The Psychobiology of Bulimia Nervosa

ISBN-13: 9783540186700 / Angielski / Miękka / 1988 / 181 str.

Karl M. Pirke; Walter Vandereycken; Detlev Ploog

Opis

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."

Spis treści

Opening Remarks.- Bulimia: Symptoms, Syndrome, and Predicament.- I. Nutrition and Behavior in Eating Disorders.- Serotonin Implicated in the Etiology of Seasonal Affective Disorder with Carbohydrate Craving.- Culturally Corralled into Food Abuse: The Eating Disorders as Physiologically Reinforced Excessive Appetites.- Restraint and Excess in Dieters and Bulimics.- Restricted Caloric Intake Causes Neuroendocrine Disturbances in Bulimia.- II. Metabolic and Endocrine Aspects of Eating Disorders.- Metabolic and Endocrine Factors in Regulation of Nutrient Balance.- Consequences of Dieting at Normal Weight: Implications for the Understanding and Treatment of Bulimia.- Evidence for Altered Serotonin Function in Bulimia and Anorexia Nervosa: Behavioral Implications.- Eating Disorders and Depression: Psychobiological Findings in Bulimia and Anorexia Nervosa.- Cranial Computed Tomography Findings in Patients with Eating Disorders.- III. Hunger and Satiety in Eating Disorders.- Regulation of Eating in Obesity and Bulimia Nervosa.- Cognitive and Metabolic Responses to Eating in Anorexia Nervosa and Bulimia.- IV. Treatment of Bulimia Nervosa.- The Uncertain Status of the Cognitive Approach to Bulimia Nervosa.- Cognitive-Behavioral Treatments of Bulimia Nervosa: The Role of Exposure.- The Anxiety Model of Bulimia Nervosa and Treatment with Exposure Plus Response Prevention.- Preliminary Results of a Comparison Treatment Trial of Bulimia Nervosa.- Body Image Disturbances in Eating Disorders from the Viewpoint of Experimental Research.- An Experimental Video-Confrontation Procedure as a Therapeutic Technique and a Research Tool in the Treatment of Eating Disorders.- Summary.- Research and Treatment in the Psychobiology of Bulimia Nervosa.