scholarly journals The role of interpersonal personality traits and reassurance seeking in eating disorder symptoms and depressive symptoms among women with bulimia nervosa

2016 ◽  
Vol 68 ◽  
pp. 165-171 ◽  
Author(s):  
Tyler B. Mason ◽  
Jason M. Lavender ◽  
Stephen A. Wonderlich ◽  
Ross D. Crosby ◽  
Thomas E. Joiner ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Depressive Symptoms ◽  
Bulimia Nervosa ◽  
Personality Traits ◽  
Reassurance Seeking ◽  
Eating Disorder Symptoms

Bulimia nervosa: an ominous variant of anorexia nervosa

1979 ◽  
Vol 9 (3) ◽  
pp. 429-448 ◽  
Author(s):  
Gerald Russell
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Theoretical Model ◽  
Bulimia Nervosa ◽  
Previous History ◽  
Healthy Weight ◽  
History Of ◽  
A Prospective Study

SynopsisThirty patients were selected for a prospective study according to two criteria: (i) an irresistible urge to overeat (bulimia nervosa), followed by self-induced vomiting or purging; (ii) a morbid fear of becoming fat. The majority of the patients had a previous history of true or cryptic anorexia nervosa. Self-induced vomiting and purging are secondary devices used by the patients to counteract the effects of overeating and prevent a gain in weight. These devices are dangerous for they are habit-forming and lead to potassium loss and other physical complications. In common with true anorexia nervosa, the patients were determined to keep their weight below a self-imposed threshold. Its level was set below the patient‘s healthy weight, defined as the weight reached before the onset of the eating disorder. In contrast with true anorexia nervosa, the patients tended to be heavier, more active sexually, and more likely to menstruate regularly and remain fertile. Depressive symptoms were often severe and distressing and led to a high risk of suicide.A theoretical model is described to emphasize the interdependence of the various symptoms and the role of self-perpetuating mechanisms in the maintenance of the disorder. The main aims of treatment are (i) to interrupt the vicious circle of overeating and self-induced vomiting (or purging), (ii) to persuade the patients to accept a higher weight. Prognosis appears less favourable than in uncomplicated anorexia nervosa.

Suicidal Ideation and Eating Disorder Symptoms in Adolescents: The Role of Interoceptive Deficits

2021 ◽  
Author(s):  
Natalie M. Perkins ◽  
Shelby N. Ortiz ◽  
April R. Smith ◽  
Amy M. Brausch
Keyword(s):  
Eating Disorder ◽  
Suicidal Ideation ◽  
Eating Disorder Symptoms

Does regional brain perfusion correlate with eating disorder symptoms in anorexia and bulimia nervosa patients?

2007 ◽  
Vol 41 (12) ◽  
pp. 1005-1011 ◽  
Author(s):  
Ingeborg Goethals ◽  
Myriam Vervaet ◽  
Kurt Audenaert ◽  
Filip Jacobs ◽  
Hamphrey Ham ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Brain Perfusion ◽  
Eating Disorder Symptoms ◽  
Regional Brain

Relationships Among Childhood Maltreatment, Limbic System Dysfunction, and Eating Disorders in College Women

2020 ◽  
pp. 088626052091259
Author(s):  
Andrea E. Mercurio ◽  
Fang Hong ◽  
Carolyn Amir ◽  
Amanda R. Tarullo ◽  
Anna Samkavitz ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
College Women ◽  
Limbic System ◽  
Indirect Effect ◽  
Childhood Maltreatment ◽  
Eating Pathology ◽  
Convenience Sample ◽  
Eating Disorder Symptoms

The mechanisms linking childhood maltreatment and eating pathology are not fully understood. We examined the mediating role of limbic system dysfunction in the relationships between three forms of childhood maltreatment (parental psychological maltreatment, parental physical maltreatment, and parental emotional neglect) and eating disorder symptoms. A convenience sample of college women ( N = 246, M age = 19.62, SD = 2.41) completed measures of maltreatment (Parent-Child Conflict Tactics Scales and the Parental Bonding Instrument), limbic system dysfunction (Limbic System Questionnaire), and eating pathology (Eating Disorder Examination Questionnaire). We hypothesized that there would be an indirect effect of each type of childhood maltreatment on eating disorder symptoms via limbic system irritability. Results generally supported the hypotheses. Examination of the individual paths that defined the indirect effect indicated that higher reported childhood maltreatment was associated with greater limbic irritability symptoms, and higher limbic irritability symptomatology was related to higher total eating disorder scores. There were no significant direct effects for any of the proposed models. Findings are in line with research supporting the role of limbic system dysfunction as a possible pathway in the maltreatment-eating disorder link. Given that limbic system dysfunction may underlie behavioral symptoms of eating disorders, efforts targeting limbic system dysfunction associated with child maltreatment might best be undertaken at an early developmental stage, although interventions for college women struggling with eating disorders are also crucial.

Group-Delivered Enhanced Cognitive Behavior Therapy: A Focus on a Young Adult Woman With Bulimia Nervosa

2019 ◽  
Vol 19 (1) ◽  
pp. 62-77
Author(s):  
Ashlea L. Hambleton ◽  
Tanya L. Hanstock ◽  
Rachel Simeone ◽  
Michelle Sperling
Keyword(s):  
Eating Disorder ◽  
Young Adult ◽  
Bulimia Nervosa ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
Stage Of Change ◽  
Eating Disorder Symptoms ◽  
Weight And Shape Concerns ◽  
Clinical Impairment ◽  
Australian Community

Enhanced Cognitive Behavioral Therapy (CBT-E) is an evidence-based treatment for bulimia nervosa (BN), which can be delivered individually or in a group format. This case study describes a young adult female’s progress through a CBT-E group program at an Australian community outpatient eating disorder service. She completed 20 sessions over 10 weeks. The client was administered measures for eating disorder symptoms, depression, anxiety, stress, stage of change, and clinical impairment at pre- and posttreatment. She improved on global eating disorder symptoms, food restriction, eating concern, and her stage of change. Her weight and shape concerns remained unchanged. Her levels of depression, anxiety, and stress significantly increased after treatment, highlighting the need for concurrent treatment for these comorbidities. These results support the developing literature on the efficacy of CBT-E for BN and describe in detail the progress of an individual, including their progress and challenges within a group intervention.

Prospective associations between depressive symptoms and eating disorder symptoms among adolescent girls

2008 ◽  
Vol 41 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Naomi R. Marmorstein ◽  
Kristin M. von Ranson ◽  
William G. Iacono ◽  
Stephen M. Malone
Keyword(s):  
Eating Disorder ◽  
Depressive Symptoms ◽  
Adolescent Girls ◽  
Eating Disorder Symptoms

The Depressive Symptoms of Bulimia Nervosa

1986 ◽  
Vol 148 (3) ◽  
pp. 268-274 ◽  
Author(s):  
Peter J. Cooper ◽  
Christopher G. Fairburn
Keyword(s):  
Major Depressive Disorder ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Bulimia Nervosa ◽  
Psychiatric Symptoms ◽  
Psychiatric Disturbance ◽  
Major Depressive ◽  
Patient Groups ◽  
State Examination ◽  
Discriminant Function Analyses

Standardised measures of mental state were used to compare patients with bulimia nervosa with those with major depressive disorder. The two groups were found to be similar in terms of severity of psychiatric disturbance, as measured by the Montgomery & Åsberg Scale and the Present State Examination. Noteworthy symptomatic differences were a greater frequency of obsessional ruminations and anxiety amongst the first group, and a greater frequency of depressed mood, apparent sadness, and suicidal ideation amongst the second. Discriminant function analyses revealed that the two patient groups had a different pattern of symptoms. Examination of the character of the psychiatric symptoms of patients with bulimia nervosa suggests that the anxiety and depressive symptoms are likely to be secondary to the eating disorder itself, rather than of primary significance.

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