Loading...
Thumbnail Image
Publication

Anxiety and compulsion patterns in the maintenance of bingeing/purging behaviours by individuals with bulimia nervosa

Thomas, Mike
Lovell, Andy
Advisors
Editors
Other Contributors
EPub Date
Publication Date
2014-09-12
Submitted Date
Other Titles
Abstract
This paper reports on the results of a study into the self-reported coping strategies employed by a small sample (n=12) of individuals diagnosed with Bulimia Nervosa purging sub-type, severe and enduring eating disorder (Seed-BN), referred to an out-patient clinic for psychotherapy. Data collection focused on the vomiting activities of participants through analysis of their self-management from diary extracts, which recorded vomiting patterns. Participants all experienced significant mental health issues, had complex histories of BN over a prolonged period, difficulties maintaining relationships, and many had an additional history of substance misuse including dependence on prescription drugs. The study findings indicated two different self-management strategies, anxiety-containment and compulsion-maintenance. There was a clear association between anxiety and controlled weekly vomiting patterns compared with compulsion and daily vomiting patterns. The implications for nursing practice relate to the potential for assessment of differences in vomiting patterns to indicate self-management status and subsequent interventions focusing on either anxiety or compulsive patterns.
Citation
Thomas, M., & Lovell, A. (2014). Anxiety and compulsion patterns in the maintenance of bingeing/purging behaviours by individuals with bulimia nervosa. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. https://doi.org/10.1111/jpm.12167
Publisher
Wiley
Journal
Journal of Psychiatric and Mental Health Nursing
Research Unit
DOI
10.1111/jpm.12167
PubMed ID
PubMed Central ID
Type
Article
Language
en
Description
This is the peer reviewed version of the following article: Thomas, M., & Lovell, A. (2014). Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. DOI: 10.1111/jpm.12167, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/full. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
Series/Report no.
ISSN
EISSN
1365-2850
ISBN
ISMN
Gov't Doc
Test Link
Sponsors
Additional Links
http://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/full