Recent Research on Bulimia Nervosa

Estimates of lifetime bulimia nervosa (BN) range from 4% to 6.7% across studies. There has been a decrease in the presentation of BN in primary care but an increase in disordered eating not meeting full diagnostic criteria. Regardless of diagnostic status, disordered eating is associated with long-t...

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Bibliographic Details
Published inThe Psychiatric clinics of North America Vol. 42; no. 1; p. 21
Main Author Wade, Tracey D
Format Journal Article
LanguageEnglish
Published United States 01.03.2019
Subjects
Clinical features
Treatment
Bulimia nervosa
Epidemiology
Assessment
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Summary:Estimates of lifetime bulimia nervosa (BN) range from 4% to 6.7% across studies. There has been a decrease in the presentation of BN in primary care but an increase in disordered eating not meeting full diagnostic criteria. Regardless of diagnostic status, disordered eating is associated with long-term significant impairment to both physical and mental quality of life, and BN is associated with a significantly higher likelihood of self-harm, suicide, and death. Assessment should adopt a motivationally enhancing stance given the high level of ambivalence associated with BN. Cognitive behavior therapy specific to eating disorders outperforms other active psychological comparisons.
ISSN:1558-3147
DOI:10.1016/j.psc.2018.10.002