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Childhood gastrointestinal complaints in women with bulimia nervosa
Kelly A Gendall1, Peter R Joyce, Frances A Carter
1Department of Psychological Medicine, Christchurch School of Medicine, University of Otago, Christchurch, New Zealand. kgendall@hotmail.com
Objective:
The current study describes childhood gastrointestinal (GI) complaints in adult women presenting for a treatment trial for bulimia nervosa (BN) and examines the correlates of BN symptomatology.
Method:
The sample comprised 135 women with BN who underwent an assessment including questions regarding childhood GI complaints. Individuals were grouped into one of three categories: no GI complaints, GI complaints with/without constipation (GI complaints), and constipation only. Eating disorder psychopathology was compared across these groups.
Results:
One third of participants reported GI complaints or constipation only in childhood. Women with GI complaints were younger, and had an earlier onset of BN and self-induced vomiting compared with women with no GI complaints. Trends existed for a younger age of first binge, and a higher frequency of binge eating in this group.
Discussion:
These findings suggest that individuals with childhood GI complaints and other risk factors for BN may be at greater risk of developing a more severe eating disorder at an earlier age.
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