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Objective: Vomiting is a pernicious symptom of eating disorders. We explored the relation between the symptom of vomiting and features of eating disorder course and severity, personality traits, and Axis I and II cornorbidity in individuals with purging-type eating disorders. Method: The sample included participants from the multisite, international Price Foundation Genetic Studies, who had an eating disorder diagnosis (anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified) and had data available for the frequency of purging behaviors (n = 1,048). Axis I disorders, personality disorders, trait anxiety, perfectionism, and temperament and character dimensions were included as possible correlates. Results: The presence of vomiting was associated with less regular laxative use, lower self-directedness, organization, personal standards, and higher novelty seeking. Conclusion: Vomiting remains a prevalent and potentially destructive symptom of eating disorders, with significant dental and medical morbidity. Our findings suggest that certain clinical and personality variables distinguish individuals with purging-type eating disorders who vomit from those who do not, although there were no marked differences in Axis I or II comorbidity. Specifically targeting treatment to decrease duration of exposure to this dangerous symptom continues to be an important clinical objective.

Titel:	Relationships between features associated with vomiting in purging-type eating disorders
Autor/in / Beteiligte Person:	REBA, Lauren ; THORNTON, Laura ; KAPLAN, Allan S ; KEEL, Pamela ; LAVIA, Maria ; MITCHELL, James ; STROBER, Michael ; WOODSIDE, D. Blake ; ROTONDO, Alessandro ; BERRETTINI, Wade H ; KAYE, Walter H ; BULIK, Cynthia M ; TOZZI, Federica ; KLUMP, Kelly L ; BRANDT, Harry ; CRAWFORD, Steve ; CROW, Scott ; FICHTER, Manfred M ; HALMI, Katherine A ; JOHNSON, Craig
Link:	Volltext (PDF) View record from PASCAL Archive
Zeitschrift:	The International journal of eating disorders (Print), Jg. 38 (2005), Heft 4, S. 287-294
Veröffentlichung:	New York, NY: Wiley, 2005
Medientyp:	academicJournal
Umfang:	print, 40 ref
ISSN:	0276-3478 (print)
Schlagwort:	Endocrinology Endocrinologie Nutrition, obesity, metabolic disorders Nutrition, obésité, maladies métaboliques Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Psychopathologie. Psychiatrie Psychopathology. Psychiatry Etude clinique de l'adulte et de l'adolescent Adult and adolescent clinical studies Troubles du comportement alimentaire Eating behavior disorders Divers Miscellaneous Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry PSYCHOPATHOLOGIE. PSYCHIATRIE Appareil digestif pathologie Digestive diseases Aparato digestivo patología Association morbide Concomitant disease Asociación morbosa Etude comparative Comparative study Estudio comparativo Etude multicentrique Multicenter study Estudio multicéntrico Evolution Evolución Homme Human Hombre Indice gravité Severity score Indicio gravedad International Internacional Personnalité Personality Personalidad Prévalence Prevalence Prevalencia Purgatif Purgative Purgante Soustype Subtype Subtipo Symptomatologie Symptomatology Sintomatología Trouble comportement alimentaire Eating disorder Trastorno conducta alimentaria Trouble psychiatrique Mental disorder Trastorno psiquiátrico Utilisation Use Uso Vomissement Vomiting Vómito clinical variables personality variables purging-type eating disorders vomiting
Sonstiges:	Nachgewiesen in: PASCAL Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Psychiatry, University of North Carolina at Chapel Hill, North Carolina, United States ; Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, United States ; Department of Psychiatry, The Toronto Hospital, Toronto, Canada ; Department of Psychology, University of Iowa, Iowa City, Iowa, United States ; Department of Psychology, Michigan State University, East Lansing, Michigan, United States ; Neuropsychiatric Research Institute, Fargo, North Dakota, United States ; Neuropsychiatric Institute and Hospital, School of Medicine, University of California at Los Angeles, Los Angeles, California, United States ; Department of Psychiatry, Neurobiology, Biotechnologies, University of Pisa, Pisa, Italy ; Department of Psychiatry, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania, United States ; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, United States ; Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, United States ; Roseneck Hospital for Behavioral Medicine, affiliated with the University of Munich (LMU), Prien, Germany ; New York Presbyterian Hospital-westchester Division, Weill Medical College of Cornell University, White Plains, New York, United States ; Laureate Psychiatric Clinic and Hospital, Tulsa, Oklahoma, United States Rights: Copyright 2006 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS Notes: Psychopathology. Psychiatry. Clinical psychology ; FRANCIS

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Relationships between features associated with vomiting in purging-type eating disorders