Citation

Wade TD. Psychiatr. Clin. North Am. 2019; 42(1): 21-32.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.psc.2018.10.002

PMID

30704637

Abstract

Estimates of lifetime bulimia nervosa (BN) range from 4% to 6.7% across studies. There has been a decrease in the presentation of BN in primary care but an increase in disordered eating not meeting full diagnostic criteria. Regardless of diagnostic status, disordered eating is associated with long-term significant impairment to both physical and mental quality of life, and BN is associated with a significantly higher likelihood of self-harm, suicide, and death. Assessment should adopt a motivationally enhancing stance given the high level of ambivalence associated with BN. Cognitive behavior therapy specific to eating disorders outperforms other active psychological comparisons.

Language: en

Keywords

Humans; Epidemiology; Suicide; Treatment; Assessment; Bulimia nervosa; Bulimia Nervosa; Clinical features; Cognitive Behavioral Therapy