Supported by PI060974 from Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica [I+D+I]; Fondo de Investigación Sanitaria; Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Spain; and European Social Fund.
Bulimia nervosa with history of anorexia nervosa: Could the clinical subtype of anorexia have implications for clinical status and treatment response?†
Article first published online: 8 FEB 2010
Copyright © 2010 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 44, Issue 3, pages 212–219, April 2011
How to Cite
Vaz-Leal, F. J., Santos, L. R., García-Herráiz, M. A., Monge-Bautista, M. and López-Vinuesa, B. (2011), Bulimia nervosa with history of anorexia nervosa: Could the clinical subtype of anorexia have implications for clinical status and treatment response?. Int. J. Eat. Disord., 44: 212–219. doi: 10.1002/eat.20805
- Issue published online: 8 FEB 2010
- Article first published online: 8 FEB 2010
- Manuscript Received: 19 DEC 2009
- bulimia nervosa;
- history of anorexia nervosa;
- response to treatment; outcome
To investigate whether the subtype of anorexia nervosa (AN) could influence the bulimic syndrome and treatment response in bulimia nervosa (BN) patients with a history of AN (BN/AN+).
Seventy female BN patients were assessed for eating disorder, psychopathology and personality, and treated for 6 months.
BN/AN+ patients retained some traits of their past condition: lower body weight, higher perfectionism, and higher reward dependence. They also had more severe symptoms, longer evolution time, and worse response to treatment. A history of restricting AN was associated to higher age, longer evolution time, higher impulsivity, and greater tendency to use diet pills and diuretics. A history of binge-purging AN was associated to more severe vomiting, lower body dissatisfaction and less depressive symptoms, as well as better outcome.
The influence of the AN subtype in BN/AN+ patients is worthy of further study as it might have clinical implications. © 2010 by Wiley Periodicals, Inc (Int J Eat Disord 2011; 44:212–219)