Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 82
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Cucchi, A. Ryan, D. Konstantakopoulos, G. Stroumpa, S. Kaçar, A. Ş. Renshaw, S. Landau, S. and Kravariti, E. 2016. Lifetime prevalence of non-suicidal self-injury in patients with eating disorders: a systematic review and meta-analysis. Psychological Medicine, Vol. 46, Issue. 07, p. 1345.


    Lilenfeld, Lisa Rachelle Riso 2016. Bio-Psycho-Social Contributions to Understanding Eating Disorders.


    Manasse, Stephanie M. Espel, Hallie M. Schumacher, Leah M. Kerrigan, Stephanie G. Zhang, Fengqing Forman, Evan M. and Juarascio, Adrienne S. 2016. Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation. Appetite, Vol. 105, p. 172.


    Pearson, Carolyn M. Pisetsky, Emily M. Goldschmidt, Andrea B. Lavender, Jason M. Wonderlich, Stephen A. Crosby, Ross D. Engel, Scott G. Mitchell, James E. Crow, Scott J. and Peterson, Carol B. 2016. Personality psychopathology differentiates risky behaviors among women with bulimia nervosa. International Journal of Eating Disorders, Vol. 49, Issue. 7, p. 681.


    Asami, Tomokuni Yanase, Maya Nomura, Toshiaki and Okubo, Yoshiro 2015. Treatment for female patients with eating disorders in the largest medical prison in Japan. BioPsychoSocial Medicine, Vol. 9, Issue. 1,


    Buckholdt, Kelly E. Parra, Gilbert R. Anestis, Michael D. Lavender, Jason M. Jobe-Shields, Lisa E. Tull, Matthew T. and Gratz, Kim L. 2015. Emotion Regulation Difficulties and Maladaptive Behaviors: Examination of Deliberate Self-harm, Disordered Eating, and Substance Misuse in Two Samples. Cognitive Therapy and Research, Vol. 39, Issue. 2, p. 140.


    Islam, Mohammed A. Steiger, Howard Jimenez-Murcia, Susana Israel, Mimi Granero, Roser Agüera, Zaida Castro, Rita Sánchez, Isabel Riesco, Nadine Menchón, José M. and Fernández-Aranda, Fernando 2015. Non-suicidal Self-injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender. European Eating Disorders Review, Vol. 23, Issue. 6, p. 553.


    Martinez, Margaret A. and Craighead, Linda W. 2015. Toward Person(ality)-Centered Treatment: How Consideration of Personality and Individual Differences in Anorexia Nervosa May Improve Treatment Outcome. Clinical Psychology: Science and Practice, Vol. 22, Issue. 3, p. 296.


    Vaz-Leal, Francisco J. Ramos-Fuentes, María I. Rodríguez-Santos, Laura Flores-Mateos, Isabel S. Franco-Zambrano, Andrés Rojo-Moreno, Luis and Beato-Fernández, Luis 2015. Neurobiological and Clinical Variables Associated with Alcohol Abuse in Bulimia Nervosa. European Eating Disorders Review, Vol. 23, Issue. 3, p. 185.


    Asami, Tomokuni Okubo, Yoshiro Sekine, Mizuho and Nomura, Toshiaki 2014. Eating disorders among patients incarcerated only for repeated shoplifting: a retrospective quasi-case-control study in a medical prison in Japan. BMC Psychiatry, Vol. 14, Issue. 1,


    Wildes, Jennifer E. and Marcus, Marsha D. 2013. Alternative methods of classifying eating disorders: Models incorporating comorbid psychopathology and associated features. Clinical Psychology Review, Vol. 33, Issue. 3, p. 383.


    Kong, Seong Sook 2012. Factors associated with Multi-impulsivity in Women Patients with Eating Disorders. Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 21, Issue. 2, p. 137.


    Tseng, Mei-Chih Meg and Hu, Fu-Chang 2012. Latent class analysis of eating and impulsive behavioral symptoms in Taiwanese women with bulimia nervosa. Journal of Psychosomatic Research, Vol. 72, Issue. 1, p. 65.


    Ackard, Diann M. Cronemeyer, Catherine L. Franzen, Lisa M. Richter, Sara A. and Norstrom, Jane 2011. Number of Different Purging Behaviors Used Among Women With Eating Disorders: Psychological, Behavioral, Self-Efficacy and Quality of Life Outcomes. Eating Disorders, Vol. 19, Issue. 2, p. 156.


    Liang, Kuei-Yu and Meg Tseng, Mei-Chih 2011. Impulsive behaviors in female patients with eating disorders in a university hospital in northern Taiwan. Journal of the Formosan Medical Association, Vol. 110, Issue. 9, p. 607.


    Rühl, Ilka Legenbauer, Tanja and Hiller, Wolfgang 2011. The impact of exposure to images of ideally thin models in TV commercials on eating behavior: An experimental study with women diagnosed with bulimia nervosa. Body Image, Vol. 8, Issue. 4, p. 349.


    Tatham, Madeleine 2011. The role of imagery-based techniques in cognitive–behavioural therapy for adults with eating disorders. Clinical Psychology Review, Vol. 31, Issue. 7, p. 1101.


    Kröger, Christoph Schweiger, Ulrich Sipos, Valerija Kliem, Sören Arnold, Ruediger Schunert, Tanja and Reinecker, Hans 2010. Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments. An open trial with a 15-month follow-up. Journal of Behavior Therapy and Experimental Psychiatry, Vol. 41, Issue. 4, p. 381.


    Calero-Elvira, Ana Krug, Isabel Davis, Kimberley López, Carolina Fernández-Aranda, Fernando and Treasure, Janet 2009. Meta-analysis on drugs in people with eating disorders. European Eating Disorders Review, Vol. 17, Issue. 4, p. 243.


    Chen, Eunice Yu Brown, Milton Z. Harned, Melanie S. and Linehan, Marsha Marie 2009. A comparison of borderline personality disorder with and without eating disorders. Psychiatry Research, Vol. 170, Issue. 1, p. 86.


    ×

Course of multi-impulsive bulimia

  • M. M. Fichter (a1), N. Quadflieg (a1) and W. Rief (a1)
  • DOI: http://dx.doi.org/10.1017/S0033291700027744
  • Published online: 01 July 2009
Abstract
Synopsis

Thirty-two consecutively admitted females with bulimia nervosa (purging type) according to DSM-IV and additional impulsive behaviours (multi-impulsive bulimia (MIB)) and 32 age-matched female controls with DSM-IV bulimia nervosa (purging type) (uni-impulsive bulimia (UIB)) were assessed longitudinally on admission and at discharge following in-patient therapy and at a 2-year follow-up. Multi-impulsive bulimics were defined as presenting at least three of the six of the following impulsive behaviours in their life-time in addition to their bulimic symptoms at admission: (a) suicidal attempts, (b) severe autoaggression, (c) shop lifting (other than food), (d) alcohol abuse, (e) drug abuse, or (f) sexual promiscuity. Multi-impulsive bulimics were more frequently separated or divorced, had less schooling and held less-skilled jobs. Except for interoceptive awareness (EDI), which was more disturbed in multi-impulsive bulimics, there were no differences concerning scales measuring eating disturbances and related areas. Multi-impulsive bulimics showed more general psychopathology – anxiety, depression, anger and hostility, psychoticism – differed in several personality scales from uni-impulsive bulimics (e.g. increased excitability and anger/hostility) and had overall a less favourable course of illness. Multi-impulsive bulimics also received more in- and out-patient therapy previous to the index treatment and during the follow-up period. The data support the notion that ‘multi-impulsive bulimia’ or ‘multi-impulsive disorder’ should be classified as a distinct diagnostic group on axis I or that an ‘Impulsive Personality Disorder’ should be introduced on axis II. The development of more effective treatment for multi-impulsive bulimia is warranted.

Copyright
Corresponding author
1Address for correspondence: Professor M. M. Fichter, Department of Psychiatry, University of Munich, Nussbaumstrasse 7, 80336 München, Germany
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

A. T. Beck , C. H. Ward , M. Mendelson , J. Mock & J. Erbaugh (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561571.

J. Brisman & M. Segal (1984). Bulimia and alcoholism: two sides of the same coin? Journal of Substance Abuse Treatment 1, 113118.

R. C. Casper , E. D. Eckert , K. A. Halmi , S. C. Goldberg & J. M. Davis (1980). Bulimia. Its incidence and clinical importance in patients with anorexia nervosa. Archives of General Psychiatry 37, 10301035.

L. R. Derogatis , R. S. Liberman , K. Rickels , E. H. Uhlenhutz & L. Cori (1974). The Hopkins Symptom Checklist (HSCL). A self-report-symptom inventory. Behavioural Sciences 19, 14.

B. P. Dohrenwend , P. E. Shrout , G. Egri & F. S. Mendelsohn (1980). Nonspecific psychological distress and other dimensions of psychopathology. Archives of General Psychiatry 37, 11291236.

T. Fahy & I. Eisler (1993). Impulsivity and eating disorders. British Journal of Psychiatry 162, 193197.

M. M. Fichter , M. Elton , K. Engel , A. E. Meyer , H. Mall & F. Poustka (1991). Structured interview for Anorexia and Bulimia Nervosa (SIAB): development of a new instrument for the assessment of eating disorders. International Journal of Eating Disorders 10, 571592.

M. M. Fichter , N. Quadflieg & W. Rief (1992). The German longitudinal bulimia nervosa study 1. In the course of eating disorders: long-time follow-up studies of anorexia and bulimia nervosa (ed. W. Herzog , H. C. Deter and W. Vandereycken ), pp. 133149. Springer: Berlin.

A. J. Frances , T. A. Widiger & H. A. Pincus (1989). The development of DSM-IV. Archives of General Psychiatry 46, 373375.

P. E. Garfinkel , H. Moldofsky & D. M. Garner (1980). The heterogeneity of anorexia nervosa. Bulimia as a distinct subgroup. Archives of General Psychiatry 37, 10361040.

D. M. Garner , M. P. Olmstead & J. Polivy (1983). Development and validation of a multidimensional eating disorder inventory of anorexia nervosa and bulimia. International Journal of Eating Disorders 2, 1434.

C. Johnson , D. L. Tobin & A. Dennis (1990). Differences in treatment outcome between borderline and non-borderline bulimics at one-year follow-up. International Journal of Eating Disorders 9, 617627.

J. H. Lacey & E. Moureli (1986). Bulimic alcoholics: some features of a clinical sub-group. British Journal of Addiction 81, 389393.

J. H. Lacey & C. D. H. Evans (1986). The impulsivist: a multi-impulsive personality disorder. British Journal of Addiction 81, 641649.

J. H. Lacey (1990 b). Incest, incestuous fantasy and indecency. A clinical catchment area study of normal-weight bulimic women. British Journal of Psychiatry 157, 399403.

J. H. Lacey (1993). Self-damaging and addictive behaviour in bulimia nervosa. British Journal of Psychiatry 163, 190194.

A. P. Levine & S. E. Hyler (1986). DSM-III personality diagnosis in bulimia. Comprehensive Psychiatry 27, 4753.

G. Parker , H. Tulping & L. B. Brown (1979). A parental bonding instrument. British Journal of Medical Psychology 52, 110.

R. Peveler & C. Fairburn (1990). Eating disorders in women who abuse alcohol. British Journal of Addiction 85, 16331638.

M. P. P. Root (1989). Treatment failures: the role of sexual victimization in women's addictive behaviour. American Journal of Orthopsychiatry 59, 542549.

R. A. Sansone , M. A. Fine , S. Seuferer & J. Bovenzi (1989). The prevalence of borderline personality symptomatology among women with eating disorders. Journal of Clinical Psychology 45, 603610.

D. W. Scott (1983). Alcohol and food abuse: some comparisons. British Journal of Addiction 78, 339349.

S. Sohlberg , C. Norring , S. Holmgren & B. Rosmark (1989). Impulsivity and long-term prognosis of psychiatric patients with anorexia nervosa/bulimia nervosa. Journal of Nervous and Mental Disease 177, 249258.

M. Virkkunen , A. Nuttila , F. K. Goodwin & M. Linnoila (1987). Cerebrospinal fluid monoamine metabolite levels in male arsonists. Archives of General Psychiatry 44, 241–27.

M. Virkkunen , J. DeJong , J. Bartko & M. Linnoila (1989). Psychobiological concomitants of history of suicide attempts among violent offenders and impulsive fire setters. Archives of General Psychiatry 46, 604606.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×