A clinician's guide to the eating disorders medicine cabinet

Mitchell, James E.; Pomeroy, Claire; Huber, Marguerite

doi:10.1002/1098-108x(198803)7:2<211::aid-eat2260070208>3.0.co;2-c

Cited by 34 publications

(9 citation statements)

References 44 publications

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“…DaCosta and Halmi (1992) diverge from the earlier threegroup system in favor of the bulimic-nonbulimic subtyping proposed in the DSM-IV options book (APA, 1991), again, arguing that "impulsive behaviors and the medical problems associated with binging and purging behaviors seem to warrant subclassification of anorexia nervosa" (p. 305). Yet, the medical problems observed in the bulimic subtype are more closely related to vomiting and laxative abuse than to bulimic episodes per se (Comerci, 1990;Mitchell, & Boutacoff, 1986;Mitchell, Pomeroy, & Huber, 1988). Also, these purging behaviors are common in a subgroup of restricters.…”

Section: Discussionmentioning

confidence: 99%

Anorexia nervosa “restricters” who purge: Implications for subtyping anorexia nervosa

Garner

Rosen

1993

Int. J. Eat. Disord.

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It has not been clear from earlier studies whether it is binge eating per se or the compensatory behaviors frequently associated with binge eating (i.e., self‐induced vomiting and/or laxative abuse) that provide the most relevant marker for subclassifying anorexia nervosa. The current study addressed this question by comparing the clinical and psychological features of three groups of anorexia nervosa patients: “pure restricting” patients who do not binge (by definition) and who also do not purge (AN‐R, N = 116); “restricting‐purging” patients who engage in purging behavior (AN‐RP, N = 74); and anorexia nervosa “bulimics” who binge eat as defined in earlier studies (AN‐B, N = 190). While all three groups displayed similar levels of psychological disturbance on many variables, the overall pattern of findings indicates that the AN‐RP group displays significantly more psychopathology than the AN‐R group and their profile of disturbance is very similar to that observed with the AN‐B group. Thus, anorexia nervosa patients who purge, regardless of whether or not they report objective binge episodes, may be meaningfully distinguished from nonpurging patients. These results, combined with the medical risks associated with purging behaviors and the formidable problems associated with the definition of binge eating, support a sub‐typing system for anorexia nervosa based on the presence or absence of purging rather than binge eating. © 1993 by John Wiley & Sons, Inc.

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Section: Discussionmentioning

confidence: 99%

Anorexia nervosa “restricters” who purge: Implications for subtyping anorexia nervosa

Garner

Rosen

1993

Int. J. Eat. Disord.

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“…Keywords Eating disorders; diet pills; weight control behaviors; novelty seeking Abuse of diet pills by individuals with eating disorders is well-documented clinically, with prevalence estimates reported as high as 50% (Celio et al, 2006;Mitchell, Pomeroy, & Huber, 1988;Roerig et al, 2003;Steffen, Roerig, Mitchell, & Crosby, 2006). However, empirical studies of features associated with abuse of diet pills are lacking.…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Features associated with diet pill use in individuals with eating disorders

et al. 2008

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We investigated the relation between diet pill use and eating disorder subtype, purging and other compensatory behaviors, body mass index (BMI), tobacco and caffeine use, alcohol abuse or dependence, personality characteristics, and Axis I and Axis II disorders in 1,345 participants from the multisite Price Foundation Genetics Studies. Diet pill use was significantly less common in women with restricting type of AN than in women with other eating disorder subtypes. In addition, diet pill use was associated with the use of multiple weight control behaviors, higher BMI, higher novelty seeking, and the presence of anxiety disorders, alcohol abuse or dependence, and borderline personality disorder. Findings suggest that certain clinical and personality variables distinguish individuals with eating disorders who use diet pills from those who do not. In the eating disorder population, vigilant screening for diet pill use should be routine clinical practice.Correspondence to Dr Bulik, Department of Psychiatry, University of North Carolina at Chapel Hill , 101 Manning Drive, CB #7160, Chapel Hill, NC 27599-7160, Voice: (919) 843 1689 Fax: (919) 966-5628, e-mail: cbulik@med.unc.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptEat Behav. Author manuscript; available in PMC 2009 January 1. Published in final edited form as:Eat Behav. 2008 January ; 9(1): 73-81. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptKeywords Eating disorders; diet pills; weight control behaviors; novelty seeking Abuse of diet pills by individuals with eating disorders is well-documented clinically, with prevalence estimates reported as high as 50% (Celio et al., 2006;Mitchell, Pomeroy, & Huber, 1988;Roerig et al., 2003;Steffen, Roerig, Mitchell, & Crosby, 2006). However, empirical studies of features associated with abuse of diet pills are lacking. Given potential adverse effects associated with abuse of these agents (e.g., side effects, tolerance, withdrawal) (Carek & Dickerson, 1999;Dietz, 1981;Shekelle, Morton, & Maglione, 2003), particularly in populations already at elevated medical risk, it is important to explicate the nature of diet pill abuse and its consequences in individuals with eating disorders.Accordingly, the aim of this study were to report the prevalence of lifetime diet pill use across eating disorder subtypes and identify factors associated with their use. We hypothesized that individuals with the restricting type of anorexia nervosa (RAN) would use diet pills less frequently than those with other subtypes. This may ...

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“…Laxative, emetic, diuretic, and appetite suppressant medications are most frequently used, often in very large dosages and may result in serious physical side effects (Mitchell, Pomeroy, & Huber, 1988). Some of these drugs entice the user by producing a weight-reducing fluid loss, but the compensatory weight gain that follows reinforces the deterination to lose more weight and abuse ensues.…”

Section: Introductionmentioning

confidence: 99%

“…Patients with eating disorders are known to use a variety of substances to aid them in their attempt to lose weight or avoid the fattening effects of binge eating (Russell, 1979;Mitchell, Hatsukami, Eckert, & Pyle, 1985). Laxative, emetic, diuretic, and appetite suppressant medications are most frequently used, often in very large dosages and may result in serious physical side effects (Mitchell, Pomeroy, & Huber, 1988). Some of these drugs entice the user by producing a weight-reducing fluid loss, but the compensatory weight gain that follows reinforces the deterination to lose more weight and abuse ensues.…”

Section: Introductionmentioning

confidence: 99%

Caffeine abuse in bulimia nervosa

Fahy¹,

Treasure

1991

Int. J. Eat. Disord.

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We report three young women with bulimia nervosa who were also abusing large quantities of caffeine in an effort to control their weight. The patients used the drug for its appetite suppressant, diuretic, and stimulant effects. Two patients suffered physical symptoms of caffeine intoxication and the third was found to have a serum level of caffeine which was within the toxic range. A detailed assessment of the level of caffeine intake should be part of the standard psychiatric assessment.

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A clinician's guide to the eating disorders medicine cabinet

Cited by 34 publications

References 44 publications

Anorexia nervosa “restricters” who purge: Implications for subtyping anorexia nervosa

Anorexia nervosa “restricters” who purge: Implications for subtyping anorexia nervosa

Features associated with diet pill use in individuals with eating disorders

Caffeine abuse in bulimia nervosa

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