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Related Experiment Videos

State/trait distinctions in bulimic syndromes.

P M Lehoux1, H Steiger, S Jabalpurlawa

  • 1Eating Disorders Unit, Douglas Hospital, Montreal, (Verdun), Quebec, Canada.

The International Journal of Eating Disorders
|December 11, 1999
PubMed
Summary

Narcissism appears to be a stable trait in women with bulimic eating disorders, persisting even after symptom remission. Depression, anxiety, and suicidality, however, are state-dependent features that often resolve with treatment.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorder Research

Background:

  • Bulimic eating syndromes are complex, with debated etiological factors.
  • Understanding the interplay of personality traits and psychiatric symptoms is crucial for effective treatment.

Purpose of the Study:

  • To differentiate personality and psychiatric features between women with active bulimic symptoms, those in remission, and healthy controls.
  • To identify stable trait pathology versus state-dependent disturbances in bulimic syndromes.

Main Methods:

  • Discriminant function analyses were employed to identify distinguishing features.
  • Comparison groups included active bulimic symptoms (n=55), remission (n=18), and controls (n=31).

Main Results:

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  • Narcissism significantly differentiated clinical groups (active and remitted) from controls, suggesting a stable trait.
  • Depression, suicidality, and anxiety distinguished active bulimic symptoms from other groups, indicating state-dependent features.

Conclusions:

  • Narcissistic traits may be a core characteristic of bulimic syndromes, persisting post-remission.
  • Depression, anxiety, and suicidality appear to be transient symptoms that can resolve with treatment.
  • Findings have implications for understanding the etiology and treatment of bulimic eating disorders.