J Clin Psychol. 1985 Mar;41(2):173-80.
A pilot comparison of purging and non-purging bulimics.
Grace PS, Jacobson RS, Fullager CJ.
This study compared (1) purging bulimics (those who terminate binging with self-induced vomiting and/or excessive use of laxatives), N = 26; (2) non-purging bulimics, N = 24; and (3) control subjects (in whom no eating problems were apparent), N = 24. These groups were examined empirically on several personality and demographic variables. Additionally, procedures were taken to control for the effects that being overweight may have had on the personality characteristics, which surprisingly has not been undertaken in previous research on bulimia. The comparison of the bulimics (purging and non-purging bulimics grouped together) with the controls empirically confirmed former clinical observations that have linked bulimics with low self-esteem, high anxiety, external locus of control, and a high incidence of maternal and family obesity. With regard to the comparison between the purging and non-purging bulimics, no significant differences between them appeared on any of the dimensions examined here.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3856573&dopt=Abstract constipation laxative
South Med J. 1985 Apr;78(4):403-5.
Medical consequences of eating disorders.
While much has appeared in the recent literature about various psychotherapeutic techniques used to treat eating disorders, little attention has been paid to the medical complications. Prominent among these are heart damage, failure of the endocrine system, infarction and perforation of the stomach after acute dilatation, multiple suicide attempts, aspiration, injury or rupture of the esophagus, severe bleeding per rectum causing anemia due to laxative abuse, hypokalemic nephropathy, depressive disorders due to starvation, and severe erosion of the enamel of the teeth resulting in extensive loss of teeth. I decry the sudden trend of nonmedically trained personnel rushing into the treatment of eating disorders, particularly anorexia nervosa and bulimia, because they know little about the possibly fatal consequences of their failure to attend to some of these medical phenomena. I also note with grave concern the identification of the medical profession with the "thin is better" mentality of our culture, which blinds them to the serious medical consequences of eating disorders.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3856952&dopt=Abstract constipation laxative
Hum Nutr Appl Nutr. 1985 Feb;39(1):36-42.
Does laxative abuse control body weight? A comparative study of purging and vomiting bulimics.
Lacey JH, Gibson E.
This study examines the daily food intake and eating habits of 30 bulimia nervosa patients of normal weight; 20 vomited daily and 10 purged daily. The aim was to measure and compare food intakes and to examine the belief that laxative abuse is an effective means of controlling body weight. The results indicate that the purgers control their weight by overall dietary restraint, not by the pharmacological action of the laxatives. The purgers' eating patterns were bulimic, but not gross: mean daily energy intake being in a normal range (2210 +/- 210 kcal/day). Binge-eating by the vomiters was of a different order: mean energy intake was very large (6025 kcal/day), nearly three times that recommended and significantly greater (P less than 0.01) than that eaten by the purgers. There was major daily variation (s.d. = 3605) and, on occasions, huge amounts were recorded, up to 30 000 kcal in a day. Despite this, vomiting was highly effective in preventing weight gain, the mean weights of the vomiters being similar (mean = 98 per cent) to their matched population mean weight (MPMW). In contrast, purging was relatively ineffective, for despite smaller energy intakes, all the purgers were above (mean = 114 per cent)--and some markedly above--their MPMW. This difference between the two groups was significant (P less than 0.01). Reasons for persisting with laxative abuse are discussed.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3860494&dopt=Abstract constipation laxative
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