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Eating disorders in general practice.

M B King

    British Medical Journal (Clinical Research Ed.)
    |November 29, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Bulimia nervosa and related eating disorders affect 4% of women in South London general practices. These patients often exhibit psychological distress, weight fluctuations, and family psychopathology.

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    Area of Science:

    • Psychiatry
    • General Practice
    • Eating Disorders

    Background:

    • Eating disorders are a significant public health concern.
    • Prevalence and characteristics of eating disorders in primary care settings require further investigation.

    Purpose of the Study:

    • To determine the prevalence of bulimia nervosa and partial syndrome eating disorders in a South London general practice population.
    • To analyze the behavioral and psychological indicators associated with these eating disorders.

    Main Methods:

    • Screening of 748 patients from four South London group practices using the Eating Attitudes Test.
    • Analysis of eating behaviors, weight control, and psychiatric indicators.

    Main Results:

    • 1% of women screened had bulimia nervosa; an additional 3% had a partial syndrome eating disorder.

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  • Patients with bulimia nervosa and partial syndromes shared similarities, including being predominantly female, middle-to-upper class, normal weight with past fluctuations, and experiencing menstrual irregularities.
  • Psychological distress and family psychopathology were common in affected individuals.

    • Conclusions:

    • Bulimia nervosa and partial syndrome eating disorders are present in primary care populations.
    • These disorders share common demographic and clinical features, suggesting a spectrum of illness.
    • Identifying these patients in general practice is crucial for timely intervention.