OBJECTIVE: Recent consensus on the subclassification of the eating disorder bulimia nervosa into purging and nonpurging forms is examined in the context of a large psychiatric epidemiological survey in Ontario, Canada. METHOD: Among a sample of 8,116 individuals, 62 met criteria for bulimia nervosa. Of these, the 17 who were of the purging subtype could be distinguished from the nonpurging group on a variety of parameters of comorbidity, family history, and childhood environment. RESULTS: The purging subtype was distinguishable on the basis of early age of onset, and high rates of affective disorders and anxiety and alcoholism, sexual abuse, and parental discord. DISCUSSION: The data support the taxonomy and point to the need for better understanding of the meaning of purging behavior.
OBJECTIVE: Recent consensus on the subclassification of the eating disorder bulimia nervosa into purging and nonpurging forms is examined in the context of a large psychiatric epidemiological survey in Ontario, Canada. METHOD: Among a sample of 8,116 individuals, 62 met criteria for bulimia nervosa. Of these, the 17 who were of the purging subtype could be distinguished from the nonpurging group on a variety of parameters of comorbidity, family history, and childhood environment. RESULTS: The purging subtype was distinguishable on the basis of early age of onset, and high rates of affective disorders and anxiety and alcoholism, sexual abuse, and parental discord. DISCUSSION: The data support the taxonomy and point to the need for better understanding of the meaning of purging behavior.
Authors: Paul Kurdyak; Claire de Oliveira; Tomi Iwajomo; Susan Bondy; Kathryn Trottier; Patricia Colton Journal: Can J Psychiatry Date: 2019-05-02 Impact factor: 4.356
Authors: C E Ramacciotti; E Coli; R Paoli; G Gabriellini; F Schulte; S Castrogiovanni; L Dell'Osso; P E Garfinkel Journal: Eat Weight Disord Date: 2005-03 Impact factor: 4.652
Authors: C E Ramacciotti; R A Paoli; A Ciapparelli; G Marcacci; G E Placidi; L Dell'Osso; P E Garfinkel Journal: Eat Weight Disord Date: 2004-06 Impact factor: 4.652