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Life events and prodromal symptoms in bulimia nervosa

Published online by Cambridge University Press:  01 May 2000

A. R. RAFFI ,
M. RONDINI ,
S. GRANDI  and
G. A. FAVA
A. R. RAFFI
Affiliation:
Department of Psychology, University of Bologna, Italy; and Department of Psychiatry, State University of New York at Buffalo, New York, USA
M. RONDINI
Affiliation:
Department of Psychology, University of Bologna, Italy; and Department of Psychiatry, State University of New York at Buffalo, New York, USA
S. GRANDI
Affiliation:
Department of Psychology, University of Bologna, Italy; and Department of Psychiatry, State University of New York at Buffalo, New York, USA
G. A. FAVA
Affiliation:
Department of Psychology, University of Bologna, Italy; and Department of Psychiatry, State University of New York at Buffalo, New York, USA
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Abstract

Background. Little is known about the interaction of life events with prodromal symptoms in bulimia nervosa.

Methods. A semistructured research interview based on Paykel's Interview for Recent Life Events and on the Clinical Interview for Depression for eliciting prodromal symptoms was administered to 30 patients with bulimia nervosa and 30 healthy control subjects matched for sociodemographic variables.

Results. Patients reported significantly more stressful life events than controls. Most of the patients reported prodromal symptoms. Anorexia, low self-esteem, depressed mood, anhedonia, generalized anxiety and irritability were the most common prodromal symptoms.

Conclusions. The prodromal phase of bulimia nervosa was found to be characterized by a combination of prodromal symptoms of affective type and stressful life events. Their joint occurrence may increase vulnerability to bulimia nervosa.

Type
BRIEF COMMUNICATION
Information
Psychological Medicine , Volume 30 , Issue 3 , May 2000 , pp. 727 - 731
Copyright
© 2000 Cambridge University Press

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