Purging behaviors, suicide attempts, and psychiatric symptoms in 398 eating disordered subjects
Article first published online: 6 DEC 1998
Copyright © 1996 John Wiley & Sons, Inc.
International Journal of Eating Disorders
Volume 20, Issue 1, pages 99–103, July 1996
How to Cite
Favaro, A. and Santonastaso, P. (1996), Purging behaviors, suicide attempts, and psychiatric symptoms in 398 eating disordered subjects. Int. J. Eat. Disord., 20: 99–103. doi: 10.1002/(SICI)1098-108X(199607)20:1<99::AID-EAT11>3.0.CO;2-E
- Issue published online: 6 DEC 1998
- Article first published online: 6 DEC 1998
- Manuscript Accepted: 25 AUG 1995
The present work investigates differences in psychiatric symptoms and self-injurious behaviors among different forms of purging behavior in eating disorders (ED). Method: The sample was composed of 398 subjects consecutively referred to an outpatient ED unit. Results: Both in anorexia nervosa (AN) and bulimia nervosa (BN), psychiatric symptoms were significantly more serious in purging compared to nonpurging groups, while no significant difference emerged among divergent forms of purging behaviors. The presence of multiple methods to control weight appeared to be a predictor of impulsive behaviors, as subjects who used both vomiting and laxatives reported significantly higher frequency of self-injurious behaviors. In BN, the self-injury was often a suicide attempt. Discussion: The impact of purging behavior on the prognosis of AN and BN should be further studied since our research has shown a trend towards more frequent self-damaging behaviors in subjects who resort to multiple forms of purging behavior. © 1996 by John Wiley & Sons, Inc.