Bulimia nervosa is defined in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association 2013) as a feeding and eating disorder characterized by episodes of binge eating that occur during a discrete period of time and are accompanied by a sense of lack of control. Behaviors to expel food eaten (e.g., self-induced vomiting, laxatives) and/or restrictive caloric intake behaviors typically follow binge eating episodes. Additionally, individuals engage in inappropriate behaviors to prevent weight gain, and self-evaluation is disproportionately influenced by body shape and weight. Individuals typically experience fear of gaining weight and a desire to lose weight, as is common in anorexia nervosa.
The disorder is classified with the Feeding and Eating Disorders in DSM-5.
Development and Course
The development of bulimia nervosa is common during adolescence and young adulthood and is...
References and Readings
- Wonderlich, S. A., Peterson, C. B., Crosby, R. D., Smith, T. L., Klein, M. H., Mitchell, J. E., & Crow, S. J. (2014). A randomized controlled comparison of integrative cognitive-affective therapy (ICAT) and enhanced cognitive-behavioral therapy (CBT-E) for bulimia nervosa. Psychological Medicine, 44(03), 543–553.PubMedCrossRefPubMedCentralGoogle Scholar