Abstract:
INTRODUCTION:To estimate the prevalence of bulimia nervosa and bulimic behavior in women who come to Primary Health Care consultations, using the DSM-IV criteria. DESIGN:Descriptive, observational study Setting. Primary Health Care. PARTICIPANTS:Women over 14 years who come to general medicine consultations. Selection by systematic sampling of 175 women (proportion expected: 4%; confidence index: 95%; accuracy: 3%). MAIN MEASURES:Examination, by semi-structured interview, of diagnostic criteria of bulimia (recurrent binge eating, compensatory behaviors and excessive concern about weight or body image), socio-demographic variables and variables on morbidity (health problems according to CIPSAP-2-defined). RESULTS:Prevalence of bulimia was 5.3% (95% CI: 2.4-9.7), there being recurrent binge-eating in 23.4%. Among the compensatory behaviors, fasting (13.5%), intense exercise (8.2%) and self-induced vomiting (4.7%) were the most frequent. In women with bulimia, a background of anorexia and establishment of goals to lose weight appeared more frequently (p <0.05). Their average age was significantly lower (p <0.05) (31.2 14.7 SD). By logistic regression, the associated variables with the presence of bulimia were age (OR: 0.94), existence of previous psychiatric morbidity (OR: 9.0) and having previously set goals to lose weight (OR:7.3). CONCLUSIONS:In the women who came to the Primary Health Care consultations, prevalence of bulimia is greater than that described in the general female population. This disorder is more frequent in younger women and in those who present a background of psychiatric morbidity. Examination of the diagnostic criteria makes its detection easy in Primary Health Care consultations.
journal_name
Actas Esp Psiquiatrjournal_title
Actas espanolas de psiquiatriaauthors
Galdón Blesa MP,López-Torres JD,David García Y,Gómez Honrubia MC,Escobar Rabadán F,Martínez Ramírez Msubject
Has Abstractpub_date
2003-05-01 00:00:00pages
129-32issue
3eissn
1139-9287issn
1578-2735pii
31110314journal_volume
31pub_type
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journal_title:Actas espanolas de psiquiatria
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journal_title:Actas espanolas de psiquiatria
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pub_type: 临床试验,杂志文章
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