A look at the symptoms, diagnosis and treatment of bulimia nervosa.
Written in 2008; 2,040 words; 13 sources; APA; $ 64.95
Paper Summary:
This paper examines how the diagnosis of bulimia nervosa is made in people who are involved in recurrent binge-eating episodes and who have a morbid fear of becoming fat and try to get rid of the unwanted calories they voraciously ingest. It also discusses how bulimia has been observed to become more and more prevalent among young women, especially on college campuses, although clinically significant bulimia seems to be rare. The paper then looks at various methods of treatment.
"Desipramine is found to be more effective than placebo in reducing binge-eating and purging behavior, independent of depressive symptoms, in dosages ranging from 100 to 350 mg/day administered over 6-32 weeks. However, in 1 study, the majority of responders had relapsed at 6-month follow up. Although desipramine was better tolerated than imipramine, cardiovascular side effects were quite frequent. Desipramine seemed to be most effective at reducing core bulimic symptoms and associated affective symptoms when combined with psychotherapy. (Valbak, 2001) Amitriptyline was also evaluated in the treatment of bulimia nervosa at a dosage of 150 mg/day; the drug was not found to be superior to placebo. These results should be interpreted with caution, however, because the dose was low, the trial duration was only 8 weeks and behavioral therapy was performed concurrently. "
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