ABSTRACT
As many as 108 patients with anorexia nervosa were examined. Of these, 83 patients manifested bulimic symptomatology. In all the examined patients, the formation of bulimic symptomatology was preceded by the typical dynamics of the syndrome of anorexia nervosa in the form of the stage of dysmorphophobia-dysmorphomania, of the stage of looks correction with the aid of different methods of weight reduction, and of the stage of an appreciable body weight decrease with marked secondary ++somato-endocrine abnormalities up to cachexia. Three types of bulimic disorders associated with anorexia nervosa were distinguished: bulimia as a symptom of anorexia nervosa, bulimia s a stage of anorexia nervosa, and the bulimic variety of anorexia nervosa. Each of these types of pathology is depicted clinically.
Subject(s)
Anorexia Nervosa/psychology , Body Image , Body Weight , Bulimia/etiology , Adolescent , Adult , Anorexia Nervosa/complications , Anorexia Nervosa/diagnosis , Bulimia/classification , Bulimia/diagnosis , Bulimia/psychology , Female , HumansABSTRACT
A study was made of mental rigidity in patients suffering from anorexia nervosa and their relatives using the Tomsk rigidity questionnaire. Based on examinations of 40 patients with anorexia nervosa, 22 of whom suffered from schizophrenia, 18 with borderline pathology (16 with an active method of weight losing, 24 with the bulimic variant of anorexia nervosa) and of 58 close relatives (mothers, fathers, sisters) the data were obtained on the level of mental rigidity. In the patients' group, it was found to depend to a greater measure on the stage of anorexia nervosa, whereas in the relatives, on the nosological appurtenance of the syndrome in their children.
