Oct 28, 2006

Anorexia nervosa patients with a prior history of bulimia nervosa

Comprehensive Psychiatry
Paolo SantonastasoAngela Favaro


To investigate clinical and psychological features of patients with anorexia nervosa (AN) with a previous history of bulimia nervosa. Three hundred thirty-three patients with a full diagnosis of AN were assessed by the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, the Eating Disorders Inventory, and the Hopkins Symptom Checklist. Twenty-four patients (7%) reported a previous diagnosis of bulimia nervosa and were compared with a control group of 48 patients without a history of bulimia, matched for diagnostic subtype. Among the patients with a history of bulimia nervosa, 11 were of the restricting type and 13 of the binge eating/purging type. Among restricting anorexic patients, those with a history of bulimia reported greater age of onset, more psychiatric symptoms, more family psychiatric morbidity, and a higher rate of sexual abuse. On the contrary, among patients with the AN bingeing-purging subtype, the presence of a previous bulimia nervosa was not associated with any of the investigated variables. Patients with restricting AN who report a history of previous bulimia nervosa are not frequent among those referring to an outpatient eating disorders unit. However,...Continue Reading

Mentioned in this Paper

Prevalence Studies
Morbidity Aspects
Diagnostic and Statistical Manual of Mental Disorders
Eating Disorders Inventory
Menstrual Periods Stopped for Over 6 Months
Body Mass Index Procedure
Mental Disorders

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