title: [Clinical features and diagnostic criteria of bulimia nervosa].
abstract: Based on the results of the clinical follow-up study of 41 female patients, diagnostic criteria of bulimia nervosa that should be used in clinical studies are suggested as follows: (1) presence of anorexia nervosa or transitory amenorrhea in the premorbid period; (2) eating attacks with losing of the control over food consumption not less than twice a week during 3 months; (3) compensatory behavior in the form of spontaneous vomiting, abuse of purgative and diuretic medications etc; (4) fear of obesity; (5) cycloid affective changes with higher impulsivity, reduction of the control over primitive drives and/or expressed anxiety disorders; inclination to alcohol and drug abuse and nicotine dependence; (6) changes of the body mass index; (7) absence of amenorrhea. The disease dynamics is characterized by formation of the pathological cycle "diet--overeating--compensatory behavior" on the background of cyclothymic affective disorders. Two types of bulimia nervosa--with and without other drive disorders--have been singled out.
authors.forename: V V
authors.initials: VV
authors.lastname: Marilov
authors.forename: M B
authors.initials: MB
authors.lastname: Sologub
mesh_terms: D000293:Adolescent; D000328:Adult; D052018:Bulimia Nervosa / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D018450:Disease Progression; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012720:Severity of Illness Index