title: Pre-menarchal bulimia nervosa.
abstract: Although pre-pubertal anorexia nervosa has been well described, pre-pubertal bulimic behaviour in the context of this disorder appears to be uncommon. There have been no published reports of pre-pubertal bulimia nervosa occurring independently. Of 323 patients with bulimia nervosa attending an eating disorders research clinic between 1980 and 1989, the authors identified six patients who described pre-menarchal binge eating in the absence of a concurrent history of anorexia nervosa or massive obesity. Three (0.93%) of these patients described a pre-menarchal onset of bulimia nervosa, but there was no evidence that they were pre-pubertal. The implications of these findings are discussed.
authors.affiliation: Department of Mental Health Sciences, St. George's Hospital Medical School, London, U.K.
authors.forename: A
authors.initials: A
authors.lastname: Kent
authors.forename: J H
authors.initials: JH
authors.lastname: Lacey
authors.forename: S E
authors.initials: SE
authors.lastname: McCluskey
mesh_terms: D000293:Adolescent; D000328:Adult; D002032:Bulimia / Q000175:diagnosis / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000150:complications / Q000523:psychology; D002675:Child, Preschool; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008572:Menarche / Q000523:psychology*; D010552:Personality Assessment; D010553:Personality Development