Nonpurging bulimia: a distinct subtype of bulimia nervosa

Una D McCann, E. M. Rossiter, R. J. King, W. S. Agras

Research output: Contribution to journalArticle

Abstract

Bulimics whose primary method of purgation was self-induced vomiting (purgers) were compared to bulimics who did not purge (nonpurgers), using standardized diagnostic instruments. Differences in eating patterns, demographic characteristics, past and present DSM-III-R diagnoses, mood and personality traits were found. Purgers were younger, more likely to be single, and binged more frequently than nonpurgers. More purgers had Major Depression, Panic Disorder, or past Anorexia Nervosa than did nonpurgers. Purgers scored higher on the narcissistic, masochistic (self-defeating), and borderline scales of the Personality Disorders Examination. In contrast, nonpurgers were more likely to be overweight and have history of substance abuse than purgers. These findings support the view that nonpurging bulimics constitute a distinct clinical group, and suggest that differences between purging and nonpurging bulimics may reflect differences in core pathology.

Original languageEnglish (US)
Pages (from-to)679-687
Number of pages9
JournalInternational Journal of Eating Disorders
Volume10
Issue number6
StatePublished - 1991
Externally publishedYes

Fingerprint

purging (food)
substance abuse
binging
Bulimia Nervosa
Borderline Personality Disorder
Bulimia
anorexia nervosa
sociodemographic characteristics
Panic Disorder
Anorexia Nervosa
emotions
vomiting
eating habits
Diagnostic and Statistical Manual of Mental Disorders
Substance-Related Disorders
Vomiting
Personality
Eating
Demography
Depression

ASJC Scopus subject areas

  • Food Science
  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Psychology(all)
  • Clinical Psychology

Cite this

McCann, U. D., Rossiter, E. M., King, R. J., & Agras, W. S. (1991). Nonpurging bulimia: a distinct subtype of bulimia nervosa. International Journal of Eating Disorders, 10(6), 679-687.

Nonpurging bulimia : a distinct subtype of bulimia nervosa. / McCann, Una D; Rossiter, E. M.; King, R. J.; Agras, W. S.

In: International Journal of Eating Disorders, Vol. 10, No. 6, 1991, p. 679-687.

Research output: Contribution to journalArticle

McCann, UD, Rossiter, EM, King, RJ & Agras, WS 1991, 'Nonpurging bulimia: a distinct subtype of bulimia nervosa', International Journal of Eating Disorders, vol. 10, no. 6, pp. 679-687.
McCann, Una D ; Rossiter, E. M. ; King, R. J. ; Agras, W. S. / Nonpurging bulimia : a distinct subtype of bulimia nervosa. In: International Journal of Eating Disorders. 1991 ; Vol. 10, No. 6. pp. 679-687.
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