The International Journal of Neuropsychopharmacology

Letter to the Editor

Repetitive transcranial magnetic stimulation (rTMS) in the double-blind treatment of a depressed patient suffering from bulimia nervosa: a case report

Armand Hausmann a1c1, Barbara Mangweth a2, Michaela Walpoth a1, Christine Hoertnagel a1, Karin Kramer-Reinstadler a1, Claudia I. Rupp a1 and Hartmann Hinterhuber a1
a1 Department of General Psychiatry, University Hospital Innsbruck, Austria
a2 Department of Psychosomatics, University Hospital Innsbruck, Austria

Article author query
hausmann a   [PubMed][Google Scholar] 
mangweth b   [PubMed][Google Scholar] 
walpoth m   [PubMed][Google Scholar] 
hoertnagel c   [PubMed][Google Scholar] 
kramer-reinstadler k   [PubMed][Google Scholar] 
rupp ci   [PubMed][Google Scholar] 
hinterhuber h   [PubMed][Google Scholar] 

In the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; APA, 1994), bulimia nervosa (BN) is classified as an eating disorder. The disease is characterized by discrete periods of binge eating during which, large amounts of food are consumed and a sense of control over eating is absent, followed by differing types of purging behaviour to prevent weight gain. Since the first descriptions of the diagnosis, little is known about the aetiological background of the disease. BN is accompanied by, or due to, alterations of serotonin and/or norepinephrine activity. These changes may possibly be involved in the pathological eating behaviour and in causing associated depression.

(Received January 11 2004)
(Reviewed February 15 2004)
(Revised February 18 2004)
(Accepted February 24 2004)

c1 Dr A. Hausmann, Associate Professor of Psychiatry, Laboratory for Magnetic Brain Stimulation, Department of General Psychiatry, University Hospital Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria. Tel.: +43-512-504-3636 Fax: +43-512-504-3628 E-mail: