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Relationship of Mood Alterations to Bingeing Behaviour in Bulimia

Published online by Cambridge University Press:  29 January 2018

W. H. Kaye ,
H. E. Gwirtsman ,
D. T. George ,
S. R. Weiss  and
D. C. Jimerson
W. H. Kaye*
Affiliation:
Western Psychiatric Institute and Clinic, 3811 O'Hara St, Pittsburgh, Pa. 15213, USA Formerly Staff Psychiatrist, Laboratory of Psychology and Psychopathology, National Institute of Mental Health, 10/4C-110, Bethesda, Maryland 20205, USA
H. E. Gwirtsman
Affiliation:
Section on Biomedical Psychiatry, Laboratory of Clinical Science, National Institute of Mental Health, 10/3S-231, Bethesda, Maryland 20205
D. T. George
Affiliation:
Section on Biomedical Psychiatry, Laboratory of Clinical Science, NIMH
S. R. Weiss
Affiliation:
Section on Biomedical Psychiatry, Laboratory of Clinical Science, NIMH
D. C. Jimerson
Affiliation:
Section on Biomedical Psychiatry, Laboratory of Clinical Science, NIMH
*
Correspondence
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Extract

Twelve women with bulimia participated in a study in which they binged and vomited on the day after hospital admission. Caloric intake, time spent bingeing and vomiting, and selfreported mood ratings demonstrated much variation from subject to subject. Both subjective and objective ratings of mood indicated that anxiety decreased more frequently and to a greater extent than depression, both during and after bingeing and vomiting. The present data, obtained in a controlled setting, tend to confirm previous information on binge episodes obtained by self-report from bulimic patients. Bingeing and vomiting episodes may provide bulimic patients with a physiological mechanism for temporarily relieving a dysphoric mood state.

Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 4 , October 1986 , pp. 479 - 485
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Abraham, S. F. & Beumont, P. J. V. (1982) How patients describe bulimia or binge eating. Psychological Medicine, 12, 625–635.CrossRefGoogle ScholarPubMed
Beck, A. T., Wart, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.CrossRefGoogle ScholarPubMed
Chiodo, J. & Latimer, P. R. (1983) Vomiting as a learned weight-control technique in bulimia. Journal of Behavior Therapy and Experimental Psychiatry, 14, 131–135.Google Scholar
Fairburn, C. G. & Cooper, P. J. (1984) The clinical features of bulimia nervosa. British Journal of Psychiatry, 144, 238–246.Google Scholar
Gwirtsman, H. E., Roy-Burne, P., Yager, J. & Gerner, R. H. (1983) Neuroendocrine abnormalities in bulimia. American Journal of Psychiatry, 140, 559–563.Google ScholarPubMed
Halmi, K. A., Falk, J. R. & Schwartz, E. (1981) Binge-eating and vomiting: A survey of a college population. Psychological Medicine, 11, 697–706.Google Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.Google Scholar
Hudson, J. I., Pope, H. G., Jonas, J. M. & Yurgelun-Todd, D. (1983a) Phenomenologie relationship of eating disorders to major affective disorder. Psychiatry Research, 9, 345–354.Google Scholar
Hudson, J. I., Pope, H. G., Jonas, J. M. (1983b) Family history study of anorexia nervosa and bulimia. British Journal of Psychiatry, 142, 133–138.CrossRefGoogle ScholarPubMed
Johnson, C. & Larson, R. (1982) Bulimia: An analysis of moods and behaviour. Psychosomatic Medicine, 44, 341–351.Google Scholar
Johnson, C., Lewis, C., Love, S. et al (1984) Incidence and correlates of bulimic behaviour in a female high school population. Journal of Youth and Adolescence, 13, 15–26.Google Scholar
Johnson-Sabine, E. C., Wood, K. H. & Wakeung, A. (1984) Mood changes in bulimia nervosa. British Journal of Psychiatry, 145, 512–516.Google Scholar
Lel Bowitz, S. F. (1980) Neurochemical systems of the hypothalamus: Control of feeding and drinking behaviour and water-electrolyte excretion. In Behavioral Studies of the Hypothalamus (eds Morgane, P. J. & Panksepp, J.), Vol. 3. New York: Marcel Dekker.Google Scholar
Metropolitan Life Insurance Company (1959) New weight standards for men and women. Statistical Bulletin of the Metropolitan Life Insurance Company, 40, 1–15.Google Scholar
Mitchell, J. E., Pyle, R. L. & Eckert, E. D. (1981) Frequency and duration of binge-eating episodes in patients with bulimia. American Journal of Psychiatry, 138, 835–836.Google Scholar
Montgomery, S. A. & Asberg, M. (1979) A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382–289.CrossRefGoogle ScholarPubMed
Petersen, R., Kaye, W. H. & Gwirtsman, H. E. (1986) Estimation of caloric intake for patients hospitalized with eating disorders. Journal of the American Dietetic Association, 19, 490–492.Google Scholar
Pope, H. G., Hudson, J. I., Jonas, J. M. & Yergelun-Todd, D. (1983) Bulimia treated with imipramine: A placebo controlled double-blind study. American Journal of Psychiatry, 140, 554–558.Google Scholar
Pyle, R. L., Mitchell, J. E. & Eckert, E. D. (1981) Bulimia: A report of 34 cases. Journal of Clinical Psychiatry, 42, 60–64.Google Scholar
Pyle, R. L., Mitchell, J. E., Halvorson, P. A., Neuman, P. A. & Goff, G. M. (1983) The incidence of bulimia in freshman college students. International Journal of Eating Disorders, 2, 75–85.Google Scholar
Stangler, R. S. St Printz, A. M. (1980) DSM-III: Psychiatric diagnosis in a university population. American Journal of Psychiatry, 137, 937–940.Google Scholar
Strober, M. (1984) Stressful events associated with bulimia in anorexia nervosa: Empirical findings and theoretical speculations. International Journal of Ealing Disorders, 3, 3–16.Google Scholar
Walsh, B.T., Stewart, J. W., Roose, S. P., Gladis, M. & Glassman, A. H. (1984) Treatment of bulimia with phenelzine. Archives of General Psychiatry, 41, 1105–1109.Google Scholar
Wurtman, R. J. (1983) Behavioural effects of nutrients. Lancet, 1, 1145–1147. (Accepted I November 1985) CrossRefGoogle ScholarPubMed
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