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Social adjustment over 10 years following diagnosis with bulimia nervosa
P K Keel1, J E Mitchell, K B Miller
1Department of Psychology, Harvard University, Cambridge, MA 02138, USA. pkeel@wjh.harvard.edu
Objective:
The authors sought to describe social adjustment among women diagnosed with bulimia nervosa more than a decade earlier.
Method:
A cohort of women who were diagnosed with bulimia nervosa between 1981 and 1987 were located and invited to participate in follow-up assessments.
Results:
Although the current sample demonstrated considerable improvement in disordered eating behaviors and social adjustment, measures of social adjustment suggested continued impairment in interpersonal relationships and only a modest association with eating disorder outcome.
Discussion:
Continued difficulties in social adjustment may reflect an underlying vulnerability from which disordered eating developed. Treatments for bulimia nervosa may benefit from including interpersonal skills training.