@article{ref1,
title="State/trait distinctions in bulimic syndromes",
journal="International journal of eating disorders",
year="2000",
author="Lehoux, P. M. and Steiger, H. and Jabalpurlawa, S.",
volume="27",
number="1",
pages="36-42",
abstract="OBJECTIVE: This study compared 55 women with active bulimic symptoms, 18 in remission from a bulimic eating disorder, and 31 who showed no evidence of a past or present eating disorder, on selected personality and psychiatric features. METHOD: Discriminant function analyses were used to isolate dimensions that differentiated active patients from patients in remission, and controls (i.e., that would logically constitute &quot;state&quot;-related disturbances), and then dimensions that differentiated clinical cases (whether active or in remission) from non-eating-disordered controls (i.e., that might reflect stable trait pathology associated with bulimic syndromes, whether active or not). RESULTS: Measures of depression, suicidality, and anxiety loaded significantly on the first function (differentiating active bingers from all other cases), whereas narcissism differentiated both clinical groups from non-eating-disordered controls. DISCUSSION: In light of theoretical and empirical evidence stressing the etiological role of narcissistic disturbances in bulimic syndromes, we interpret our findings as suggesting that narcissim may be a common trait characteristic (persisting even after remission of bulimic symptoms) in those who develop bulimic eating syndromes. Alternatively, depression, suicidality, and anxiety appear to be state-dependent features that resolve in many cases, along with remission of bulimic symptoms. We discuss various clinical and theoretical implications of our findings.<p /><p>Language: en</p>",
language="en",
issn="0276-3478",
doi="10.1002/(sici)1098-108x(200001)27:1<36::aid-eat4>3.0.co;2-u",
url="http://dx.doi.org/10.1002/(sici)1098-108x(200001)27:1<36::aid-eat4>3.0.co;2-u"
}