1964) The interpretation of gastric motility. Archives of General Psychiatry, 11, 7482.Google Scholar
Whitehead, W. E. & Drescher, V. M. (1980) Perception of gastric contractions and self control of gastric motility. Psychophysiology, 17, 552558.Google Scholar
Van Strien, T., Frijters, J., Bergers, G., et al (1985) The Dutch eating behaviour questionnaire (DEBQ) for assessment of restrained, emotional and external eating behaviour. International Journal of Eating Disorders, 5, 295315.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.