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Anamnestic similarities in bulimic inpatients with and without a history of anorexia nervosa

Published online by Cambridge University Press:  28 April 2020

S. Bossert ,
R. Laessle  and
M. Junker
S. Bossert
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
R. Laessle
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
M. Junker
Affiliation:
Max-Planck-Institute of Psychiatry, Kraepelinstr. 10, 8000Munich 40, FRG
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Summary

The significance of a history of anorexia nervosa as regards the diagnosis and treatment outcome for bulimia is unclear. In a retrospective analysis of medical records of 59 inpatients with bulimia (DSM-III), variables related to personal and psychiatric family history did not reveal any differences in bulimics subtyped according to previous anorexia nervosa as defined in the criteria of Russell (1979). These anamnestic data support the results of studies indicating that no specific clinical and outcome variables are correlated with a history of anorexia nervosa in bulimia. The lower body weight and longer duration of bulimia found in bulimic inpatients with a history of anorexia nervosa, however, should be further examined.

Résumé

Résumé

L‘importance des antécédents anorexiques pour le diagnostic et le résultat du traitement des malades avec un diagnostic d'une boulimie est peu clair. Dans une analyse rétrospective des protocoles de 59 malades hospitalisés (et répondant dans leur état actuel aux critères du DSM-III pour bulimia) les antécédants familiaux et personnels ne montraient aucune différence entre boulimiques avec ou sans antécédents anorexiques selon les critères pour boulimie de Russell (1979). Nos résultats supportent le résultat d'autres études indiquant qu ‘il n'y a pas de corrélation entre antécédants anorexiques d'une part et les manifestations cliniques et le résultat du traitement d'autre part. Cependant le poids réduit et la durée prolongée des symptômes chez les malades avec l'histoire d'une anorexie devrait être examinés en plus de détail.

Keywords

bulimiapsychiatric family historyimpulsivenessanorexia nervosabody weightbulimieanamnèse psychiatrique de familleimpulsivitéanorexiepoids
Type
Original article
Information
Psychiatry and Psychobiology , Volume 4 , Issue 2 , 1989 , pp. 107 - 110
Copyright
Copyright © European Psychiatric Association 1989

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