Bulimia nervosa: Easy to hide but essential to recognize

Kruger, Danielle

doi:10.1097/01720610-200801000-00011

Cited by 3 publications

(3 citation statements)

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“…They also described that gastric emptying at 1 hour is statistically slower in bulimic patients than in control subjects, which is also in agreement with following studies done in this area [4,17,42,43]. Gastric dilation typically occurs afterbinge-eating and becomes manifest in upper abdominal pain and sometimes in spontaneous vomiting [43].…”

Section: Dysregulation Of Cck In Bulimia Nervosasupporting

confidence: 77%

“…BN, one of the most common and secretive of these disorders, is characterized by compulsive binge eating followed by compensatory efforts, usually vomiting or laxative abuse, in order to purge calories and avoid weight gain [4,5]. This disorder is usually a chronic illness, which has been related to physiological disturbances in many neuronal and endocrine systems, especially the satiety reflex.…”

Section: Introductionmentioning

confidence: 99%

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Cholecystokinin in the Pathogenesis of Bulimia Nervosa

López¹,

Molina-Ruiz²,

Molón³

et al. 2011

IJCM

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Section: Dysregulation Of Cck In Bulimia Nervosasupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Cholecystokinin in the Pathogenesis of Bulimia Nervosa

López¹,

Molina-Ruiz²,

Molón³

et al. 2011

IJCM

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show abstract

“…Patients with bulimia nervosa usually have a normal or slightly below normal value for BMI, with frequent weight fluctuations. Other psychiatric comorbidities associated with bulimia nervosa are seen in approximately 75% of patients, with anxiety disorder, major depression or dysthymia, borderline personality disorder, self-harm, and drug and alcohol abuse being the most common [ 16 , 17 ]. Regarding somatic comorbidities, severe electrolyte and acid-base alterations represent the most dangerous medical complications [ 15 ].…”

Section: Recognizing and Diagnosing Eating Disordersmentioning

confidence: 99%

An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy

Costandache,

Munteanu,

Salaru

et al. 2023

ppn

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Purpose This article provides an overview of current treatment options for adults and adolescents suffering from eating disorders (ED). Views ED are prevalent public health problems that considerably impair physical health and disrupt psychosocial functioning. In primary care settings, anorexia nervosa, bulimia nervosa, and binge eating disorder represent the most frequently seen types of eating disorders, in both adults and adolescents. To address these maladaptive eating-related behaviors and concurrent psychiatric symptoms, various pharmacological interventions and specialized psychological treatments have been evaluated and received support to varying degrees by controlled research. Conclusions The current literature regarding children and adolescents with eating disorders mainly supports the use of psychological interventions, such as family-based treatment and cognitive behavioral therapy. Due to the lack of robust evidence, the use of psychotropic medications is neither recommended nor approved in this population. For adults with eating disorders, an array of behaviorally focused psychotherapies, along with integrative and interpersonal approaches, can lead to the improvement of symptoms and the achievement of a healthy weight. Moreover, aside from psychotherapy, several pharmacological agents can contribute to the alleviation of eating disorders’ clinical characteristics in the adult population. At the moment, the recommended psychotropic medication for eating disorders is represented by fluoxetine for bulimia nervosa and lisdexamfetamine for binge eating disorder.

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The Impact of High Levels of Compensatory Exercise on Treatment Outcomes in Threshold and Subthreshold Bulimia Nervosa

Camacho-Barcia,

Sánchez,

Ibáñez-Caparrós

et al. 2024

Nutrients

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Bulimia nervosa (BN) and other specific feeding or eating disorders with subthreshold BN symptoms (OSFED-BN) are characterized by recurrent binge eating episodes accompanied by compensatory behaviors, including excessive exercise. We aimed to examine the role of compensatory exercise on several clinical disorder-related variables and the treatment outcomes. The sample included 478 patients diagnosed with either BN or OSFED-BN admitted for a 16-week eating disorder-specific treatment program. A battery of questionnaires was administered to evaluate eating and general psychopathology, and personality traits. Other clinical disorder-related data, including levels of compensatory exercise, were assessed through a semi-structured clinical interview. Between-group comparisons of compensatory exercise levels were analyzed, as a predictive model of risk of poor treatment outcomes. Path analysis was conducted using structural equation models to estimate the direct and indirect effects between the main variables. Higher levels of self-reported compensatory exercise were associated with greater eating psychopathology, general psychopathology, and more dysfunctional personality traits and were a predictor of poor treatment outcomes. Additionally, these levels achieved a mediating role in several paths contributing to a higher likelihood of a poor outcome. Further research is required to determine how psychotherapeutic approaches can be optimized to adequately include adaptive exercise for these patients.

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Bulimia nervosa: Easy to hide but essential to recognize

Cited by 3 publications

References 1 publication

Cholecystokinin in the Pathogenesis of Bulimia Nervosa

Cholecystokinin in the Pathogenesis of Bulimia Nervosa

An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy

The Impact of High Levels of Compensatory Exercise on Treatment Outcomes in Threshold and Subthreshold Bulimia Nervosa

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