Bulimia nervosa: an ominous variant of anorexia nervosa

  title={Bulimia nervosa: an ominous variant of anorexia nervosa},
  author={Gerald Russell},
  journal={Psychological Medicine},
  pages={429 - 448}
  • G. Russell
  • Published 1 August 1979
  • Psychology, Medicine
  • Psychological Medicine
Synopsis Thirty patients were selected for a prospective study according to two criteria: (i) an irresistible urge to overeat (bulimia nervosa), followed by self-induced vomiting or purging; (ii) a morbid fear of becoming fat. The majority of the patients had a previous history of true or cryptic anorexia nervosa. Self-induced vomiting and purging are secondary devices used by the patients to counteract the effects of overeating and prevent a gain in weight. These devices are dangerous for they… 

Bulimia Nervosa/Purging Disorder.

Anorexia Nervosa and Bulimia: Biological, Psychological, and Sociocultural Aspects

Anorexia nervosa is an eating disorder characterized by severe weight loss from self-induced starvation and fear of fatness, with loss of menstrual periods in women or decreased sexual drive in men, and bulimia is its companion disorder.

Anorexia Nervosa and Bulimia

Treatment of Bulimia Nervosa

People with bulimia nervosa typically have a negative body image and feel that various parts of their body are too fat even if they are in the lower end of the normal weight range and believe they cannot eat normally without purging or they will inexorably and very rapidly become obese.

Self-induced vomiting and bulimia nervosa: an undetected problem.

The secrecy that surrounds bulimia nervosa is highlighted and it is suggested that it is an important undetected source of psychiatric morbidity.

Dermatologic signs in anorexia nervosa and bulimia nervosa.

The dermatologic changes in anorexia nervosa and bulimia nervosa may be the first signs to give the clinician a clue that an eating disorder is present, as many of these patients either deny their

Clinical guidelines for anorexia nervosa and bulimia nervosa

  • H. Steinhausen
  • Medicine, Psychology
    European Child & Adolescent Psychiatry
  • 2004
According to the diagnostic guidelines of the ICD-10 (10), all of the following are required for a definite diagnosis. (a) Body weight is maintained at least 15% below that expected (either lost or

Anorexia nervosa-like • some suggestIons

The apparently high incidence of ano­ rexia nervosa-like disorders raises issues relating to diagnosis and theory about anorexia nervosi itself, and points to the possible implication of socio­ cultural factors.

Anorexia nervosa and bulimia: a spectrum of eating disorders.

  • A. Andersen
  • Psychology, Medicine
    Journal of adolescent health care : official publication of the Society for Adolescent Medicine
  • 1983

The Current Treatment of Anorexia Nervosa

  • G. Russell
  • Psychology, Medicine
    British Journal of Psychiatry
  • 1981
Patients with anorexia nervosa may minimize their symptoms with the result that doctors often fail to appreciate the distress they experience, and it is desirable to improve methods of treatment and apply those currently available with the utmost skill.



‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa

Thirty-one females with primary anorexia nervosa were studied by means of a retrospective analysis of hospital notes, finding that ‘dieters’ were intense, introverted, socially withdrawn individuals whose anorexic behaviour had started in response to psychological stress, and ‘Vomiters and purgers’, more outgoing in respect to personality.

The present status of anorexia nervosa

  • G. Russell
  • Psychology, Medicine
    Psychological Medicine
  • 1977
Clinical observations supplemented by experimental studies confirm if any was needed that abnormal attitudes to eating and body size are responsible for the illness, and it is appropriate to refer in turn to studies that have concentrated on the psychological aspects of the illness and on its physical aspects.


Anorexia nervosa. A psychiatric investigation of 94 female patients.

  • S. Theander
  • Psychology, Medicine
    Acta psychiatrica Scandinavica. Supplementum
  • 1970
Find the secret to improve the quality of life by reading this anorexia nervosa a psychiatric investigation of 94 female patients acta psychiatrica scandinavica supplementum 214. This is a kind of

A Controlled Study of the EEG in Anorexia Nervosa

The nutritional disturbance in anorexia nervosa almost invariably leads to striking physiological changes, which include amenorrhoea, bradycardia, hypotension and relative hypothermia with reversal

Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year follow-up study of 41 patients

Among predictors of an unfavourable outcome were found a relatively late age of onset, a longer duration of illness, previous admissions to psychiatric hospitals, a disturbed relationship between the patient and other members of the family, and premorbid personality difficulties.

Effect of irritant purgatives on the myenteric plexus in man and the mouse.

The pathology of the plexus in a patient who had been taking purgatives for over 40 years will be described and also the effect on this structure of giving senna to mice and the mode of action of the drug was unknown.

An EEG Measure of the Effect of Mood Change on the Thiopentone Tolerance of Depressed Patients

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Cultural Expectations of Thinness in Women

This study attempts to document and quantify the shift toward a thinner ideal shape for females in the authors' culture over the last 20 years, including data from Playboy centerfolds and Miss America Pageant contestants and a significant increase in diet articles in six popular women's magazines.