Psychological Characteristics of Bulimic Women with and without a History of Anorexia Nervosa.
- Author:
Jung Hyun LEE
1
;
Hye Hyeon JO
;
Mi Yeon SHIN
;
Joon Ki KIM
Author Information
1. Mind & Mind Eating Disorder Clinic, Seoul, Korea. miruda@hanmail.net
- Publication Type:Original Article
- Keywords:
Anorexia nervosa;
Bulimia nervosa;
Eating disorder inventory-2;
Transdiagnostic theory
- MeSH:
Anorexia;
Anorexia Nervosa;
Bulimia;
Bulimia Nervosa;
Depression;
Feeding and Eating Disorders;
Feeding Behavior;
Female;
Humans
- From:Journal of Korean Neuropsychiatric Association
2008;47(4):362-368
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This study compared cognitive-behavioral traits related to eating behaviors, obsessive-compulsive traits, and depression levels in bulimic subjects with and without a history of anorexia nervosa according to the perspective that there are common diagnostic transitions over time in subgroups of eating disorders (anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified). METHODS: We compared EDI-2, MOCI, and BDI scores between the bulimic group with a history of anorexia (n=98), the bulimic group without a history of anorexia (n=99), and the non-clinic group (n=100) by ANOVA. RESULTS: The bulimic group with a history of anorexia showed significantly higher scores on four of the EDI-2 subscales (Ineffectiveness, Interoceptive Awareness, Impulse Regulation and Social Insecurity) than the other two groups. They also indicated significantly higher scores on both the MOCI subscale 'rumination' and BDI than both the other groups. CONCLUSION: These findings suggest that it is important to consider a prior history of anorexia nervosa in order to understand symptom severity in patients with bulimia. Psychological variables such as ineffectiveness, impulse regulation, social insecurity, rumination, and depression are crucial to consider while treating bulimics with a history of anorexia.
