The Psychobiology of Bulimia Nervosa

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2 K. M. Pirke W. Vandereycken D. Ploog (Eds. ) The Psychobiology of Bulimia Nervosa With 31 Figures and 19 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo

3 Privatdozent Dr. KARL MARTIN PIRKE Max-Planck-Institut flir Psychiatrie, Kraepelinstr.10, D-8000 Munchen 40, FRG Dr. WALTER VANDEREYCKEN University Psychiatric Center, Leuvensesteenweg 517, B-3070 Kortenberg, Belgium Professor Dr. DETLEV PLOOG Max-Planck-Institut flir Psychiatrie, Kraepelinstr.10, D-8000 Munchen 40, FRG ISBN-13: DOl: / e-isbn-13: Library of Congress Cataloging-in-Publication Data. The Psychobiology of bulimia nervosa. Includes bibliographies. 1. Bulimia - Physiological aspects. 2. Anorexia nervosa - Physiological aspects. 3. Psychobiology. I. Pirke, K.M. (Karl Martin), II. Vandereycken, Walter, III. Ploog, Detlev, [DNLM: 1. Appetite Disorders - physiopathology. 2. Bulimia - psychology. 3. Psychophysiology. WM 175 P9745] RC552.B84P ' ISBN-13: l (U.S.) This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfihns or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9,1965, in its version of June 24,1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. Springer-Verlag Berlin Heidelberg 1988 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. 2121/

4 Contents Opening Remarks D.Ploog... Bulimia: Symptoms, Syndrome, and Predicament P. J. V. Beumont. With 2 Tables I. Nutrition and Behavior in Eating Disorders Serotonin Implicated in the Etiology of Seasonal Affective Disorder with Carbohydrate Craving D.O'Rourke, J.J. Wurtman, and R.J. Wurtman. With 2 Tables 13 Culturally Corralled into Food Abuse: The Eating Disorders as Physiologically Reinforced Excessive Appetites D.A.Booth Restraint and Excess in Dieters and Bulimics C. P. Herman and J. Polivy Restricted Caloric Intake Causes Neuroendocrine Disturbances in Bulimia M.M.Fichter, K.M.Pirke, J.pollinger, G. Wolfram, and E.Brunner With 4 Figures and 2 Tables II. Metabolic and Endocrine Aspects of Eating Disorders Metabolic and Endocrine Factors in Regulation of Nutrient Balance G. A. Bray. With 5 Figures Consequences of Dieting at Normal Weight: Implications for the Understanding and Treatment of Bulimia U. Schweiger, R. G. Laessle, M. M. Fichter, and K. M. Pirke With 7 Figures and 1 Table Evidence for Altered Serotonin Function in Bulimia and Anorexia Nervosa: Behavioral Implications D. C. Jimerson, H. A. Brandt, and T. D. Brewerton 83

5 VI Contents Eating Disorders and Depression: Psychobiological Findings in Bulimia and Anorexia Nervosa R.G.Laessle, U.Schweiger, M.M.Fichter, and K.M.Pirke With 2 Figures and 4 Tables.... Cranial Computed Tomography Findings in Patients with Eating Disorders J.-C.Krieg. With 1 Figure and 1 Table III. Hunger and Satiety in Eating Disorders Regulation of Eating in Obesity and Bulimia Nervosa V. Pudel, T. Paul, and N. Maus. With 7 Figures and 1 Table. 109 Cognitive and Metabolic Responses to Eating in Anorexia Nervosa and Bulimia K.A.Halmi IV. Treatment of Bulimia Nervosa The Uncertain Status of the Cognitive Approach to Bulimia Nervosa C. G.Fairburn. With 2 Figures Cognitive-Behavioral Treatments of Bulimia Nervosa: The Role of Exposure G. T. Wilson. With 1 Table The Anxiety Model of Bulimia Nervosa and Treatment with Exposure Plus Response Prevention J. C. Rosen and H. Leitenberg Preliminary Results of a Comparison Treatment Trial of Bulimia Nervosa J. E. Mitchell, R. L. Pyle, E. D. Eckert, D. Hatsukami, C. Pomeroy, and R. Zimmerman. With 2 Figures and 1 Table Body Image Disturbances in Eating Disorders from the Viewpoint of Experimental Research R. Meermann and W. Vandereycken. With 1 Figure and 1 Table. 158 An Experimental Video-Confrontation Procedure as a Therapeutic Technique and a Research Tool in the Treatment of Eating Disorders W. Vandereycken, M.Probst, and R.Meermann. With 3 Tables 172 Summary Research and Treatment in the Psychobiology of Bulimia Nervosa K.M.Pirke and W. Vandereycken

6 List of Contributors Contributors' addresses will be found on the first page of their contributions. Beumont, P. J. V. 2 Booth, D.A. 18 Brandt, H. A. 83 Bray, G.A. 59 Brewerton, T. D. 83 Brunner, E. 42 Eckert, E.D. 152 Fairburn, C. G. 129 Fichter, M. M. 42, 74, 90 Halmi, K. A. 120 Hatsukami, D. 152 Herman, C. P. 33 JiIrerson, D. C. 83 Krieg, J.-C. 101 Laessle, R. G. 74,90 Leitenberg, H. 146 Maus, N. 109 Meermann, R. 158,172 Mitchell, J.E. 152 O'Rourke, D. 13 Paul, T. 109 Pirke, K.M. 42,74,90,179 Ploog, D. 1 Pollinger, J. 42 Polivy,J. 33 Pomeroy, C. 152 Probst, M. 172 Pudel, V. 109 Pyle, R. L. 152 Rosen, J. C. 146 Schweiger, U. 74,90 Vandereycken, W. 158,172,179 Wilson, G. T. 137 Wolfram, G. 42 Wurtman, J. J. 13 Wurtman, R. J. 13 Zimmerman, R. 152

7 Acknowledgement The editors wish to thank the German Federal Minister of Science and Technology for supporting the research on eating disorders at the Max Planck-Institut fur Psychiatrie in Munich. He has also sponsored the symposium The Psychobiology of Bulimia Nervosa, which was held at the Ringberg Castle April 24 to 25, This volume is in part based on contributions prepared for that symposium. K.M.Pirke W. Vandereycken D.Ploog

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