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Mood Changes in Bulimia Nervosa

Published online by Cambridge University Press:  29 January 2018

Eric C. Johnson-Sabine ,
Kathryn H. Wood  and
Anthony Wakeling
Eric C. Johnson-Sabine*
Affiliation:
Academic Department of Psychiatry, The Royal Free Hospital, Pond Street, Hampstead, London, NW3
Kathryn H. Wood
Affiliation:
Academic Department of Psychiatry, The Royal Free Hospital, Pond Street, Hampstead, London, NW3
Anthony Wakeling
Affiliation:
Academic Department of Psychiatry, The Royal Free Hospital, Pond Street, Hampstead, London, NW3
*
∗Correspondence
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Summary

Daily measurement of mood, and the occurrence of specific eating behaviours, were assessed concurrently over an eight-week period in a sample of 50 patients meeting diagnostic criteria for bulimia nervosa. Results of observer-rated scales of mood showed a significant reduction of scores, whereas self-assessment of mood showed no change over the study period. Negative mood states, although not severe, were more marked when the specific behavioural symptoms of binge-eating, vomiting, or purging occurred, and they increased as abnormal eating behaviours accumulated. It is suggested that the accompanying dysphoric mood states of bulimia nervosa are likely to be a secondary manifestation related to the presence of abnormal eating symptoms, and that they do no constitute a primary depressive illness.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 145 , Issue 5 , November 1984 , pp. 512 - 516
Copyright
Copyright © 1984 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, 625–35.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980) DSM III. Diagnostic and Statistical Manual of Mental Disorders (Third Edition). Washington D.C. Google Scholar
Beumont, P. J. V., George, G. C. W. & Smart, D. E. (1976) Dieters' and ‘vomiters and purgers’ in anorexia nervosa. Psychological Medicine, 6, 617–22.Google ScholarPubMed
Calloway, P., Fonagy, P. & Wakeling, A. (1983) Autonomic Arousal in Eating Disorders: Further evidence for a clinical subdivision of anorexia nervosa. British Journal of Psychiatry, 142, 38–42.Google Scholar
Casper, R. C. Eckert, E. D., Halmi, K. A., Goldberg, S. C. & Davis, J. M. (1980) Bulimia: Its incidence and clinical importance in patients with anorexia nervosa. Archives of General Psychiatry, 37, 1030–5.CrossRefGoogle ScholarPubMed
Dally, P. J. (1969) Anorexia Nervosa. London: Heinemann.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–9.Google Scholar
Hamilton, M. (1959) A rating scale for anxiety. British Journal of Medical Psychology, 32, 50–5.Google Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology. Neurosurgery and Psychiatry, 23, 56–65.CrossRefGoogle ScholarPubMed
Hudson, J. I., Laffer, P. S. & Pope, H. G. (1982) Bulimia related to affective disorder by family history and response to the dexamethasone suppression test. American Journal of Psychiatry, 139, 685–87.Google Scholar
Pyle, R. L., Mitchell, J. E. & Eckert, E. D. (1981) Bulimia: a report of 34 cases. Journal of Clinical Psychiatry, 42, 60–4.Google Scholar
Russell, G. F. M. (1979) Bulimia Nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–48.Google Scholar
Sabine, E. Johnson, Yonace, A., Farrington, A. J., Barratt, K. H. & Wakeling, A. (1983) Bulimia nervosa: a placebo controlled double-blind therapeutic trial of mianserin. British Journal of Clinical Pharmacology, 15, 195S–202S.CrossRefGoogle ScholarPubMed
Zuckerman, M., Lubin, B. & Robins, S. (1965) Validation of the multiple affect adjective check list in clinical situations. Journal of Consulting Psychology, 29, 594.CrossRefGoogle ScholarPubMed
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