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Bulimia nervosa

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studies have yielded a wide range of results: between 0.1% and 1.4% of males, and between 0.3% and 9.4% of females. Studies on time trends in the prevalence of bulimia nervosa have also yielded inconsistent results. According to Gelder, Mayou and Geddes (2005) bulimia nervosa is prevalent between 1 and 2 percent of women aged 15–40 years. Bulimia nervosa occurs more frequently in developed countries and in cities, with one study finding that bulimia is five times more prevalent in cities than in rural areas. There is a perception that bulimia is most prevalent amongst girls from middle-class families; however, in a 2009 study girls from families in the lowest income bracket studied were 153 percent more likely to be bulimic than girls from the highest income bracket. According to a study conducted in 2022 by Silen et al., which conglomerated statistics using various methods such as SCID, MRFS, EDE, SSAGA, and EDDI, the US, Finland, Australia, and the Netherlands had an estimated 2.1%, 2.4%, 1.0%, and 0.8% prevalence of bulimia nervosa among females under 30 years of age. This demonstrates the prevalence of bulimia nervosa in developed, Western, first-world countries, indicating an urgency in treating adolescent women. Additionally, these statistics may be misrepresentative of the true population affected with bulimia nervosa due to potential underreporting bias.
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fashion magazines tend to have more bulimic symptoms than those women who do not. This further demonstrates the impact of media on the likelihood of developing the disorder. Individuals first accept and "buy into" the ideals, and then attempt to transform themselves in order to reflect the societal ideals of attractiveness. J. Kevin Thompson and Eric Stice claim that family, peers, and most evidently media reinforce the thin ideal, which may lead to an individual accepting and "buying into" the thin ideal. In turn, Thompson and Stice assert that if the thin ideal is accepted, one could begin to feel uncomfortable with their body shape or size since it may not necessarily reflect the thin ideal set out by society. Thus, people feeling uncomfortable with their bodies may result in body dissatisfaction and may develop a certain drive for thinness. Consequently, body dissatisfaction coupled with a drive for thinness is thought to promote dieting and negative effects, which could eventually lead to bulimic symptoms such as purging or bingeing. Binges lead to self-disgust which causes purging to prevent weight gain.
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programs) dedicated to teaching young women how to be more critical when it comes to media, to reduce thin-ideal internalization. The results showed that by creating more awareness of the media's control of the societal ideal of attractiveness, the thin ideal internalization significantly dropped. In other words, less thin ideal images portrayed by the media resulted in less thin-ideal internalization. Therefore, Thompson and Stice concluded that media greatly affected the thin ideal internalization. Papies showed that it is not the thin ideal itself, but rather the self-association with other persons of a certain weight that decide how someone with bulimia nervosa feels. People that associate themselves with thin models get in a positive attitude when they see thin models and people that associate with overweight get in a negative attitude when they see thin models. Moreover, it can be taught to associate with thinner people.
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might be more helpful to younger adolescents who need more support and guidance from their families. Adolescents are at the stage where their brains are still quite malleable and developing gradually. Therefore, young adolescents with BN are less likely to realize the detrimental consequences of becoming bulimic and have less motivation to change, which is why FBT would be useful to have families intervene and support the teens. Working with BN patients and their families in FBT can empower the families by having them involved in their adolescent's food choices and behaviors, taking more control of the situation in the beginning and gradually letting the adolescent become more autonomous when they have learned healthier eating habits.
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Another study in the Journal of Affective Disorders found that of the population of patients that were diagnosed with an eating disorder according to the DSM-V guidelines about 27% also suffered from bipolar disorder. Within this article, the majority of the patients were diagnosed with bulimia nervosa, the second most common condition reported was binge-eating disorder. Some individuals with anorexia nervosa exhibit episodes of bulimic tendencies through purging (either through self-induced vomiting or laxatives) as a way to quickly remove food in their system. There may be an increased risk for
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consumption) compensated for by excessive or inappropriate measures taken to avoid gaining weight. The diagnosis also requires the episodes of compensatory behaviors and binge eating to happen a minimum of once a week for a consistent time period of 3 months. The diagnosis is made only when the behavior is not a part of the symptom complex of anorexia nervosa and when the behavior reflects an overemphasis on physical mass or appearance. Purging often is a common characteristic of a more severe case of bulimia nervosa.
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description of bulimia nervosa. In 1939, Rahman and Richardson reported that out of their six anorexic patients, one had periods of overeating, and another practiced self-induced vomiting. Wulff, in 1932, treated "Patient D", who would have periods of intense cravings for food and overeat for weeks, which often resulted in frequent vomiting. Patient D, who grew up with a tyrannical father, was repulsed by her weight and would fast for a few days, rapidly losing weight.
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symptom free. He states in order for the therapy to work, all parties must work together to discuss, record and develop coping strategies. Barker (2003) claims by making people aware of their actions they will think of alternatives. People undergoing CBT who exhibit early behavioral changes are most likely to achieve the best treatment outcomes in the long run. Researchers have also reported some positive outcomes for interpersonal psychotherapy and
76: 360: 1333:. It is unclear whether this purging was preceded by binging. In ancient Egypt, physicians recommended purging once a month for three days to preserve health. This practice stemmed from the belief that human diseases were caused by the food itself. In ancient Rome, elite society members would vomit to "make room" in their stomachs for more food at all-day banquets. Emperors 853:.'s model and more generally the cognitive explanation of bulimia nervosa is more descriptive than explanatory, as it does not necessarily explain how bulimia arises. Furthermore, it is difficult to ascertain cause and effect, because it may be that distorted eating leads to distorted cognition rather than vice versa. 1425:
After its appearance in the DSM-III, there was a sudden rise in the documented incidents of bulimia nervosa. In the early 1980s, incidents of the disorder rose to about 40 in every 100,000 people. This decreased to about 27 in every 100,000 people at the end of the 1980s/early 1990s. However, bulimia
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The use of CBT has been shown to be quite effective for treating bulimia nervosa (BN) in adults, but little research has been done on effective treatments of BN for adolescents. Although CBT is seen as more cost-efficient and helps individuals with BN in self-guided care, Family Based Treatment (FBT)
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By using CBT people record how much food they eat and periods of vomiting with the purpose of identifying and avoiding emotional fluctuations that bring on episodes of bulimia on a regular basis. Barker (2003) states that research has found 40–60% of people using cognitive behaviour therapy to become
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argue that extreme concern with weight and shape coupled with low self-esteem will result in strict, rigid, and inflexible dietary rules. Accordingly, this would lead to unrealistically restricted eating, which may consequently induce an eventual "slip" where the individual commits a minor infraction
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Bulimia typically involves rapid and out-of-control eating, which may stop when the person is interrupted by another person or the stomach hurts from over-extension, followed by self-induced vomiting or other forms of purging. This cycle may be repeated several times a week or, in more serious cases,
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of 0.5 percent and 0.9 percent for adults and adolescents, respectively, is estimated among the United States population. Bulimia nervosa may affect up to 1% of young women and, after 10 years of diagnosis, half will recover fully, a third will recover partially, and 10–20% will still have symptoms.
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A study dedicated to investigating the thin ideal internalization as a factor of bulimia nervosa is Thompson's and Stice's research. Their study aimed to investigate how and to what degree media affects the thin ideal internalization. Thompson and Stice used randomized experiments (more specifically
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in 1958, was teased by friends for being fat and excessively took thyroid pills to lose weight, later using laxatives and vomiting. She reportedly consumed dozens of oranges and several pounds of tomatoes each day, yet would skip meals. After being admitted to a psychiatric facility for depression,
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from 1917 to 1929 were compiled. Fifty-five to sixty-five percent of these patients were reported to be voluntarily vomiting to relieve weight anxiety. Records show that purging for weight control continued throughout the mid-1900s. Several case studies from this era reveal patients with the modern
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When exploring the etiology of bulimia through a socio-cultural perspective, the "thin ideal internalization" is significantly responsible. The thin-ideal internalization is the extent to which individuals adapt to the societal ideals of attractiveness. Studies have shown that young women that read
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s cognitive-behavioral model of bulimia nervosa in that the drive for thinness was the major cause of purging as a way of controlling weight. In turn, Byrne and Mclean argued that this makes the individual vulnerable to binging, indicating that it is not a binge-purge cycle but rather a purge-binge
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Media portrayals of an 'ideal' body shape are widely considered to be a contributing factor to bulimia. In a 1991 study by Weltzin, Hsu, Pollicle, and Kaye, it was stated that 19% of bulimics undereat, 37% of bulimics eat an average or normal amount of food, and 44% of bulimics overeat. A survey of
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People with bulimia are at a higher risk to have an affective disorder, such as depression or general anxiety disorder. One study found 70% had depression at some time in their lives (as opposed to 26% for adult females in the general population), rising to 88% for all affective disorders combined.
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referenced practices of "bulimia", yet scholars believe that this simply referred to overeating without the purging or the psychological implications bulimia nervosa. In fact, a search for evidence of bulimia nervosa from the 17th to late 19th century revealed that only a quarter of the overeating
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was revised, which resulted in the loosening of criteria regarding the diagnoses of bulimia nervosa and anorexia nervosa. The diagnostic criteria utilized by the DSM-5 includes repetitive episodes of binge eating (a discrete episode of overeating during which the individual feels out of control of
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s cognitive-behavioral model of bulimia nervosa is not necessarily applicable to every individual and is certainly reductionist. Every one differs from another, and taking such a complex behavior like bulimia and applying the same one theory to everyone would certainly be invalid. In addition, the
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Being female and having bulimia nervosa takes a toll on mental health. Women frequently reported an onset of anxiety at the same time of the onset of bulimia nervosa. The approximate female-to-male ratio of diagnosis is 10:1. In addition to cognitive, genetic, and environmental factors, childhood
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and eating disorders—particularly bulimia nervosa and bipolar II disorder—are related." The research shows that most clinical studies indicate that patients with bipolar disorder have higher rates of eating disorders, and vice versa. There is overlap in phenomenology, course, comorbidity, family
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or fasting, as well as excessive concern with body shape and weight. This activity aims to expel the body of calories eaten from the binging phase of the process. Binge eating refers to eating a large amount of food in a short amount of time. Purging refers to the attempts to get rid of the food
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first published a description of bulimia nervosa, in which he studied patients with a "morbid fear of becoming fat" who overate and purged afterward. He specified treatment options and indicated the seriousness of the disease, which can be accompanied by depression and suicide. In 1980, bulimia
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Globally, bulimia was estimated to affect 3.6 million people in 2015. About 1% of young women have bulimia at a given point in time and about 2% to 3% of women have the condition at some point in their lives. The condition is less common in the developing world. Bulimia is about nine times more
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The first use of hypnotherapy in Bulimic patients was in 1981. When it comes to hypnotherapy, Bulimic patients are easier to hypnotize than Anorexia Nervosa patients. In Bulimic patients, hypnotherapy focuses on learning self-control when it comes to binging and vomiting, strengthening stimulus
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There is little data on the percentage of people with bulimia in general populations. Most studies conducted thus far have been on convenience samples from hospital patients, high school or university students; research on bulimia nervosa among ethnic minorities has also been limited. Existing
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may also be effective against bulimia. Topiramate may also be useful but has greater side effects. Compared to placebo, the use of a single antidepressant has been shown to be effective. Combining medication with counseling can improve outcomes in some circumstances. Some positive outcomes of
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An explanation for the increased instances of bulimic symptoms may be due to the 20th century's new ideals of thinness. The shame of being fat emerged in the 1940s when teasing remarks about weight became more common. The 1950s, however, truly introduced the trend of aspiration for thinness.
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treatments can include: abstinence from binge eating, a decrease in obsessive behaviors to lose weight and in shape preoccupation, less severe psychiatric symptoms, a desire to counter the effects of binge eating, as well as an improvement in social functioning and reduced relapse rates.
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classes may have a modest benefit. While outcomes with bulimia are typically better than in those with anorexia, the risk of death among those affected is higher than that of the general population. At 10 years after receiving treatment about 50% of people are fully recovered.
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The onset of bulimia nervosa is often during adolescence, between 13 and 20 years of age, and many cases have previously experienced obesity, with many relapsing in adulthood into episodic bingeing and purging even after initially successful treatment and remission. A lifetime
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McElroy, Susan L.; Crow, Scott; Blom, Thomas J.; Biernacka, Joanna M.; Winham, Stacey J.; Geske, Jennifer; Cuellar-Barboza, Alfredo B.; Bobo, William V.; Prieto, Miguel L.; Veldic, Marin; Mori, Nicole; Seymour, Lisa R.; Bond, David J.; Frye, Mark A. (February 2016).
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states. Regarding interoceptive sensation, hyposensitive individuals may not detect normal feelings of fullness at the appropriate time while eating, and are prone to eating more calories in a short period of time as a result of this decreased sensitivity.
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At the turn of the century, bulimia (overeating) was described as a clinical symptom, but rarely in the context of weight control. Purging, however, was seen in anorexic patients and attributed to gastric pain rather than another method of weight control.
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Tortorella A, Brambilla F, Fabrazzo M, Volpe U, Monteleone AM, Mastromo D, Monteleone P (September 2014). "Central and peripheral peptides regulating eating behaviour and energy homeostasis in anorexia nervosa and bulimia nervosa: a literature review".
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Ellen ate ravenously yet lost weight, presumably due to self-induced vomiting. However, while these patients may have met modern criteria for bulimia nervosa, they cannot technically be diagnosed with the disorder, as it had not yet appeared in the
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A considerable amount of literature has identified a correlation between sexual abuse and the development of bulimia nervosa. The reported incident rate of unwanted sexual contact is higher among those with bulimia nervosa than anorexia nervosa.
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Although diagnostic criteria for bulimia nervosa did not appear until 1979, evidence suggests that binging and purging were popular in certain ancient cultures. The first documented account of behavior resembling bulimia nervosa was recorded in
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have a dysregulation of appetite, along with carbohydrates and fats. This dysregulation of appetite is also seen in women with bulimia nervosa. In addition, gene knockout studies in mice have shown that mice that have the gene encoding
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In 1991, Kendler et al. documented the cumulative risk for bulimia nervosa for those born before 1950, from 1950 to 1959, and after 1959. The risk for those born after 1959 is much higher than those in either of the other cohorts.
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and compulsivity issues in eating compared to their peers. This means that the high expectations and unrealistic goals that these individuals set for themselves are internally motivated rather than by social views or expectations.
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Bulimia has been compared to drug addiction, though the empirical support for this characterization is limited. However, people with bulimia nervosa may share dopamine D2 receptor-related vulnerabilities with those with
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s cognitive-behavioral model is often considered the golden standard. Fairburn et al.'s model discusses the process in which an individual falls into the binge-purge cycle and thus develops bulimia. Fairburn
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Bulimia is more common among those who have a close relative with the condition. The percentage risk that is estimated to be due to genetics is between 30% and 80%. Other risk factors for the disease include
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history, and pharmacologic treatment response of these disorders. This is especially true of "eating dysregulation, mood dysregulation, impulsivity and compulsivity, craving for activity and/or exercise."
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Wagner, Angela; Greer, Phil; Bailer, Ursula F.; Frank, Guido K.; Henry, Shannan E.; Putnam, Karen; Meltzer, Carolyn C.; Ziolko, Scott K.; Hoge, Jessica; McConaha, Claire; Kaye, Walter H. (2006-02-01).
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Wagner, Angela; Greer, Phil; Bailer, Ursula F.; Frank, Guido K.; Henry, Shannan E.; Putnam, Karen; Meltzer, Carolyn C.; Ziolko, Scott K.; Hoge, Jessica; McConaha, Claire; Kaye, Walter H. (2006-02-01).
675:. This can be caused by a childhood in which inner feelings and thoughts were minimized by parents, leading to "a high focus on receiving validation from others to maintain a positive sense of self". 2079: 4532:
Castro-Fornieles J, Bigorra A, Martinez-Mallen E, Gonzalez L, Moreno E, Font E, Toro J (2011). "Motivation to change in adolescents with bulimia nervosa mediates clinical change after treatment".
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Abnormal blood levels of peptides important for the regulation of appetite and energy balance are observed in individuals with bulimia nervosa, but it remains unknown if this is a state or trait.
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thinking leads the individual to binge. The binge subsequently should trigger a perceived loss of control, promoting the individual to purge in hope of counteracting the binge. However, Fairburn
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Sivanathan D, Bizumic B, Rieger E, Huxley E (December 2019). "Vulnerable narcissism as a mediator of the relationship between perceived parental invalidation and eating disorder pathology".
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Agras WS, Crow SJ, Halmi KA, Mitchell JE, Wilson GT, Kraemer HC (August 2000). "Outcome predictors for the cognitive behavior treatment of bulimia nervosa: data from a multisite study".
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As with many psychiatric illnesses, delusions can occur, in conjunction with other signs and symptoms, leaving the person with a false belief that is not ordinarily accepted by others.
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Dieting, a common behaviour in bulimics, is associated with lower plasma tryptophan levels. Decreased tryptophan levels in the brain, and thus the synthesis of serotonin, such as via
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deficits, in which one experiences impairment in recognizing and discriminating between internal sensations, feelings, and emotions. People with bulimia may also react negatively to
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Garfinkel PE, Lin E, Goering P, Spegg C, Goldbloom DS, Kennedy S, et al. (July 1995). "Bulimia nervosa in a Canadian community sample: prevalence and comparison of subgroups".
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gastrointestinal problems and early pubertal maturation also increase the likelihood of developing bulimia nervosa. Another concern with eating disorders is developing a coexisting
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Diagnosis is based on a person's medical history; however, this is difficult, as people are usually secretive about their binge eating and purging habits. Further, the diagnosis of
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from an evolutionary perspective. If eating disorders, Bulimia nervosa in particular, have evolutionary functions or if they are new modern "lifestyle" problems is still debated.
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Nieto-Martínez R, González-Rivas JP, Medina-Inojosa JR, Florez H (November 2017). "Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis".
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cognitive-behavioral model of bulimia nervosa is very culturally bound in that it may not be necessarily applicable to cultures outside of Western society. To evaluate, Fairburn
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Lahortiga-Ramos F, De Irala-Estévez J, Cano-Prous A, Gual-García P, Martínez-González MA, Cervera-Enguix S (March 2005). "Incidence of eating disorders in Navarra (Spain)".
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Papies EK, Nicolaije KA (January 2012). "Inspiration or deflation? Feeling similar or dissimilar to slim and plus-size models affects self-evaluation of restrained eaters".
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Scientific research has shown that people suffering from bulimia have decreased volumes of brain matter, and that the abnormalities are reversible after long-term recovery.
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Weltzin TE, Fernstrom MH, Fernstrom JD, Neuberger SK, Kaye WH (November 1995). "Acute tryptophan depletion and increased food intake and irritability in bulimia nervosa".
1360:(1347–1380) is known to have supplemented her strict abstinence from food by purging as reparation for her sins. Catherine died from starvation at age thirty-three. 2683:
Maples J, Collins B, Miller JD, Fischer S, Seibert A (January 2011). "Differences between grandiose and vulnerable narcissism and bulimic symptoms in young women".
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Flett GL, Newby J, Hewitt PL, Persaud C (September 2011). "Perfectionistic Automatic Thoughts, Trait Perfectionism, and Bulimic Automatic Thoughts in Young Women".
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McElroy SL, Kotwal R, Keck PE, Akiskal HS (June 2005). "Comorbidity of bipolar and eating disorders: distinct or related disorders with shared dysregulations?".
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While the psychological disorder "bulimia nervosa" is relatively new, the word "bulimia", signifying overeating, has been present for centuries. The Babylon
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Suzuki K, Takeda A, Matsushita S (July 1995). "Coprevalence of bulimia with alcohol abuse and smoking among Japanese male and female high school students".
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Heatherton TF, Nichols P, Mahamedi F, Keel P (November 1995). "Body weight, dieting, and eating disorder symptoms among college students, 1982 to 1992".
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Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016).
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Castro-Fornieles J, Gual P, Lahortiga F, Gila A, CasulĂ  V, Fuhrmann C, et al. (September 2007). "Self-oriented perfectionism in eating disorders".
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control techniques, enhancing ones ego, improving weight control, and helping overweight patients see their body differently (have a different image).
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likely to occur in women than men. Among women, rates are highest in young adults. Bulimia was named and first described by the British psychiatrist
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Thompson JK, Stice E (2001). "Thin-Ideal Internalization: Mounting Evidence for a New Risk Factor for Body-Image Disturbance and Eating Pathology".
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There is evidence that sex hormones may influence appetite and eating in women and the onset of bulimia nervosa. Studies have shown that women with
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Tölgyes T, Nemessury J (August 2004). "Epidemiological studies on adverse dieting behaviours and eating disorders among young people in Hungary".
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Badoud D, Tsakiris M (June 2017). "From the body's viscera to the body's image: Is there a link between interoception and body image concerns?".
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McElroy SL, Guerdjikova AI, Mori N, O'Melia AM (October 2012). "Current pharmacotherapy options for bulimia nervosa and binge eating disorder".
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Steiger H, Jabalpurwala S, Champagne J, Stotland S (September 1997). "A controlled study of trait narcissism in anorexia and bulimia nervosa".
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Fairburn CG, Agras WS, Walsh BT, Wilson GT, Stice E (December 2004). "Prediction of outcome in bulimia nervosa by early change in treatment".
4199:, Liu X, Waternaux C (August 1999). "Psychological versus pharmacological treatments of bulimia nervosa: predictors and processes of change". 725:, there is evidence of genetic predispositions contributing to the onset of this eating disorder. Abnormal levels of many hormones, notably 3968: 690: 5678:. D. Garner & P. Garfinkel (Eds.), Handbook of Treatment for Eating Disorders (2nd ed., pp. 11–24). New York, NY: The Guilford Press. 3624: 2107: 6957: 6913: 6016: 5457:
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Franko DL, Becker AE, Thomas JJ, Herzog DB (March 2007). "Cross-ethnic differences in eating disorder symptoms and related distress".
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cases they examined actually vomited after the binges. There was no evidence of deliberate vomiting or an attempt to control weight.
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nervosa's prevalence was still much higher than anorexia nervosa's, which at the time occurred in about 14 people per 100,000.
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There are two main types of treatment given to those with bulimia nervosa; psychopharmacological and psychosocial treatments.
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Kendler KS, MacLean C, Neale M, Kessler R, Heath A, Eaves L (December 1991). "The genetic epidemiology of bulimia nervosa".
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1439: 958:, developed at the Maudsley Hospital in London for the treatment of anorexia, has been shown promising results in bulimia. 371:
The erosion on the lower teeth was caused by bulimia. For comparison, the upper teeth were restored with porcelain veneers.
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Machado PP, Machado BC, Gonçalves S, Hoek HW (April 2007). "The prevalence of eating disorders not otherwise specified".
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Boswell JF, Anderson LM, Anderson DA (June 2015). "Integration of Interoceptive Exposure in Eating Disorder Treatment".
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Examining from a neural basis also connects elements of interoception and emotion; notable overlaps occur in the medial
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Steinberg BE, Shaw RJ (1997). "Bulimia as a disturbance of narcissism: self-esteem and the capacity to self-soothe".
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Silén, Yasmina; Keski-Rahkonen, Anna (2022). "Worldwide prevalence of DSM-5 eating disorders among young people".
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Hay P (July 2013). "A systematic review of evidence for psychological treatments in eating disorders: 2005-2012".
6339: 6134: 6059: 3468:"Eating behaviours and attitudes following prolonged exposure to television among ethnic Fijian adolescent girls" 683: 348: 301: 185: 1024: 6992: 6777: 6748: 6009: 668: 284:, breakdown of the teeth, decreased brain matter, and effects on metabolic rate and caloric intake which cause 3638:
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Altemus M, Hetherington M, Kennedy B, Licinio J, Gold PW (April 1996). "Thyroid function in bulimia nervosa".
280:, or excessive exercise. Most people with bulimia are at normal weight. The forcing of vomiting may result in 6518: 6236: 6212: 4978:"Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia" 4839:"Comorbidity of Bulimia Nervosa and Substance Abuse: Etiologies, Treatment Issues, and Treatment Approaches" 7181: 6718: 6251: 6096: 949: 941: 922: 195: 2940: 1356:(1660–1727) were both observed binge eating—giving in, as they believed, to the temptations of the devil. 6426: 6224: 5603: 5598: 5381:
Hay P (May 1998). "The epidemiology of eating disorder behaviors: an Australian community-based survey".
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receptors. In humans, there is evidence that there is an association between polymorphisms in the ERβ (
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in groups involved in activities which idealize a slim physique, such as dance, gymnastics, modeling,
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Studies have shown a relationship between bulimia's effect on metabolic rate and caloric intake with
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Eating a large amount of food in a short amount of time followed by vomiting or the use of
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People with bulimia nervosa may also exercise to a point that excludes other activities.
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These are some of the many signs that may indicate whether someone has bulimia nervosa:
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of the strict and inflexible dietary rules. Moreover, the cognitive distortion due to
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which is FDA approved, for the treatment of bulimia, other antidepressants such as
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receptors have decreased fertility due to ovarian dysfunction and dysregulation of
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around 370 B.C, in which Greek soldiers purged themselves in the mountains of
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due to renal potassium loss in the presence of alkalosis and frequent vomiting
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notes that a "substantial rate of patients with bulimia nervosa" also have
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In contrast, Byrne and Mclean's findings differed slightly from Fairburn
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takes precedence over that of bulimia. Other similar disorders include
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Adolescents with bulimia nervosa are more likely to have self-imposed
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Research has shown that there is a relationship between bulimia and
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Deaths due to eating disorders per million persons in 2012
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Regular trips to the bathroom, especially soon after eating
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In 1930, admissions of anorexia nervosa patients to the
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Some researchers have also claimed positive outcomes in
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Bulimia nervosa can be difficult to detect, compared to
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as an emerging scientific discipline has been studying
733:(BDNF) is under investigation as a possible mechanism. 5526: 4611: 4159: 2896: 1935: 974:(SSRI) class may have a modest benefit. This includes 544:
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Archived from 2311:Mcgilley BM, Pryor TL (June 1998). 2275: 2241:Wynn DR, Martin MJ (October 1984). 2134:The New England Journal of Medicine 1760: 1705: 1460:List of people with bulimia nervosa 384:after eating, secondary to vomiting 13: 6826:Psychogenic non-epileptic seizures 6220:Emotional and behavioral disorders 5824:The American Journal of Psychiatry 5564:The American Journal of Psychiatry 5494:The American Journal of Psychiatry 5435:10.1093/oxfordjournals.aje.a008950 5106:from the original on May 24, 2012. 4322:The American Journal of Psychiatry 4287:The American Journal of Psychiatry 4162:The American Journal of Psychiatry 3848:Manual of Psychiatric Therapeutics 3574:The American Journal of Psychiatry 3336:10.1111/j.2044-8341.1998.tb01007.x 3257:The American Journal of Psychiatry 2208:The American Journal of Psychiatry 1569:from the original on June 19, 2015 1488:The American Journal of Psychiatry 14: 7296: 7006:Hypoactive sexual desire disorder 5854: 5744:The British Journal of Psychiatry 5100:"Black Girls At Risk for Bulimia" 5041:The British Journal of Psychiatry 4497:American Journal of Psychotherapy 3740: 3675:The British Journal of Psychiatry 3529:Cognitive and Behavioral Practice 3472:The British Journal of Psychiatry 1805:Expert Opinion on Pharmacotherapy 1671:Hay PJ, Claudino AM (July 2010). 731:Brain-derived neurotrophic factor 163:Based on person's medical history 6306:X-linked intellectual disability 5731: 5597:Douglas Harper (November 2001). 5590: 5555: 5520: 5485: 5450: 5422:American Journal of Epidemiology 5409: 5374: 5331: 5290: 5245: 5226: 4534:European Eating Disorders Review 3930:10.1046/j.1525-1497.2000.02439.x 3627:from the original on 2016-02-07. 3293:European Eating Disorders Review 2562:10.1097/00006842-198503000-00003 2169:"Bulimia: medical complications" 2077:The Center for Special Dentistry 1406:at the time of their treatment. 917: 614: 595:Compulsive or excessive exercise 23: 6135:Intermittent explosive disorder 6060:Ego-dystonic sexual orientation 5632:(pp. 18–21). 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According to a study by the 282:thickened skin on the knuckles 257:consumed. This may be done by 1: 5119:Current Opinion in Psychiatry 4761:10.1016/s0010-440x(96)90019-x 2767:10.1016/s0306-4603(97)00009-9 2343:"Symptoms Of Bulimia Nervosa" 2260:10.1016/s0025-6196(12)62063-1 1867:10.1016/S0140-6736(16)31678-6 1465: 965: 716: 476:, or delayed gastric emptying 7182:Pseudoneurotic schizophrenia 6719:Generalized anxiety disorder 6452:Neurological and symptomatic 6097:Sexual relationship disorder 5352:10.1016/j.eurpsy.2004.07.008 5131:10.1097/YCO.0000000000000818 5003:10.1371/journal.pone.0001541 4567:Bacaltchuk J, Hay P (2003). 4355:Lock J, le Grange D (2005). 4299:10.1176/appi.ajp.161.12.2322 3825:10.1016/j.bodyim.2011.08.004 3720:. McGraw Hill. p. 338. 3165:Strasser B, Fuchs D (2016). 2868:10.1016/0306-4530(96)00002-9 2697:10.1016/j.eatbeh.2010.10.001 2505:Nature Reviews. Neuroscience 2243:"A physical sign of bulimia" 1817:10.1517/14656566.2012.721781 1559:"Bulimia nervosa fact sheet" 1350:Saint Mary Magdalen de Pazzi 1283: 950:dialectical behavior therapy 942:Cognitive behavioral therapy 923:Cognitive behavioral therapy 909: 868: 363:How bulimia affects the body 196:Cognitive behavioral therapy 7: 6958:REM sleep behavior disorder 6427:Seasonal affective disorder 6225:Separation anxiety disorder 5604:Online Etymology Dictionary 5098:Grohol J (March 19, 2009). 4882:Journal of Eating Disorders 4174:10.1176/appi.ajp.157.8.1302 4139:. Oxford University Press. 3541:10.1016/j.cbpra.2010.07.007 2294:American Dental Association 1433: 1215:19,067 psychiatric patients 890: 10: 7301: 7225:Symptoms and uncategorized 6326:developmental disabilities 6092:Sexual maturation disorder 5738:Palmer R (December 2004). 4895:10.1186/s40337-021-00479-5 4808:10.1037/0033-2909.130.1.19 4573:Cochrane Database Syst Rev 4334:10.1176/appi.ajp.158.4.632 4223:10.1037/0022-006X.67.4.451 4038:Current Psychiatry Reports 3412:. Penguin Books, Limited. 3330:. 71 ( Pt 4) (4): 525–47. 2810:10.1007/s40519-019-00647-2 2082:February 11, 2015, at the 1601:Current Psychiatry Reports 1297: 1278: 1249:2,597 high school students 1184:4,200 high school students 1130:1,807 students (ages 7–19) 1112:2,028 high school students 1068:There are higher rates of 770:acute tryptophan depletion 693:"leaves little doubt that 7230: 7219: 7195: 7187:Simple-type schizophrenia 7164: 7156:Schizophreniform disorder 7133: 7112: 7108: 7087: 7040: 7022: 6991: 6968: 6922: 6889: 6885: 6874: 6796: 6763: 6711: 6654: 6645: 6626: 6622: 6601: 6567: 6534:Mild cognitive impairment 6519:Creutzfeldt–Jakob disease 6499: 6461: 6457: 6446: 6417:Major depressive disorder 6370: 6356: 6322:Psychological development 6321: 6296: 6193: 6189: 6176: 6105: 6052: 6048: 6037: 5943: 5862: 5709:10.1017/S0033291700031974 5169:10.1007/s00127-004-0783-z 5054:10.1192/bjp.bp.106.021378 4675:10.1080/00207140701338688 4630:10.1002/14651858.CD003385 4581:10.1002/14651858.CD003391 4429:10.1080/15374410701817832 4050:10.1007/s11920-012-0280-0 3716:Nolen-Hoeksema S (2013). 3233:10.1001/archpsyc.56.2.171 2654:10.1007/s11892-017-0949-1 2610:10.1016/j.jad.2015.11.010 2405:. Great Britain: Arnold. 2317:American Family Physician 2173:Journal of Women's Health 2106:: 1. 2005. Archived from 2055:10.1016/j.jad.2004.11.008 2006:10.1186/s40479-018-0098-4 1915:10.1007/s10942-011-0135-3 1613:10.1007/s11920-012-0282-y 1397:, a patient described by 1098: 789: 742:polycystic ovary syndrome 711: 639:, anterior and posterior 227: 217: 201: 191: 167: 157: 153:and environmental factors 146: 121: 107: 91: 82: 73: 65: 60: 32:This article needs to be 7235:Impulse-control disorder 7151:Schizoaffective disorder 7146:Brief reactive psychosis 6843:Mass psychogenic illness 6806:Body dysmorphic disorder 6585:Post-concussion syndrome 6195:Emotional and behavioral 4749:Comprehensive Psychiatry 4263:10.2217/17455057.3.2.255 3376:10.3389/fpsyg.2018.02122 2968:Human Molecular Genetics 2856:Psychoneuroendocrinology 2642:Current Diabetes Reports 1563:Office on Women's Health 1358:Saint Catherine of Siena 935:tricyclic antidepressant 658:diabetes mellitus type 2 533:may occur after vomiting 212:tricyclic antidepressant 127:Breakdown of the teeth, 7172:Childhood schizophrenia 6524:Frontotemporal dementia 6481:High-functioning autism 6298:Intellectual disability 5836:10.1176/ajp.148.12.1627 5576:10.1176/ajp.152.11.1623 3782:10.1111/1467-8721.00144 3269:10.1176/ajp.152.11.1668 2247:Mayo Clinic Proceedings 2185:10.1089/jwh.2004.13.668 1450:Evolutionary psychiatry 1354:Saint Veronica Giuliani 1320:Before the 20th century 970:Antidepressants of the 956:Maudsley family therapy 780:evolutionary psychiatry 763:substance use disorders 547:Low self-esteem and/or 240:, also known simply as 137:substance use disorders 16:Type of eating disorder 6689:Specific social phobia 6580:Organic brain syndrome 6422:Melancholic depression 6183:Childhood and learning 5697:Psychological Medicine 5506:10.1176/ajp.152.7.1052 4796:Psychological Bulletin 3607:Trull T (2010-10-08). 2550:Psychosomatic Medicine 2290:Oral Health Topics A–Z 2220:10.1176/ajp.142.5.655a 1198:1,152 college students 1061: 1014:substance use disorder 673:vulnerable narcissists 402:abnormal heart rhythms 372: 364: 169:Differential diagnosis 7245:Psychomotor agitation 7035:and substance-related 6978:Postpartum depression 6858:Somatization disorder 6744:Acute stress reaction 6509:AIDS dementia complex 5757:10.1192/bjp.185.6.447 5241:on February 10, 2012. 5081:finddoctorsonline.com 3973:(4th, text revision ( 3718:(Ab)normal Psychology 3586:10.1176/ajp.147.4.401 3485:10.1192/bjp.180.6.509 3122:Biological Psychiatry 2903:Biological Psychiatry 2355:on February 21, 2016. 1942:Biological Psychiatry 1677:BMJ Clinical Evidence 1455:Binge eating disorder 1232:8,116 (random sample) 1096:Sample size and type 1027: 980:also known as prozac, 398:Electrolyte imbalance 370: 362: 345:Kleine–Levin syndrome 341:binge eating disorder 182:Kleine-Levin syndrome 178:binge eating disorder 117:, often normal weight 7240:KlĂĽver–Bucy syndrome 7070:Substance dependence 6983:Postpartum psychosis 6529:Huntington's disease 6311:Lujan–Fryns syndrome 6160:Personality disorder 5674:Russell, G. (1997). 5630:The Eating disorders 3687:10.1192/bjp.161.1.90 2300:on February 3, 2009. 2146:10.1056/NEJMcp022813 1861:(10053): 1545–1602. 1266:799 college students 991:Alternative medicine 808:Christopher Fairburn 678:The medical journal 322:psychological stress 7120:Delusional disorder 7065:Stimulant psychosis 7055:Physical dependence 6909:Rumination syndrome 6811:Conversion disorder 6788:Psychogenic amnesia 6638:with depressed mood 6636:Adjustment disorder 6539:Parkinson's disease 6514:Alzheimer's disease 6407:Atypical depression 6243:Social functioning 6118:Munchausen syndrome 6113:Factitious disorder 5340:European Psychiatry 5303:Jornal de Pediatria 4994:2008PLoSO...3.1541H 4016:Abnormal Psychology 3511:Abnormal Psychology 3183:10.4137/IJTR.S33385 1327:Xenophon's Anabasis 703:thyroid dysfunction 425:Mallory-Weiss tears 286:thyroid dysfunction 102:clinical psychology 7139:schizophrenia-like 6783:Dissociative fugue 6232:Movement disorders 5944:External resources 3846:Shader RI (2004). 2981:10.1093/hmg/ddh137 2443:10.1111/cpsp.12103 2286:"Eating Disorders" 1308:, "ox" and λιμός, 1062: 430:Boerhaave syndrome 373: 365: 355:Signs and symptoms 231:3.6 million (2015) 7262: 7261: 7258: 7257: 7215: 7214: 7211: 7210: 7083: 7082: 7018: 7017: 7014: 7013: 6870: 6869: 6866: 6865: 6759: 6758: 6597: 6596: 6593: 6592: 6554:Vascular dementia 6476:Asperger syndrome 6442: 6441: 6352: 6351: 6348: 6347: 6286:Tourette syndrome 6172: 6171: 6168: 6167: 5992: 5991: 5305:(in Portuguese). 5266:10.1002/eat.20358 5212:10.1002/eat.20341 4370:10.1002/eat.20122 4146:978-0-19-852863-0 4024:978-0-07-803538-8 3984:978-0-89042-025-6 3891:10.1002/eat.20393 3857:978-0-7817-4459-1 3745:. PubMed Health. 3652:10.1002/eat.10002 3620:978-1-111-34376-7 3508:"Bulimia Nervosa" 3452:978-0-205-70286-2 3419:978-0-14-198491-9 3408:Nesse RM (2020). 3085:10.1002/eat.20984 3018:978-1-84619-244-9 2798:Eat Weight Disord 2401:Barker P (2003). 2367:"Bulimia Nervosa" 2348:Illawarra Mercury 2113:on March 19, 2015 2097:"Bulimia Nervosa" 1775:10.1002/eat.22103 1744:978-0-89042-555-8 1673:"Bulimia nervosa" 1565:. July 16, 2012. 1399:Ludwig Binswanger 1276: 1275: 778:In recent years, 755:estrogen receptor 651:Related disorders 637:prefrontal cortex 570:anxiety disorders 248:characterized by 235: 234: 159:Diagnostic method 55:Medical condition 53: 52: 7292: 7275:Eating disorders 7221: 7220: 7110: 7109: 7089: 7088: 7024: 7023: 6899:Anorexia nervosa 6887: 6886: 6876: 6875: 6853:Psychogenic pain 6821:Globus pharyngis 6669:Childhood phobia 6652: 6651: 6624: 6623: 6603: 6602: 6459: 6458: 6448: 6447: 6358: 6357: 6257:Selective mutism 6208:Conduct disorder 6191: 6190: 6178: 6177: 6155:Trichotillomania 6130:Gender dysphoria 6125:Fear of intimacy 6082:Sexual anhedonia 6050: 6049: 6039: 6038: 6026:Mental disorders 6019: 6012: 6005: 5996: 5995: 5860: 5859: 5848: 5847: 5819: 5810: 5809: 5789: 5770: 5769: 5759: 5735: 5729: 5728: 5692: 5679: 5672: 5633: 5626: 5620: 5619: 5617: 5616: 5594: 5588: 5587: 5559: 5553: 5552: 5524: 5518: 5517: 5489: 5483: 5482: 5454: 5448: 5447: 5437: 5413: 5407: 5406: 5378: 5372: 5371: 5335: 5329: 5328: 5318: 5294: 5288: 5287: 5277: 5249: 5243: 5242: 5237:. 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Archived from 2282: 2273: 2272: 2262: 2238: 2232: 2231: 2203: 2197: 2196: 2164: 2158: 2157: 2129: 2123: 2122: 2120: 2118: 2112: 2104:Let's Talk Facts 2101: 2093: 2087: 2073: 2067: 2066: 2038: 2029: 2028: 2018: 2008: 1984: 1975: 1972: 1966: 1965: 1933: 1927: 1926: 1898: 1889: 1888: 1878: 1846: 1837: 1836: 1800: 1787: 1786: 1758: 1749: 1748: 1724: 1703: 1702: 1692: 1668: 1635: 1634: 1624: 1592: 1579: 1578: 1576: 1574: 1555: 1522: 1521: 1511: 1479: 1352:(1566–1607) and 1300: 1299: 1087: 1086: 1070:eating disorders 1057: 1051: 1045: 1039: 1033: 897:anorexia nervosa 847: 839: 815: 784:mental disorders 738:hyperandrogenism 723:anorexia nervosa 527:levels may occur 408:, and even death 337:anorexia nervosa 306:bipolar disorder 290:mental disorders 83:Loss of enamel ( 78: 58: 57: 48: 45: 39: 27: 26: 19: 7300: 7299: 7295: 7294: 7293: 7291: 7290: 7289: 7265: 7264: 7263: 7254: 7226: 7207: 7191: 7160: 7138: 7129: 7104: 7079: 7036: 7033:substance abuse 7010: 6987: 6964: 6918: 6904:Bulimia nervosa 6881: 6862: 6838:Hypochondriasis 6833:False pregnancy 6816:Ganser syndrome 6798:Somatic symptom 6792: 6755: 6707: 6696:Specific phobia 6641: 6618: 6589: 6563: 6495: 6491:Savant syndrome 6463:Autism spectrum 6453: 6438: 6366: 6344: 6323: 6317: 6292: 6185: 6164: 6140:Dermatillomania 6101: 6087:Sexual anorexia 6044: 6033: 6023: 5993: 5988: 5987: 5983:Bulimia nervosa 5939: 5938: 5871: 5857: 5852: 5851: 5830:(12): 1627–37. 5820: 5813: 5790: 5773: 5736: 5732: 5693: 5682: 5673: 5636: 5627: 5623: 5614: 5612: 5595: 5591: 5560: 5556: 5525: 5521: 5490: 5486: 5455: 5451: 5414: 5410: 5379: 5375: 5336: 5332: 5295: 5291: 5250: 5246: 5231: 5227: 5196: 5192: 5153: 5146: 5115: 5111: 5096: 5092: 5075: 5074: 5070: 5033: 5029: 4974: 4970: 4933: 4929: 4874: 4870: 4835: 4831: 4788: 4784: 4741: 4737: 4702: 4698: 4659: 4655: 4624:(4): CD003385. 4610: 4606: 4575:(4): CD003391. 4565: 4561: 4530: 4526: 4489: 4485: 4456: 4452: 4420:10.1.1.822.6191 4403: 4394: 4353: 4349: 4318: 4314: 4283: 4279: 4242: 4238: 4214:10.1.1.583.7568 4193: 4189: 4158: 4154: 4147: 4129: 4122: 4091:(4): CD000562. 4077: 4073: 4034: 4030: 4013: 4009: 4003: 3994: 3992: 3985: 3965: 3961: 3955: 3910: 3906: 3875: 3871: 3865: 3858: 3844: 3840: 3809: 3805: 3766: 3762: 3752: 3750: 3739: 3735: 3728: 3714: 3710: 3671: 3667: 3636: 3632: 3621: 3605: 3601: 3570: 3566: 3521: 3517: 3505: 3501: 3464: 3460: 3453: 3439: 3435: 3420: 3406: 3402: 3355: 3351: 3324: 3320: 3288: 3284: 3263:(11): 1668–71. 3253: 3249: 3212: 3208: 3163: 3159: 3114: 3110: 3065: 3061: 3030: 3026: 3019: 3001: 2997: 2974:(12): 1205–12. 2960: 2956: 2946: 2944: 2935: 2934: 2930: 2895: 2891: 2852: 2848: 2833: 2794: 2790: 2751: 2747: 2716: 2712: 2681: 2677: 2638: 2634: 2629: 2625: 2589: 2585: 2546: 2542: 2517:10.1038/nrn3950 2497: 2493: 2454: 2450: 2427: 2420: 2413: 2399: 2390: 2380: 2378: 2365: 2364: 2360: 2341: 2340: 2336: 2323:(11): 2743–50. 2309: 2305: 2284: 2283: 2276: 2239: 2235: 2214:(5): 655a–655. 2204: 2200: 2165: 2161: 2130: 2126: 2116: 2114: 2110: 2099: 2095: 2094: 2090: 2084:Wayback Machine 2074: 2070: 2049:(2–3): 107–27. 2043:J Affect Disord 2039: 2032: 1985: 1978: 1973: 1969: 1934: 1930: 1899: 1892: 1847: 1840: 1811:(14): 2015–26. 1801: 1790: 1759: 1752: 1745: 1725: 1706: 1669: 1638: 1593: 1582: 1572: 1570: 1557: 1556: 1525: 1480: 1473: 1468: 1445:Eating recovery 1436: 1374: 1322: 1314:bulimia nervosa 1286: 1281: 1060: 1059: 1055: 1053: 1049: 1047: 1043: 1041: 1037: 1035: 1031: 1022: 1009: 993: 968: 927:Antidepressants 920: 912: 893: 871: 845: 837: 813: 792: 719: 714: 653: 645:insula cortices 643:, and anterior 617: 604:, or exhaustion 574:sleep disorders 468:salivary glands 463:of tooth enamel 357: 246:eating disorder 238:Bulimia nervosa 61:Bulimia nervosa 56: 49: 43: 40: 37: 28: 24: 17: 12: 11: 5: 7298: 7288: 7287: 7282: 7277: 7260: 7259: 7256: 7255: 7253: 7252: 7247: 7242: 7237: 7231: 7228: 7227: 7217: 7216: 7213: 7212: 7209: 7208: 7206: 7205: 7199: 7197: 7193: 7192: 7190: 7189: 7184: 7179: 7174: 7168: 7166: 7162: 7161: 7159: 7158: 7153: 7148: 7142: 7140: 7131: 7130: 7128: 7127: 7122: 7116: 7114: 7106: 7105: 7085: 7084: 7081: 7080: 7078: 7077: 7072: 7067: 7062: 7060:Rebound effect 7057: 7052: 7047: 7041: 7038: 7037: 7020: 7019: 7016: 7015: 7012: 7011: 7009: 7008: 7003: 7001:Hypersexuality 6997: 6995: 6989: 6988: 6986: 6985: 6980: 6974: 6972: 6966: 6965: 6963: 6962: 6961: 6960: 6955: 6950: 6940: 6935: 6929: 6927: 6920: 6919: 6917: 6916: 6911: 6906: 6901: 6895: 6893: 6883: 6882: 6872: 6871: 6868: 6867: 6864: 6863: 6861: 6860: 6855: 6850: 6845: 6840: 6835: 6830: 6829: 6828: 6823: 6818: 6808: 6802: 6800: 6794: 6793: 6791: 6790: 6785: 6780: 6775: 6769: 6767: 6761: 6760: 6757: 6756: 6754: 6753: 6752: 6751: 6746: 6736: 6734:Panic disorder 6731: 6726: 6721: 6715: 6713: 6709: 6708: 6706: 6705: 6704: 6703: 6701:Claustrophobia 6693: 6692: 6691: 6686: 6684:Anthropophobia 6676: 6674:Social anxiety 6671: 6666: 6660: 6658: 6649: 6643: 6642: 6640: 6639: 6632: 6630: 6620: 6619: 6599: 6598: 6595: 6594: 6591: 6590: 6588: 6587: 6582: 6577: 6571: 6569: 6565: 6564: 6562: 6561: 6556: 6551: 6546: 6544:Pick's disease 6541: 6536: 6531: 6526: 6521: 6516: 6511: 6505: 6503: 6497: 6496: 6494: 6493: 6488: 6483: 6478: 6473: 6467: 6465: 6455: 6454: 6444: 6443: 6440: 6439: 6437: 6436: 6431: 6430: 6429: 6424: 6419: 6414: 6409: 6399: 6398: 6397: 6392: 6387: 6382: 6371: 6368: 6367: 6354: 6353: 6350: 6349: 6346: 6345: 6343: 6342: 6337: 6331: 6329: 6319: 6318: 6316: 6315: 6314: 6313: 6302: 6300: 6294: 6293: 6291: 6290: 6289: 6288: 6278: 6277: 6276: 6271: 6261: 6260: 6259: 6254: 6249: 6241: 6240: 6239: 6229: 6228: 6227: 6217: 6216: 6215: 6205: 6199: 6197: 6187: 6186: 6174: 6173: 6170: 6169: 6166: 6165: 6163: 6162: 6157: 6152: 6147: 6142: 6137: 6132: 6127: 6122: 6121: 6120: 6109: 6107: 6103: 6102: 6100: 6099: 6094: 6089: 6084: 6079: 6078: 6077: 6072: 6062: 6056: 6054: 6046: 6045: 6035: 6034: 6030:Classification 6022: 6021: 6014: 6007: 5999: 5990: 5989: 5986: 5985: 5974: 5960: 5948: 5947: 5945: 5941: 5940: 5937: 5936: 5925: 5914: 5903: 5888: 5872: 5867: 5866: 5864: 5863:Classification 5856: 5855:External links 5853: 5850: 5849: 5811: 5771: 5730: 5680: 5634: 5621: 5589: 5570:(11): 1623–9. 5554: 5519: 5484: 5449: 5408: 5373: 5330: 5289: 5244: 5225: 5190: 5144: 5125:(6): 362–371. 5109: 5090: 5087:on 2012-07-09. 5068: 5027: 4968: 4927: 4868: 4849:(2): 125–138. 4829: 4782: 4755:(5): 368–374. 4735: 4716:(5): 673–679. 4696: 4653: 4604: 4559: 4524: 4483: 4450: 4392: 4347: 4312: 4293:(12): 2322–4. 4277: 4250:Women's Health 4236: 4187: 4152: 4145: 4120: 4071: 4028: 4007: 4001: 3983: 3959: 3953: 3904: 3869: 3863: 3856: 3838: 3803: 3760: 3733: 3727:978-0078035388 3726: 3708: 3665: 3630: 3619: 3599: 3564: 3535:(3): 394–402. 3515: 3499: 3458: 3451: 3433: 3418: 3400: 3349: 3318: 3282: 3247: 3206: 3157: 3108: 3059: 3024: 3017: 2995: 2954: 2943:on May 2, 2016 2928: 2909:(3): 291–293. 2889: 2846: 2844: 2843: 2788: 2761:(5): 699–710. 2745: 2710: 2675: 2632: 2623: 2583: 2540: 2491: 2448: 2437:(2): 194–210. 2418: 2412:978-0340810262 2411: 2388: 2358: 2334: 2303: 2274: 2233: 2198: 2159: 2124: 2088: 2068: 2030: 1976: 1967: 1948:(3): 291–293. 1928: 1909:(3): 192–206. 1890: 1838: 1788: 1750: 1743: 1704: 1636: 1580: 1523: 1494:(10): 1031–6. 1470: 1469: 1467: 1464: 1463: 1462: 1457: 1452: 1447: 1442: 1435: 1432: 1415:Gerald Russell 1379:Gerald Russell 1373: 1370: 1321: 1318: 1285: 1282: 1280: 1277: 1274: 1273: 1270: 1267: 1264: 1261: 1257: 1256: 1253: 1250: 1247: 1244: 1240: 1239: 1236: 1233: 1230: 1227: 1223: 1222: 1219: 1216: 1213: 1210: 1206: 1205: 1202: 1199: 1196: 1193: 1189: 1188: 1187:0.3% combined 1185: 1182: 1179: 1175: 1174: 1171: 1168: 1161: 1158: 1154: 1153: 1150: 1148: 1145: 1142: 1138: 1137: 1134: 1131: 1128: 1125: 1119: 1118: 1115: 1113: 1110: 1107: 1101: 1100: 1097: 1094: 1091: 1078:figure skating 1054: 1048: 1042: 1036: 1030: 1029: 1021: 1018: 1008: 1005: 992: 989: 967: 964: 919: 916: 911: 908: 892: 889: 870: 867: 791: 788: 718: 715: 713: 710: 652: 649: 616: 613: 606: 605: 599: 596: 593: 579: 576: 563: 560: 557: 551: 545: 542: 535: 534: 528: 513: 510: 505: 500: 495: 486: 477: 471: 464: 461:dental erosion 454: 447:Russell's sign 444: 433: 427: 422: 409: 406:cardiac arrest 395: 385: 382:gastric reflux 356: 353: 252:, followed by 233: 232: 229: 225: 224: 221: 215: 214: 205: 199: 198: 193: 189: 188: 171: 165: 164: 161: 155: 154: 148: 144: 143: 125: 119: 118: 111: 105: 104: 95: 89: 88: 80: 79: 71: 70: 67: 63: 62: 54: 51: 50: 44:September 2024 31: 29: 22: 15: 9: 6: 4: 3: 2: 7297: 7286: 7283: 7281: 7278: 7276: 7273: 7272: 7270: 7251: 7248: 7246: 7243: 7241: 7238: 7236: 7233: 7232: 7229: 7222: 7218: 7204: 7201: 7200: 7198: 7194: 7188: 7185: 7183: 7180: 7178: 7175: 7173: 7170: 7169: 7167: 7165:Schizophrenia 7163: 7157: 7154: 7152: 7149: 7147: 7144: 7143: 7141: 7136: 7132: 7126: 7123: 7121: 7118: 7117: 7115: 7111: 7107: 7103: 7099: 7095: 7094:Schizophrenia 7090: 7086: 7076: 7073: 7071: 7068: 7066: 7063: 7061: 7058: 7056: 7053: 7051: 7048: 7046: 7045:Drug overdose 7043: 7042: 7039: 7034: 7030: 7025: 7021: 7007: 7004: 7002: 6999: 6998: 6996: 6994: 6993:Sexual desire 6990: 6984: 6981: 6979: 6976: 6975: 6973: 6971: 6967: 6959: 6956: 6954: 6951: 6949: 6946: 6945: 6944: 6941: 6939: 6936: 6934: 6931: 6930: 6928: 6926: 6921: 6915: 6912: 6910: 6907: 6905: 6902: 6900: 6897: 6896: 6894: 6892: 6888: 6884: 6877: 6873: 6859: 6856: 6854: 6851: 6849: 6846: 6844: 6841: 6839: 6836: 6834: 6831: 6827: 6824: 6822: 6819: 6817: 6814: 6813: 6812: 6809: 6807: 6804: 6803: 6801: 6799: 6795: 6789: 6786: 6784: 6781: 6779: 6776: 6774: 6771: 6770: 6768: 6766: 6762: 6750: 6747: 6745: 6742: 6741: 6740: 6737: 6735: 6732: 6730: 6727: 6725: 6722: 6720: 6717: 6716: 6714: 6710: 6702: 6699: 6698: 6697: 6694: 6690: 6687: 6685: 6682: 6681: 6680: 6679:Social phobia 6677: 6675: 6672: 6670: 6667: 6665: 6662: 6661: 6659: 6657: 6653: 6650: 6648: 6644: 6637: 6634: 6633: 6631: 6629: 6625: 6621: 6617: 6614:-related and 6613: 6609: 6604: 6600: 6586: 6583: 6581: 6578: 6576: 6573: 6572: 6570: 6566: 6560: 6557: 6555: 6552: 6550: 6547: 6545: 6542: 6540: 6537: 6535: 6532: 6530: 6527: 6525: 6522: 6520: 6517: 6515: 6512: 6510: 6507: 6506: 6504: 6502: 6498: 6492: 6489: 6487: 6484: 6482: 6479: 6477: 6474: 6472: 6469: 6468: 6466: 6464: 6460: 6456: 6449: 6445: 6435: 6432: 6428: 6425: 6423: 6420: 6418: 6415: 6413: 6410: 6408: 6405: 6404: 6403: 6400: 6396: 6393: 6391: 6388: 6386: 6383: 6381: 6378: 6377: 6376: 6373: 6372: 6369: 6364: 6359: 6355: 6341: 6338: 6336: 6333: 6332: 6330: 6327: 6320: 6312: 6309: 6308: 6307: 6304: 6303: 6301: 6299: 6295: 6287: 6284: 6283: 6282: 6279: 6275: 6272: 6270: 6267: 6266: 6265: 6262: 6258: 6255: 6253: 6250: 6248: 6245: 6244: 6242: 6238: 6235: 6234: 6233: 6230: 6226: 6223: 6222: 6221: 6218: 6214: 6211: 6210: 6209: 6206: 6204: 6201: 6200: 6198: 6196: 6192: 6188: 6184: 6179: 6175: 6161: 6158: 6156: 6153: 6151: 6148: 6146: 6143: 6141: 6138: 6136: 6133: 6131: 6128: 6126: 6123: 6119: 6116: 6115: 6114: 6111: 6110: 6108: 6104: 6098: 6095: 6093: 6090: 6088: 6085: 6083: 6080: 6076: 6073: 6071: 6068: 6067: 6066: 6063: 6061: 6058: 6057: 6055: 6051: 6047: 6040: 6036: 6031: 6027: 6020: 6015: 6013: 6008: 6006: 6001: 6000: 5997: 5984: 5980: 5979: 5975: 5973: 5970: 5966: 5965: 5961: 5959: 5955: 5954: 5950: 5949: 5946: 5942: 5935: 5931: 5930: 5926: 5924: 5920: 5919: 5915: 5913: 5909: 5908: 5904: 5902: 5898: 5897: 5893: 5889: 5887: 5883: 5882: 5878: 5874: 5873: 5870: 5865: 5861: 5845: 5841: 5837: 5833: 5829: 5825: 5818: 5816: 5807: 5803: 5799: 5795: 5788: 5786: 5784: 5782: 5780: 5778: 5776: 5767: 5763: 5758: 5753: 5749: 5745: 5741: 5734: 5726: 5722: 5718: 5714: 5710: 5706: 5703:(3): 429–48. 5702: 5698: 5691: 5689: 5687: 5685: 5677: 5671: 5669: 5667: 5665: 5663: 5661: 5659: 5657: 5655: 5653: 5651: 5649: 5647: 5645: 5643: 5641: 5639: 5631: 5625: 5610: 5606: 5605: 5600: 5593: 5585: 5581: 5577: 5573: 5569: 5565: 5558: 5550: 5546: 5542: 5538: 5534: 5530: 5523: 5515: 5511: 5507: 5503: 5500:(7): 1052–8. 5499: 5495: 5488: 5480: 5476: 5472: 5468: 5464: 5460: 5453: 5445: 5441: 5436: 5431: 5427: 5423: 5419: 5412: 5404: 5400: 5396: 5392: 5389:(4): 371–82. 5388: 5384: 5377: 5369: 5365: 5361: 5357: 5353: 5349: 5346:(2): 179–85. 5345: 5341: 5334: 5326: 5322: 5317: 5312: 5308: 5304: 5300: 5293: 5285: 5281: 5276: 5271: 5267: 5263: 5259: 5255: 5248: 5240: 5236: 5229: 5221: 5217: 5213: 5209: 5206:(2): 156–64. 5205: 5201: 5194: 5186: 5182: 5178: 5174: 5170: 5166: 5163:(8): 647–54. 5162: 5158: 5151: 5149: 5140: 5136: 5132: 5128: 5124: 5120: 5113: 5105: 5101: 5094: 5086: 5082: 5078: 5072: 5064: 5060: 5055: 5050: 5046: 5042: 5038: 5031: 5023: 5019: 5014: 5009: 5004: 4999: 4995: 4991: 4987: 4983: 4979: 4972: 4964: 4960: 4955: 4950: 4946: 4942: 4938: 4931: 4923: 4919: 4914: 4909: 4905: 4901: 4896: 4891: 4887: 4883: 4879: 4872: 4864: 4860: 4856: 4852: 4848: 4844: 4840: 4833: 4825: 4821: 4817: 4813: 4809: 4805: 4801: 4797: 4793: 4786: 4778: 4774: 4770: 4766: 4762: 4758: 4754: 4750: 4746: 4739: 4731: 4727: 4723: 4719: 4715: 4711: 4707: 4700: 4692: 4688: 4684: 4680: 4676: 4672: 4669:(3): 318–35. 4668: 4664: 4657: 4649: 4645: 4640: 4635: 4631: 4627: 4623: 4619: 4615: 4608: 4600: 4596: 4591: 4586: 4582: 4578: 4574: 4570: 4563: 4555: 4551: 4547: 4543: 4539: 4535: 4528: 4520: 4516: 4511: 4506: 4503:(2): 237–51. 4502: 4498: 4494: 4487: 4478: 4473: 4469: 4465: 4461: 4454: 4446: 4442: 4438: 4434: 4430: 4426: 4421: 4416: 4412: 4408: 4401: 4399: 4397: 4388: 4384: 4380: 4376: 4371: 4366: 4362: 4358: 4351: 4343: 4339: 4335: 4331: 4327: 4323: 4316: 4308: 4304: 4300: 4296: 4292: 4288: 4281: 4273: 4269: 4264: 4259: 4256:(2): 255–65. 4255: 4251: 4247: 4240: 4232: 4228: 4224: 4220: 4215: 4210: 4206: 4202: 4198: 4191: 4183: 4179: 4175: 4171: 4168:(8): 1302–8. 4167: 4163: 4156: 4148: 4142: 4137: 4136: 4127: 4125: 4116: 4112: 4107: 4102: 4098: 4094: 4090: 4086: 4082: 4075: 4067: 4063: 4059: 4055: 4051: 4047: 4043: 4039: 4032: 4025: 4021: 4017: 4011: 4005: 3991:on 2023-10-15 3990: 3986: 3980: 3977:) ed.). 3976: 3972: 3971: 3963: 3957: 3949: 3945: 3940: 3935: 3931: 3927: 3924:(8): 577–90. 3923: 3919: 3915: 3908: 3900: 3896: 3892: 3888: 3884: 3880: 3873: 3867: 3859: 3853: 3849: 3842: 3834: 3830: 3826: 3822: 3818: 3814: 3807: 3799: 3795: 3791: 3787: 3783: 3779: 3775: 3771: 3764: 3748: 3744: 3737: 3729: 3723: 3719: 3712: 3704: 3700: 3696: 3692: 3688: 3684: 3680: 3676: 3669: 3661: 3657: 3653: 3649: 3645: 3641: 3634: 3626: 3622: 3616: 3612: 3611: 3603: 3595: 3591: 3587: 3583: 3579: 3575: 3568: 3560: 3556: 3551: 3546: 3542: 3538: 3534: 3530: 3526: 3519: 3513:. 6e. pg 344. 3512: 3509: 3503: 3495: 3491: 3486: 3481: 3478:(6): 509–14. 3477: 3473: 3469: 3462: 3454: 3448: 3444: 3437: 3429: 3425: 3421: 3415: 3411: 3404: 3396: 3392: 3387: 3382: 3377: 3372: 3368: 3364: 3363:Front Psychol 3360: 3353: 3345: 3341: 3337: 3333: 3329: 3322: 3314: 3310: 3306: 3302: 3299:(5): 307–20. 3298: 3294: 3286: 3278: 3274: 3270: 3266: 3262: 3258: 3251: 3243: 3239: 3234: 3229: 3225: 3221: 3217: 3210: 3202: 3198: 3193: 3188: 3184: 3180: 3176: 3172: 3168: 3161: 3153: 3149: 3144: 3139: 3135: 3131: 3128:(9): 836–42. 3127: 3123: 3119: 3112: 3104: 3100: 3095: 3090: 3086: 3082: 3079:(5): 648–56. 3078: 3074: 3070: 3063: 3055: 3051: 3047: 3043: 3040:(3): 248–56. 3039: 3035: 3028: 3020: 3014: 3010: 3006: 2999: 2991: 2987: 2982: 2977: 2973: 2969: 2965: 2958: 2942: 2938: 2932: 2924: 2920: 2916: 2912: 2908: 2904: 2900: 2893: 2885: 2881: 2877: 2873: 2869: 2865: 2862:(3): 249–61. 2861: 2857: 2850: 2840: 2836: 2831: 2830: 2827: 2823: 2819: 2815: 2811: 2807: 2803: 2799: 2792: 2784: 2780: 2776: 2772: 2768: 2764: 2760: 2756: 2749: 2741: 2737: 2733: 2729: 2725: 2721: 2714: 2706: 2702: 2698: 2694: 2690: 2686: 2679: 2671: 2667: 2663: 2659: 2655: 2651: 2647: 2643: 2636: 2627: 2619: 2615: 2611: 2607: 2603: 2599: 2595: 2587: 2579: 2575: 2571: 2567: 2563: 2559: 2556:(2): 123–31. 2555: 2551: 2544: 2536: 2532: 2527: 2522: 2518: 2514: 2511:(7): 419–29. 2510: 2506: 2502: 2495: 2487: 2483: 2479: 2475: 2471: 2467: 2463: 2459: 2452: 2444: 2440: 2436: 2432: 2425: 2423: 2414: 2408: 2404: 2397: 2395: 2393: 2376: 2372: 2368: 2362: 2354: 2350: 2349: 2344: 2338: 2330: 2326: 2322: 2318: 2314: 2307: 2299: 2295: 2291: 2287: 2281: 2279: 2270: 2266: 2261: 2256: 2252: 2248: 2244: 2237: 2229: 2225: 2221: 2217: 2213: 2209: 2202: 2194: 2190: 2186: 2182: 2179:(6): 668–75. 2178: 2174: 2170: 2163: 2155: 2151: 2147: 2143: 2140:(9): 875–81. 2139: 2135: 2128: 2117:September 13, 2109: 2105: 2098: 2092: 2085: 2081: 2078: 2072: 2064: 2060: 2056: 2052: 2048: 2044: 2037: 2035: 2026: 2022: 2017: 2012: 2007: 2002: 1998: 1994: 1990: 1983: 1981: 1971: 1963: 1959: 1955: 1951: 1947: 1943: 1939: 1932: 1924: 1920: 1916: 1912: 1908: 1904: 1897: 1895: 1886: 1882: 1877: 1872: 1868: 1864: 1860: 1856: 1852: 1845: 1843: 1834: 1830: 1826: 1822: 1818: 1814: 1810: 1806: 1799: 1797: 1795: 1793: 1784: 1780: 1776: 1772: 1768: 1764: 1757: 1755: 1746: 1740: 1736: 1732: 1731: 1723: 1721: 1719: 1717: 1715: 1713: 1711: 1709: 1700: 1696: 1691: 1686: 1682: 1678: 1674: 1667: 1665: 1663: 1661: 1659: 1657: 1655: 1653: 1651: 1649: 1647: 1645: 1643: 1641: 1632: 1628: 1623: 1618: 1614: 1610: 1607:(4): 406–14. 1606: 1602: 1598: 1591: 1589: 1587: 1585: 1568: 1564: 1560: 1554: 1552: 1550: 1548: 1546: 1544: 1542: 1540: 1538: 1536: 1534: 1532: 1530: 1528: 1519: 1515: 1510: 1505: 1501: 1497: 1493: 1489: 1485: 1478: 1476: 1471: 1461: 1458: 1456: 1453: 1451: 1448: 1446: 1443: 1441: 1438: 1437: 1431: 1427: 1423: 1421: 1416: 1411: 1407: 1405: 1400: 1396: 1391: 1386: 1382: 1380: 1369: 1366: 1361: 1359: 1355: 1351: 1347: 1342: 1340: 1336: 1332: 1328: 1317: 1315: 1311: 1307: 1303: 1295: 1291: 1271: 1268: 1265: 1262: 1260:United States 1259: 1258: 1254: 1251: 1248: 1245: 1242: 1241: 1237: 1234: 1231: 1228: 1225: 1224: 1220: 1217: 1214: 1211: 1208: 1207: 1203: 1200: 1197: 1194: 1192:United States 1191: 1190: 1183: 1180: 1177: 1176: 1172: 1169: 1166: 1162: 1159: 1156: 1155: 1151: 1149: 1146: 1143: 1140: 1139: 1135: 1132: 1129: 1126: 1124: 1121: 1120: 1116: 1114: 1111: 1108: 1106: 1103: 1102: 1095: 1092: 1089: 1088: 1085: 1083: 1079: 1075: 1071: 1066: 1026: 1017: 1015: 1004: 1003: 998: 988: 985: 981: 977: 973: 963: 959: 957: 953: 951: 945: 943: 939: 936: 932: 928: 924: 918:Psychotherapy 915: 907: 904: 903: 898: 888: 885: 884:perfectionism 880: 877: 866: 862: 858: 854: 852: 844: 836: 831: 829: 825: 820: 812: 809: 804: 802: 798: 787: 785: 781: 776: 773: 771: 766: 764: 758: 756: 752: 748: 743: 739: 734: 732: 728: 724: 709: 706: 704: 699: 696: 692: 687: 685: 681: 676: 674: 670: 666: 661: 659: 648: 646: 642: 638: 633: 630: 626: 622: 621:interoceptive 615:Interoceptive 612: 609: 603: 600: 597: 594: 592: 588: 584: 580: 577: 575: 571: 567: 564: 561: 558: 555: 552: 550: 546: 543: 540: 539: 538: 532: 529: 526: 522: 518: 514: 511: 509: 506: 504: 503:Peptic ulcers 501: 499: 496: 494: 490: 487: 485: 481: 478: 475: 474:Gastroparesis 472: 469: 465: 462: 458: 455: 452: 448: 445: 442: 438: 434: 431: 428: 426: 423: 421: 417: 413: 410: 407: 403: 399: 396: 393: 389: 386: 383: 379: 378: 377: 369: 361: 352: 350: 346: 342: 338: 333: 331: 327: 323: 317: 315: 311: 307: 303: 299: 295: 291: 287: 283: 279: 278:water fasting 275: 271: 266: 264: 260: 255: 251: 247: 243: 239: 230: 226: 222: 220: 216: 213: 209: 206: 204: 200: 197: 194: 190: 187: 183: 179: 175: 172: 170: 166: 162: 160: 156: 152: 149: 145: 142: 138: 134: 130: 126: 124: 123:Complications 120: 116: 112: 110: 106: 103: 99: 96: 94: 90: 86: 81: 77: 72: 68: 64: 59: 47: 35: 30: 21: 20: 7125:Folie Ă  deux 7050:Intoxication 7031:substances, 7029:Psychoactive 6948:Night terror 6903: 6765:Dissociative 6729:Panic attack 6281:Tic disorder 5976: 5962: 5951: 5927: 5916: 5905: 5890: 5875: 5827: 5823: 5797: 5793: 5750:(6): 447–8. 5747: 5743: 5733: 5700: 5696: 5675: 5629: 5624: 5613:. 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Index


acid erosion
Specialty
Psychiatry
clinical psychology
Symptoms
laxatives
Complications
depression
anxiety
substance use disorders
suicide
Genetic
Diagnostic method
Differential diagnosis
Anorexia
binge eating disorder
Kleine-Levin syndrome
borderline personality disorder
Cognitive behavioral therapy
Medication
Selective serotonin reuptake inhibitors
tricyclic antidepressant
Prognosis
eating disorder
binge eating
purging
vomiting
laxatives
diuretics

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