TY - JOUR PY - 1994// TI - Dissociation, childhood trauma, and the response to fluoxetine in bulimic patients JO - International journal of eating disorders A1 - McCarthy, M. K. A1 - Goff, D. C. A1 - Baer, L. A1 - Cioffi, J. A1 - Herzog, D. B. SP - 219 EP - 226 VL - 15 IS - 3 N2 - Histories of childhood trauma have been reported previously in bulimic subjects but no study to date has assessed how these experiences may affect response to fluoxetine. Thirty outpatient subjects in a placebo-controlled trial of 60 mg of fluoxetine for the treatment of bulimia nervosa completed the Dissociative Experiences Scale and a self-report instrument assessing trauma. Response to treatment was measured with the Hamilton Depression Scale-17 (HAMD-17), the CGI, the PGI, and the change in number of binges per day. Subjects taking fluoxetine with histories of physical abuse showed a significantly greater drop in HAMD-17 scores than those without such histories. No relationship between a reported history of abuse and the response of binging to fluoxetine was found. A history of abuse does not appear to predict the response of binging to fluoxetine but may predict a greater response of nonspecific symptoms like depression.
Language: en
LA - en SN - 0276-3478 UR - http://dx.doi.org/ ID - ref1 ER -