Elevated pre-morbid weights in bulimic individuals are usually surpassed post-morbidly: Implications for perpetuation of the disorder
Article first published online: 24 JAN 2012
Copyright © 2012 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 45, Issue 4, pages 512–523, May 2012
How to Cite
Shaw, J. A., Herzog, D. B., Clark, V. L., Berner, L. A., Eddy, K. T., Franko, D. L. and Lowe, M. R. (2012), Elevated pre-morbid weights in bulimic individuals are usually surpassed post-morbidly: Implications for perpetuation of the disorder. Int. J. Eat. Disord., 45: 512–523. doi: 10.1002/eat.20985
- Issue published online: 6 APR 2012
- Article first published online: 24 JAN 2012
- Manuscript Accepted: 15 NOV 2011
- National Institute of Mental Health. Grant Numbers: R34 MH 071691 (M.R.L.), 5R01 MH 38333 05 (D.B.H.)
- bulimia nervosa;
- weight gain;
- weight suppression
To determine how often patients diagnosed with bulimia nervosa (BN) surpass their highest pre-morbid weight during the course of their disorder.
The weight histories of individuals with BN were determined using retrospective weight data (Study 1) and combined retrospective/prospective data (Study 2).
Retrospective analyses indicated that 59.0% (n = 46) and 61.8% (n = 110), respectively, reported that their highest weight was reached after developing BN. In Study 2, 35.3% of participants superseded their highest pre-enrollment weights during 8 years of follow-up, and 71.6% reached a post-morbid highest weight before remission. Across studies, the primary difference between patients who did and did not reach their highest weight post-morbidly was that those who did had an earlier age of onset and longer duration of BN.
Findings are discussed in terms of possible links between BN and weight-gain proneness, weight fluctuation across the course of BN, and implications for treating BN. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)