Mf. Flament et al., DIAGNOSTIC-CRITERIA FOR BULIMIA-NERVOSA - REEXAMINATION AND PROPOSALSBASED ON A SERIES OF 539 CONSECUTIVE CASES, Revue d'epidemiologie et de sante publique, 41(4), 1993, pp. 327-336
Bulimia nervosa is a recently identified psychiatric disorder. Several
clinical definitions have been successively proposed, some of which c
ontradictory. In a multicenter study (INSERM clinical research network
), 539 consecutive outpatients with bulimic behaviors were evaluated i
n 18 treatment centers and classified according to several diagnostic
reference systems. We tested the validity of diagnostic criteria propo
sed by the American Psychiatric Association for DSM-IV classification.
Our data support inclusion of both purging and nonpurging subtypes fo
r the diagnosis of bulimia nervosa. The newly defined syndrome << Bing
e Eating Disorder >> should be retained, but its diagnostic criteria m
odified.