Abstract
The eating disorders, anorexia and bulimia nervosa, have been the focus of extensive research throughout the last 15 years. This chapter discusses issues related to diagnosis, prevalence, etiology, assessment, and treatment. The emphasis is on recent research advances. A final section pertaining to future directions describes new areas of research that are emerging in the 1990s.
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References
Agras, W. S., Dorian, B., Kirkley, B. G., Arnow, B., & Bachman, J. (1987). Imipramine in the treatment of bulimia: A double-blind controlled study. International Journal of Eating Disorders, 6, 29–38.
Agras, W. S., Schneider, J. A., Arnow, B., Raeburn, S. D., & Telch, C. F. (1989). Cognitive-behavioral and response-prevention treatments for bulimia nervosa. Journal of Consulting and Clinical Psychology, 57, 215–221.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Arkes, H. R. (1991). Costs and benefits of judgement errors: Implications for debiasing. Psychological Bulletin, 110, 486–498.
Askevold, F. (1975). Measuring body image. Psychotherapy and Psychosomatics, 26, 71–77.
Ben Tovim, D. I., Walker, M. K., Fok, D., & Yap, E. (1989). An adaptation of the Stroop test for measuring shape and food concerns in eating disorders: A quantitative measure of psychopathology? International Journal of Eating Disorders, 8, 686–687.
Brownell, K. D. (1991). Dieting and the search for the perfect body: Where physiology and culture collide. Behavior Therapy, 22, 1–12.
Bruch, H. (1985). Four decades of eating disorders. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of psychotherapy for anorexia and bulimia (pp. 7–18). New York: Guilford.
Butters, J. W., & Cash, T. F. (1987). Cognitive-behavioral treatment of women’s body image dissatisfaction. Journal of Consulting and Clinical Psychology, 55, 889–897.
Cash, T. F., & Green, G. K. (1986). Body weight and body image among college women: Perception, cognition, and affect. Journal of Personality Assessment, 50, 290–301.
Cash, T. F., Lewis, R. J., & Keeton, P. (1987, March). Development and validation of the Body-Image Automatic Thoughts Questionnaire: A measure of body related cognitions. Paper presented at the meeting of the Southeastern Psychological Association. Atlanta, GA.
Channon, S., Hemsley, D., & DeSilva, P. (1988). Selective processing of food words in anorexia nervosa. British Journal of Clinical Psychology, 27, 259–260.
Cooper, Z., & Fairburn, C. G. (1987). The Eating Disorder Examination: A semi-structured interview of the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders, 6, 1–8.
Craighead, L. W., & Agras, W. S. (1991). Mechanisms of action in cognitive-behavioral and pharmacological interventions for obesity and bulimia nervosa. Journal of Consulting and Clinical Psychology, 59, 115–125.
Dritschel, B. H., Williams, K., & Cooper, P. J. (1991). Cognitive distortions amongst women experiencing bulimic episodes. International Journal of Eating Disorders, 10, 547–555.
Fairburn, C. G., Kirk, J., O’Connor, M., & Cooper, P. J. (1986). A comparison of two psychological treatments for bulimia nervosa. Behaviour Research and Therapy, 24, 629–643.
Fava, M., Copeland, P. M., Schweiger, U., & Herzog, D. B. (1989). Neurochemical abnormalities of anorexia and bulimia nervosa. American Journal of Psychiatry, 146, 963–971.
Freeman, C.P.L., Barry, F., Dunkeid-Turnbull, J., & Henderson, A. (1988). Controlled trial of psychotherapy for bulimia nervosa. British Medical Journal, 296, 521–525.
Garfinkel, P. E., & Kaplan, A. S. (1985). Starvation based perpetuating mechanisms in anorexia nervosa and bulimia. International Journal of Eating Disorders, 4, 651–665.
Garner, D. M., & Bemis, K. M. (1982). A cognitive-behavioral approach to anorexia nervosa. Cognitive Therapy and Research, 6, 123–150.
Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 272–279.
Garner, D. M., & Olmstead, M. P. (1984). Manual for the Eating Attitudes Test (EDI). Odessa, FL: Psychological Assessment Resources.
Geracioti, T. D., & Iiddle, R. A. (1988). Impaired cholecystokinin secretion in bulimia nervosa. New England Journal of Medicine, 319, 683–688.
Goodsitt, A. (1985). Self psychology and the treatment of anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of psychotherapy for anorexia and bulimia (pp. 307–330). New York: Guilford.
Gull, W. W. (1874). Anorexia nervosa. Transactions of the Clinical Society of London, 7, 22–28.
Haaga, D. F., Dyck, M. J., & Ernst, D. (1991). Empirical status of cognitive theory of depression. Psychological Bulletin, 110, 215–236.
Halmi, K. A., Eckert, E., LaDu, T J., & Cohen, J. (1986). Anorexia nervosa: Treatment efficacy of cyproheptadine and amitriptyline. Archives of General Psychiatry, 43, 177–181.
Head, S. B., & Williamson, D. A. (1990). Association of family environment and personality disturbances in bulimia nervosa. International Journal of Eating Disorders, 9, 667–674.
Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110, 86–108.
Herholz, K., & Emrich, H. M. (1987). Regional cerebral glucose metabolism in anorexia nervosa measured by positron emission tomography. Biological Psychiatry, 22, 43–51.
Hinz, L D., & Williamson, D. A. (1987). Bulimia and depression: A review of the affective variant hypothesis. Psychological Bulletin, 102, 150–158.
Home, R. L., Ferguson, J. M., Pope, H. G., Hudson, J. I., Iineberry, C. G., Ascher, J., & Cato, A. (1988). Treatment of bulimia with bupropion: A multicenter controlled trial. Journal of Clinical Psychiatry, 49, 262–266.
Hsu, L.K.G., & Sobkiewicz, T. A. (1989). Body image disturbance: Time to abandon the concept for eating disorders. International Journal of Eating Disorders, 10, 15–30.
Hudson, J. I., Pope, H. G., Yurgelun-Todd, D., Jonas, J. M., & Frankenburg, F. R. (1987). A controlled study of lifetime prevalence of affective and other psychiatric disorders in bulimic outpatients. American Journal of Psychiatry, 144, 1283–1287.
Hughes, P. L., Wells, L A., Cunningham, C. J., & Ilstrup, D. M. (1986). Treating bulimia with desipramine. A double-blind, placebo controlled study. Archives of General Psychiatry, 43, 182–186.
Humphrey, L L (1988). Relationships within subtypes of anorexics, bulimics, and normal families. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 544–551.
Jones, D. J., Fox, M. M., Babigian, H. M., & Hutton, H. E. (1980). Epidemiology of anorexia nervosa in Monroe County, new York: 1960-1976. Psychosomatic Medicine, 42, 551–558.
Kaye, W. H., Ebert, M. H., Gwirtsman, H. E. (1984). Differences in brain serotonergic metabolism between nonbulimic and bulimic patients with anorexia nervosa. American Journal of Psychiatry, 141, 1598–1601.
Kendler, K. S., MacLean, C., Neale, M., Kessler, R., Heath, A., & Eaves, L. (1991). The genetic epidemiology of bulimia nervosa. A merican Journal of Psychiatry, 148, 1627–1637.
Kennedy, S. H., & Garfinkel, P. E. (1989). Patients admitted to a hospital with anorexia nervosa and bulimia nervosa: Psychopathology, weight gain, and attitudes toward treatment. International Journal of Eating Disorders, 8, 181–190.
Kirkley, B. G., Schneider, J. A., Agras, W. S., & Bachman, J. A. (1985). Comparison of two group treatments for bulimia. Journal of Consulting and Clinical, 53, 43–48.
Lacey, H. (1983). Bulimia nervosa, binge eating, and psychogenic vomiting: A controlled treatment study and long-term outcome. British Medical Journal, 286, 1609–1613.
Lee, N. F., & Rush, A. J. (1986). Cognitive-behavioral group therapy for bulimia. International Journal of Eating Disorders, 5, 599–615.
Leitenberg, H., Rosen, J. C., Gross, J., Nudelman, S., & Vara, L. S. (1988). Exposure plus response prevention treatment of bulimia nervosa. Journal of Consulting and Clinical Psychology, 56, 535–541.
Lerner, H. D. (1983). Contemporary psychoanalytic perspectives on gorge-vomiting: A case illustration. International Journal of Eating Disorders, 3, 47–63.
McKenzie, S. J., Williamson, D. A., & Cubic, B. A. (1993). Stable and reactive body image disturbances in bulimia nervosa. Behavior Therapy, 24, 195–207.
McNally, R. J. (1990). Psychological approaches to panic disorder: A review. Psychological Bulletin, 108, 403–419.
Mitchell, J. E., Pyle, R. L., Eckert, E. D., Hatsukami, D., Pomeroy, G., & Zimmerman, R. (1990). A comparison study of antidepressants and structured intensive group psychotherapy in the treatment of bulimia nervosa. Archives of General Psychiatry, 47, 149–157.
Palmer, R., Christie, M., Cordle, C., Davis, D., & Kendrick, J. (1987). The Clinical Eating Disorder Rating Instrument (CEDRI): A preliminary description. International Journal of Eating Disorders, 6, 9–16.
Piran, N., Lerner, P., Garfinkel, P. E., Kennedy, S. H., & Brouillete, C. (1988). Personality disorders in anorexic patients. International Journal of Eating Disorders, 7, 589–599.
Pope, H. G., Hudson, J. T., Jonas, J. M., & Yurgelun-Todd, D. (1983). Bulimia treated with imipramine: A double-blind placebo-controlled trial. American Journal of Psychiatry, 140, 554–558.
Pyle, R. L., Mitchell, J. E., Eckert, E. D., Hatsukami, D., Pomeroy, G., & Zimmerman, R. (1990). Maintenance treatment and 6-month outcome for bulimic patients who respond to initial treatment. American Journal of Psychiatry, 147, 871–875.
Rand, C.S.W., & Kuldau, J. M. (1992). Epidemiology of bulimia and symptoms in a general population: Sex, age, race, and socioeconomic status. International Journal of Eating Disorders, 11, 37–44.
Rosen, J. G (1987). A review of behavioral treatment for bulimia nervosa. Behavior Modification, 11, 464–486.
Rosen, J. C. (1992). Body image disorder: Definition, development, and contribution to eating disorders. In J. H. Crowther, S. E. Hobfoll, M.A.P. Stephens, & D. L. Tennenbaum (Eds.), The etiology of bulimia: The individual and family context Washington, DC: Hemisphere.
Rosen, J. G., & Leitenberg, H. (1982). Bulimia nervosa: Treatment with exposure and response prevention. Behavior Therapy, 13, 117–124.
Ruff, G., & Barrios, B. (1986). Realistic assessment of body image. Behavioral Assessment, 8, 237–251.
Schlundt, D. G., & Johnson, W G. (1990). Eating disorders: Assessment and treatment. Needham Heights, MA: Allyn & Bacon.
Schotte, D. E., McNally, R. J., & Turner, M. L. (1990). A dichotic listening analysis of body weight concerns in bulimia nervosa. International Journal of Eating Disorders, 9, 109–113.
Scott, D. W. (1986). Anorexia nervosa: A review of possible genetic factors. International Journal of Eating Disorders, 5, 1–20.
Slade, P. (1982). Toward a functional analysis of anorexia nervosa. British Journal of Clinical Psychology, 21, 167–179.
Slade, P. (1985). A review of body image studies in anorexia and bulimia nervosa. Journal of Psychiatric Research, 19, 255–265.
Smith, M. G., & Thelen, M. H. (1984). Development and validation of a test for bulimia. Journal of Consulting and Clinical Psychology, 52, 863–872.
Steere, J., Butler, G., & Cooper, P. J. (1990). The anxiety symptoms of bulimia nervosa: A comparative study. International Journal of Eating Disorders, 9, 293–301.
Strauss, J., & Ryan, R. M. (1987). Autonomy disturbances in subtypes of anorexia nervosa. Journal of Abnormal Psychology, 96, 254–258.
Teusch, R. (1988). Level of ego development and bulimic’s conceptualization of their disorder. International Journal of Eating Disorders, 7, 115–119.
Thelen, M. H., Farmer, J., Wonderlich, S., & Smith, M. (1991). A revision of the Bulimia Test: The BULIT-R. Psychological Assessment, 3, 119–124.
Thompson, J. K. (1992). Body image: Extent of disturbance, associated features, theoretical models, assessment methodologies, intervention strategies, and a proposal for a new DSM-IV diagnostic category-body image disorder. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (pp. 3–54). Sycamore, IL: Sycamore.
Touyz, S. W., Beumont, P.J.V., Collins, J. K., McCabe, M. P., & Jupp, J. J. (1984). Body shape perception and its disturbance in anorexia nervosa. British Journal of Psychiatry, 144, 167–171.
Vitousek, K. B., & Hollon, S. D. (1990). The investigation of schematic content and processing in eating disorders. Cognitive Therapy and Research, 14, 191–214.
Walsh, B. T. (1991). Psychopharmacologic treatment of bulimia nervosa. Journal of Clinical Psychiatry, 52, 34–38.
Walsh, B. T., Gladis, M., Roose, S. P., Stewart, J. W., Stetner, F., & Glassman, A. H. (1988). Phenelzine vs. placebo in 50 patients with bulimia. Archives of General Psychiatry, 45, 471–475.
Walsh, B. T., Stewart, J. W., Roose, S. P., Gladis, M., & Glassman, A. H. (1984). Treatment of bulimia with phenelzine: A double-blind, placebo controlled study. Archives of General Psychiatry, 41, 1105–1109.
Williamson, D. A. (1990). Assessment of eating disorders: Obesity, anorexia, and bulimia nervosa. New York: Pergamon.
Williamson, D. A., Barker, S. E., & Norris, L. E. (1993). Etiology and management of eating disorders. In P. B. Sutker & H. E. Adams (Eds.), Comprehensive handbook of psychopathology (2nd ed.). New York: Plenum Press.
Williamson, D. A., Davis, C. J., Bennett, S. M., Goreczny, A. J., & Gleaves, D. H. (1989a). Development of a simple procedure for assessing body image disturbances. Behavioral Assessment, 11, 433–446.
Williamson, D. A., Davis, C. J., Norris, L., & Van Buren, D. J. (1990, November). Development of reliability and validity for a new structured interview for diagnosis of eating disorders. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, San Francisco, CA.
Williamson, D. A., Gleaves, D. H., & Lawson, O. J. (1991). Biased perception of overeating in bulimia nervosa and compulsive binge eating. Journal of Psychopathology and Behavioral Assessment, 13, 257–268.
Williamson, D. A., Gleaves, D. H., & Savin, S. S. (1992). Empirical classification of eating disorder not otherwise specified: Support for DSM-IV changes. Journal of Psychopathology and Behavioral Assessment, 14, 201–216.
Williamson, D. A., Prather, R. C., Bennett, S. ML., Davis, C. J., Watkins, P. C., & Grenier, C. E. (1989b). An uncontrolled evaluation of inpatient and outpatient cognitive-behavior therapy for bulimia nervosa. Behavior Modification, 13, 340–360.
Williamson, D. A., Prather, R. C., Goreczny, A. J., Davis, C. J., & McKenzie, S. J. (1989c). A comprehensive model of bulimia nervosa: Empirical evaluation. In W. G. Johnson (Ed.), Advances in eating disorders (pp. 137–156). Greenwich, CT: JAI Press.
Williamson, D. A., Prather, R. C., Upton, L., Davis, C. J., Ruggiero, L., & Van Buren D. (1987). Severity of bulimia: Relationship with depression and other psychopathology. International Journal of Eating Disorders, 6, 39–47.
Wilson, G. T., Rossiter, E., Kleifield, E. I., & Lindholm, L. (1986). Cognitive-behavioral treatment of bulimia nervosa: A controlled evaluation. Behaviour Research and Therapy, 24, 277–288.
Wilson, G. T., & Walsh, B. T. (1991). Eating disorders in the DSM-IV. Journal of Abnormal Psychology, 100, 362–365.
Wolchik, S. A., Weiss, L., & Katzman, M. A. (1986). An empirically validated, short-term psychoeducational group treatment for bulimia. International Journal of Eating Disorders, 5, 21–34.
Wolf, E. M., & Crowther, J. H. (1992). An evaluation of behavioral and cognitive—behavioral group interventions for the treatment of bulimia nervosa in women. International Journal of Eating Disorders, 11, 3–15.
Yates, A. (1989). Current perspectives on the eating disorders: I. History, psychological, and biological aspects. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 813–828.
Yates, A. (1990). Current perspectives on the eating disorders: II. Treatment, outcome and research directions. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 1–9.
Yates, A. J., & Sambrillo, F. (1984). Bulimia nervosa: A descriptive and therapeutic study. Behaviour Research and Therapy, 22, 503–517.
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Williamson, D.A., Sebastian, S.B., Varnado, P.J. (1995). Anorexia and Bulimia Nervosa. In: Goreczny, A.J. (eds) Handbook of Health and Rehabilitation Psychology. Springer Series in Rehabilitation and Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1028-8_9
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