부산대학교 도서관

Bulimia nervosa is an eating disorder characterized by binge‐eating episodes coupled with inappropriate compensatory behaviors (e.g., vomiting) and body image disturbance. Bulimia nervosa is more common in women than men, in Western than non‐Western cultures, and in urban than rural settings. The disorder has become more common in adolescent and young adult women during a time of increasing idealization of thinness; indeed, weight concerns represent a risk factor for the development of bulimia nervosa. In addition, genetic makeup, physiology, personality, and peer environment influence the development of bulimia nervosa. Both cognitive behavioral therapy and fluoxetine have demonstrated treatment efficacy. Most individuals achieve recovery from bulimia nervosa 5 to 10 years following diagnosis; however, the eating disorder follows a chronic course in approximately 20% of women. In addition, bulimia nervosa is associated with increased risk of death, particularly death by suicide, underscoring the importance of research on prevention and treatment.