Bulimia Nervosa with History of Anorexia Nervosa: Could the Clinical Subtype of Anorexia Have Implications for Clinical Status and Treatment Response?

被引：11

作者：

Vaz-Leal, Francisco J. ^{[1
,2
,3
]}

Rodriguez Santos, Laura ^{[1
]}

Angustias Garcia-Herraiz, M. ^{[2
,3
]}

Monge-Bautista, Melchora ^{[2
,3
]}

Lopez-Vinuesa, Beatriz ^{[1
,2
,3
]}

机构：

[1] Univ Extremadura, Fac Med, Dept Psychiat, E-06071 Badajoz, Spain

[2] Univ Hosp Network, Extremadura Hlth Serv, Mental Hlth Unit, Badajoz, Spain

[3] Univ Hosp Network, Extremadura Hlth Serv, Eating Disorders Unit, Badajoz, Spain

来源：

INTERNATIONAL JOURNAL OF EATING DISORDERS | 2011年 / 44卷 / 03期

关键词：

bulimia nervosa; history of anorexia nervosa; symptoms; response to treatment; outcome; LONG-TERM COURSE; EATING-DISORDERS; NEGATIVE AFFECT; OUTCOME PREDICTORS; DIETARY RESTRAINT; WOMEN; PERSONALITY; RELIABILITY; TEMPERAMENT; ADOLESCENTS;

D O I：

10.1002/eat.20805

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: To investigate whether the subtype of anorexia nervosa (AN) could influence the bulimic syndrome and treatment response in bulimia nervosa (BN) patients with a history of AN (BN/AN+). Method: Seventy female BN patients were assessed for eating disorder, psychopathology and personality, and treated for 6 months. Results: BN/AN+ patients retained some traits of their past condition: lower body weight, higher perfectionism, and higher reward dependence. They also had more severe symptoms, longer evolution time, and worse response to treatment. A history of restricting AN was associated to higher age, longer evolution time, higher impulsivity, and greater tendency to use diet pills and diuretics. A history of binge-purging AN was associated to more severe vomiting, lower body dissatisfaction and less depressive symptoms, as well as better outcome. Discussion: The influence of the AN subtype in BN/AN+ patients is worthy of further study as it might have clinical implications. (C) 2010 by Wiley Periodicals, Inc.

引用

页码：212 / 219

页数：8