[Diagnostic criteria in bulimia: reassessment and proposals based on a series of 539 cases].
Bulimia nervosa is a recently identified psychiatric disorder. Several clinical definitions have been successively proposed, some of which contradictory. In a multicenter study (INSERM clinical research network), 539 consecutive outpatients with bulimic behaviors were evaluated in 18 treatment centers and classified according to several diagnostic reference systems. We tested the validity of diagnostic criteria proposed by the American Psychiatric Association for DSM-IV classification. Our data support inclusion of both purging and nonpurging subtypes for the diagnosis of bulimia nervosa. The newly defined syndrome "Binge Eating Disorder" should be retained, but its diagnostic criteria modified.
INSERM U 302, Hôpital de La Salpêtrière, Paris, France.
M F
MF
Flament
C
C
Payan
Y
Y
Simon
J L
JL
Venisse
D
D
Bailly
N
N
Franck
P
P
Jeammet
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000145:classification; D002032:Bulimia / Q000145:classification* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D010551:Personality