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Comparison of bulimic and non-bulimic anorexia nervosa patients during treatment

Published online by Cambridge University Press:  09 July 2009

Elke D. Eckert*
Affiliation:
University of Minnesota Hospitals, Minneapolis; Cornell University Medical College, New York; Department of Psychology, New York University, USA
Katherine A. Halmi
Affiliation:
University of Minnesota Hospitals, Minneapolis; Cornell University Medical College, New York; Department of Psychology, New York University, USA
Peggy Marchi
Affiliation:
University of Minnesota Hospitals, Minneapolis; Cornell University Medical College, New York; Department of Psychology, New York University, USA
Jacob Cohen
Affiliation:
University of Minnesota Hospitals, Minneapolis; Cornell University Medical College, New York; Department of Psychology, New York University, USA
*
1Address for correspondence: Dr Elke D. Eckert, Box 393 Mayo Building, Minneapolis, Minnesota 55455, USA

Synopsis

Bulimic and non-bulimic anorexics were compared on psychological variables during a hospital treatment study. Although before treatment bulimic anorexics displayed more overall psychopathology than non-bulimics, many of the differences disappeared with treatment. There was no difference in severity of depression or body size estimation in these groups both before and with treatment. There was no difference in treatment response as measured by rate of weight gain. More expression of discomfort by bulimic anorexics during the acute phase of illness may in part account for some described differences in these two groups.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1987

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References

Beck, A. T., Ward, C. H., Mendelson, H., Mock, J. & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 5361.CrossRefGoogle ScholarPubMed
Casper, R. C., Eckert, E. D., Halmi, K A., Goldberg, S. C. & Davis, J. M (1980). Bulimia: Its incidence and clinical importance in patients with anorexia nervosa. Archives of General Psychiatry 37, 10301035.CrossRefGoogle ScholarPubMed
Cohen, J. & Cohen, P. (1983). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. Lawrence Erlbaum: Hillsdale, New Jersey.Google Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenruth, E. H. & Covi, L. (1974). A self-report symptom inventory. Behavioral Science 19, 115.CrossRefGoogle ScholarPubMed
Dudrick, M. (1971, 1972). Proceedings of the Interdisciplinary Conference on Intravenous Nutrition for High Risk Infants.Belmont Conference Center, Elkridge,October 26, 1971and Washington DC, May 24, 1972.Google Scholar
Eckert, E. D., Goldberg, S. C., Halmi, K. A., Casper, R. C. & Davis, J. M. (1979). Alcoholism in anorexia nervosa. In Psychiatric Factors in Drug Abuse. (ed. Pickens, R. W. and Heston, L. K.), pp. 267283. Grune and Stratton: New York.Google Scholar
Fairburn, C. G. & Cooper, P. (1982). Self-induced vomiting and bulimia nervosa: An undetected problem. British Medical Journal 284, 11531155.CrossRefGoogle ScholarPubMed
Garfinkel, P E., Moldofsky, H. & Garner, D. M (1977). Prognosis in anorexia nervosa as influenced by clinical features, treatment and self-perception Canadian Medical Association Journal 119, 10411045.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, 10361040.CrossRefGoogle ScholarPubMed
Goldberg, S. C., Halmi, K. A., Eckert, E. D., Casper, R. & Davis, J. M. (1980). Attitudinal dimensions in anorexia nervosa. Journal of Psychiatric Research 15, 239251.CrossRefGoogle Scholar
Halmi, K. A., Brodland, G. & Loney, J. (1973). Prognosis in anorexia nervosa. Annals of Internal Medicine 78, 907909.CrossRefGoogle ScholarPubMed
Halmi, K. A., Goldberg, S. C., Eckert, E. D., Casper, R. & Davis, J. M. (1977). Pretreatment Evaluation in Anorexia Nervosa. In Anorexia Nervosa. (ed. Vigersky, R. A.), pp. 4354. Raven Press: New York.Google ScholarPubMed
Halmi, K. A., Goldberg, S. C., Casper, R. C., Eckert, E D. & Davis, J. M. (1979). Pretreatment predictors of outcome in anorexia nervosa British Journal of Psychiatry 134, 7178.CrossRefGoogle ScholarPubMed
Halmi, K. A., Eckert, E. D., LaDu, T. & Cohen, J. (1986). Anorexia nervosa: Treatment efficacy of cyproheptadine and amitriptyline. Archives of General Psychiatry 43, 177181.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry 23, 5661.CrossRefGoogle ScholarPubMed
Herzog, D. B. (1984). Are anorexic and bulimic patients depressed? American Journal of Psychiatry 141, 15941597.Google ScholarPubMed
Janet, P. (1903). Les Obsessions et la Psychasthenie. Vol. 2 pp. 159162. Felix Alcan: Paris.Google Scholar
Metropolitan Insurance Co. Height-Weight Charts. (1959). Published by Metropolitan Insurance Company.Google Scholar
Slade, P. D. & Russell, G. F. M. (1973). Awareness of body dimensions in anorexia nervosa: cross-sectional and longitudinal studies. Psychological Medicine 3, 188199.CrossRefGoogle ScholarPubMed
Strober, M., Salkin, B., Burroughs, J. & Morrell, W. (1982). Validity of the bulimic-restricter distinction in anorexia nervosa; parental personality characteristics and family psychiatric morbidity. Journal of Nervous and Mental Disease 170, 345351.CrossRefGoogle ScholarPubMed