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The Psychobiology of Bulimia Nervosa

  • Karl Martin Pirke
  • Walter Vandereycken
  • Detlev Ploog

Table of contents

  1. Front Matter
    Pages I-VIII
  2. Opening Remarks

    1. D. Ploog
      Pages 1-1
  3. Bulimia: Symptoms, Syndrome, and Predicament

  4. Nutrition and Behavior in Eating Disorders

    1. Front Matter
      Pages 11-11
    2. C. P. Herman, J. Polivy
      Pages 33-41
    3. M. M. Fichter, K. M. Pirke, J. Pöllinger, G. Wolfram, E. Brunner
      Pages 42-56
  5. Metabolic and Endocrine Aspects of Eating Disorders

  6. Hunger and Satiety in Eating Disorders

    1. Front Matter
      Pages 107-107
    2. V. Pudel, T. Paul, N. Maus
      Pages 109-119
  7. Treatment of Bulimia Nervosa

  8. Summary

    1. K. M. Pirke, W. Vandereycken
      Pages 179-181
  9. Back Matter
    Pages 183-184

About these proceedings

Introduction

Research and Treatment in the Psychobiology of Bulimia Nervosa 1 2 K. M. Pirke and W. Vandereycken When we were preparing this book, the main purpose was to gather the latest in­ sights from both basic and clinical research in bulimic disorders. The burgeoning scientific interest in eating disorders forced us to restrict the focus in such a way that attention was only paid to psychobiological aspects of (disturbed) nutrition and be­ havior. This implied that other important aspects, like sociocultural and familial fac­ tors, had to be excluded. But it turned out that even with such a restricted scope the subject was not an easy one. A review of the contributions to this volume clearly shows that our present understanding of bulimia nervosa is still very small. Reviewing the hypothalamic and especially neuroendocrine regulation of nutrient balance, Bray has emphasized the importance of the autonomic nervous system in regulating food intake and energy expenditure. The role of insulin, adrenal steroids, gonadal steroids, and growth hormone in modulating nutrient intake and storage were discussed. The studies by Jimerson et aI. , Schweiger et aI. , and Fichter et al. show that all these factors are altered in bulimic patients, indicating that the whole system of regulating food intake and storage is severely disturbed in bulimia nervosa. Evidence has been presented that neurotransmitter alterations may occur in bulimia: Jimerson et al.

Keywords

Anorexia nervosa Bulimia nervosa Syndrom depression etiology pathophysiology

Editors and affiliations

  • Karl Martin Pirke
    • 1
  • Walter Vandereycken
    • 2
  • Detlev Ploog
    • 1
  1. 1.Max-Planck-Institut für PsychiatrieMünchen 40Germany
  2. 2.University Psychiatric CenterKortenbergBelgium

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-73267-6
  • Copyright Information Springer-Verlag Berlin Heidelberg 1988
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-18670-0
  • Online ISBN 978-3-642-73267-6
  • Buy this book on publisher's site