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Retrospective Correlates for Bulimia Nervosa: A Matched Case-Control Study
Sónia Gonçalves1, Barbara C Machado2, Carla Martins1
1Psychotherapy and Psychopathology Research Unit - CIPsi, School of Psychology, University of Minho, Braga, Portugal.
Summary
High maternal expectations and negative attitudes toward weight are key risk factors for bulimia nervosa (BN). These findings, consistent across cultures, highlight shared subjective experiences contributing to BN development.
Area of Science:
- Psychiatry
- Eating Disorders
- Clinical Psychology
Background:
- Bulimia nervosa (BN) risk factors are understudied, particularly outside Anglo-Saxon regions.
- Existing research presents inconsistent findings on contributing factors.
Purpose of the Study:
- To replicate known retrospective correlates of BN.
- To clarify the role of inconsistently reported risk factors for BN.
- To assess the cross-cultural validity of these risk factors.
Main Methods:
- Case-control study comparing 60 women with BN to 60 healthy controls and 60 with other psychiatric disorders.
- Utilized the Oxford Risk Factor Interview for retrospective assessment.
Main Results:
- BN participants reported higher maternal expectations and negative attitudes toward weight compared to healthy controls.
- Compared to other psychiatric groups, BN patients showed higher rates of childhood obesity, self-harm, family conflict, and feeling fat.
Conclusions:
- Common risk factors suggest shared subjective experiences contributing to BN development across cultures.
- Deliberate self-harm emerged as a notable distinguishing factor for BN.
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