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Anorexia and Bulimia in Anorexia Nervosa

A Study of Psychosocial Functioning and Associated Psychiatric Symptomatology

Published online by Cambridge University Press:  29 January 2018

A. J. Yellowlees
A. J. Yellowlees*
Affiliation:
Royal Edinburgh Hospital, Morningside Terrace, Edinburgh EH10 5HF
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Summary

Seventeen fasting patients with anorexia nervosa and 15 who also binged were compared in terms of their psychosocial functioning and associated psychiatric symptomatology, using the Delusions Symptoms and States Inventory (Foulds & Bedford, 1975). Both groups scored very highly on the state of anxiety, depression, and elation sets of the DSSI, but less highly on the compulsive and ruminative symptoms sets and on the phobic dissociative and conversion symptom sets. The bingeing anorexic group was significantly older and heavier than the fasting group and experienced more feelings of self-harm and guilt. The bingeing group reported sexual interference during childhood, and currently experienced a desire to vomit during sexual activity to a significantly greater degree than the fasting group.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 146 , Issue 6 , June 1985 , pp. 648 - 652
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic Statistical Manual of Mental Disorders (3rd ed, DSM III). Washington, DC: the American Psychiatric Association.Google Scholar
Ben Tovim, D.I., Hunter, M. & Crisp, A. H. (1977) Discrimination and evaluation of shape and size in anorexia nervosa: an exploratory study. Research Communications in Psychology, Psychiatry and Behaviour. 2, 246–257.Google Scholar
Bhanji, S. & Mattingly, D. (1981) Anorexia Nervosa; some observations on “dieters” and “vomiters”, cholesterol and carotene. British Journal of Psychiatry, 139, 238–241.Google Scholar
Cantwell, D. P., Sturzenberger, S., Burroughs, J. Salkin, B. & Green, J. K. (1977) Anorexia nervosa: Affective disorder? Archives of General Psychiatry, 34, 1087–1093.Google Scholar
Casper, R. C., Eckert, E. D., Halmi, K. A., Goldberg, S. C. & Davis, J. M. (1980) The incidence and clinical significance of bulimia in patients with anorexia nervosa. Archives of General Psychiatry, 37, 1030–1035.Google Scholar
Crisp, A. H. Jones, G. M. & Slater, P. (1978) The Middlesex Hospital Questionnaire: A validity study. British Journal of Medical Psychology, 51, 269–280.Google Scholar
Crisp, A. H. Anorexia Nervosa: Let Me Be. (1980) London: Academic Press.Google Scholar
Foulds, G. A. & Bedford, A. (1975) Hierarchy of classes of personal illness. Psychological Medicine, 5, 181–192.Google Scholar
Garfinkel, P. E., Moldofsky, H. & Garner, D. M. (1980) The heterogeneity of anorexia nervosa: Bulimia as a distinct subgroup. Archives of General Psychiatry, 37, 1036–1040.CrossRefGoogle ScholarPubMed
Gershon, E. S., Hamouit, J. R., Schreiber, J. L., Dibble, E. D., Kaye, W., Nurnberger, J. I., Andersen, A. & Ebert, M. (1982) Anorexia nervosa and major affective disorders associated with families. Paper presented at the Annual Meeting of the American Psychopathological Association, New York.Google Scholar
Halmi, K. A. (1983) Diverse courses of bingeing and fassting anorexics. Paper given at Seventh World Congress of Psychiatry, Vienna, 11–16 July 1983.Google Scholar
Hsu, L. K. G. & Crisp, A. H. (1980) The Crown Crisp Experimental Index (CCEI) profile in anorexia nervosa. British Journal of Psychiatry 136, 567–573.Google Scholar
Hudson, J. I., Pope, H. G. (jr), Jonas, J. M. & Yurgelunn-Todd, D. (1983) Family history study of anorexia nervosa and bulimia. British Journal of Psychiatry, 142, 133–138.Google Scholar
Nemiah, J. C. (1950) Anorexia nervosa: A clinical psychiatric study. Medicine, 29, 225–268.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
Stonehill, E. & Crisp, A. H. (1977) Psychoneurotic characteristics of patients with anorexia nervosa before and after treatment and at follow-up 4 to 7 years later. Journal of Psychosomatic Research, 21, 187–193.CrossRefGoogle ScholarPubMed
Strober, M. (1981) The significance of Bulimia in juvenile anorexia nervosa: An exploration of possible aetiological factors. International Journal of Eating Disorders, 1, 28–43.Google Scholar
Strober, M. Salkin, B., Burroughs, J. & Morrell, W. (1982) Validity of the bulmia-restrictor distinction in anorexia nervosa: Parental personality characteristics and family psychiatric morbidity. Journal of Nervous & Mental Disorders, 170, 345–351.Google Scholar
Winokur, A., March, V. & Mendels, J. (1980) Primary affective disorders in relatives of patients with anorexia nervosa. American Journal of Psychiatry, 137, 695–698.Google Scholar
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