Document Detail

Food cravings in women with a history of anorexia nervosa.
MedLine Citation:
PMID:  9356888     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of the present study was to determine the prevalence and characteristics of food cravings in women with a history of anorexia nervosa. METHOD: One hundred one control women selected at random and 64 women with a diagnosis of anorexia nervosa 10 to 14 years earlier (cases) completed the Diagnostic Interview for Genetic Studies, a food craving questionnaire, the Temperament and Character Inventory and the Three-Factor Eating Questionnaire. RESULTS: A similar proportion of cases and controls reported food cravings. A greater proportion of cases reported strong cravings with two or more features of intensity (p = .02). Cravings in the cases were more likely to be characterized by difficulty resisting the craved food (p = .0008), anxiety when the craved food was unavailable (p = .002), and a high frequency of occurrence (p = .001). The cases who craved were significantly more likely to have had lifetime BN (p = .02). CONCLUSION: A similar prevalence of food craving in cases as in controls suggests that successful control of food intake and/or denial of hunger overrides dietary restriction as a precondition for craving in anorexia nervosa. A dysfunction in the serotonergic system, the provision of intermittent reinforcement by binge episodes, and/or frustration due to unsuccessful attempts at dietary restraint may mediate the association of cravings with the presence of lifetime bulimia.
K A Gendall; P F Sullivan; P R Joyce; C M Bulik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  22     ISSN:  0276-3478     ISO Abbreviation:  Int J Eat Disord     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1997-12-02     Completed Date:  1997-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  403-9     Citation Subset:  IM    
Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.
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MeSH Terms
Anorexia Nervosa / diagnosis,  psychology*
Bulimia / diagnosis,  psychology
Follow-Up Studies
Food Preferences / psychology*
New Zealand
Personality Inventory / statistics & numerical data
Reproducibility of Results
Risk Factors

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