{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:26:19Z","timestamp":1791275179838,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,6,20]],"date-time":"2012-06-20T00:00:00Z","timestamp":1340150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine psychiatric comorbidity and factors that influence the outcome of bulimia nervosa (BN) in the general population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Women from the nationwide birth cohorts of Finnish twins were screened for lifetime BN (<jats:italic>N<\/jats:italic>\u2009=\u200959) by using questionnaires and the Structured Clinical Interview for DSM\u2010IV. We assessed psychiatric comorbidity and other prognostic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among women with lifetime BN, the following were more common than among unaffected women: current major depressive disorder (<jats:italic>p<\/jats:italic>\u2009=\u20090.004), lifetime major depressive disorder (<jats:italic>p<\/jats:italic>\u2009=\u20090.00001) and heavy drinking (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). Decreased likelihood of recovery was associated with a history of lifetime major depressive disorder (hazard ratio (HR) 0.44, 95% confidence interval (CI) 0.23\u20130.84) and high drive for thinness at time of assessment (HR 0.96, 95% CI 0.93\u20130.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Heavy drinking and depression present challenges for many women with BN. Major depressive disorder emerged as the only statistically significant prognostic factor of BN in this nationwide cohort; high drive for thinness was characteristic of the persistently ill. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd and Eating Disorders Association.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2182","type":"journal-article","created":{"date-parts":[[2012,6,20]],"date-time":"2012-06-20T04:15:11Z","timestamp":1340165711000},"page":"121-129","source":"Crossref","is-referenced-by-count":15,"title":["Depression and Drive for Thinness are Associated with Persistent Bulimia Nervosa in the Community"],"prefix":"10.1002","volume":"21","author":[{"given":"Anna","family":"Keski\u2010Rahkonen","sequence":"first","affiliation":[{"name":"Department of Public Health, The Hjelt Institute University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Raevuori","sequence":"additional","affiliation":[{"name":"Department of Public Health, The Hjelt Institute University of Helsinki  Helsinki Finland"},{"name":"Department of Adolescent Psychiatry Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Nutrition University of North Carolina at Chapel Hill  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans W.","family":"Hoek","sequence":"additional","affiliation":[{"name":"Parnassia Institute  The Hague The Netherlands"},{"name":"Department of Psychiatry Groningen University  The Netherlands"},{"name":"New York State Psychiatric Institute Columbia University  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elina","family":"Sihvola","sequence":"additional","affiliation":[{"name":"Department of Public Health, The Hjelt Institute University of Helsinki  Helsinki Finland"},{"name":"Department of Psychiatry Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaakko","family":"Kaprio","sequence":"additional","affiliation":[{"name":"Department of Public Health, The Hjelt Institute University of Helsinki  Helsinki Finland"},{"name":"National Institute for Health and Welfare Department of Mental Health and Substance Abuse Services  Helsinki Finland"},{"name":"Institute for Molecular Medicine FIMM University of Helsinki  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aila","family":"Rissanen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260701771672"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20369"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010\u2013440X(98)90062\u20131"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.6.886"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021843X.115.1.62"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0013942"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20043"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1984.01790230064010"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.164.1.80"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3282f32408"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2013108X(199309)14:2\u2009<\u2009135::AID\u2013EAT2260140203\u2009>\u20093.0.CO;2\u2013D"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.57.7.659"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2013006X.71.1.103"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291704002673"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895\u20134356(97)00220\u20135"},{"key":"e_1_2_8_17_1","series-title":"Research version, nonpatient edition. Biometrics res","volume-title":"Structured clinical interview for DSM\u2010IV\u2010TR Axis I disorders","author":"First M.B.","year":"2003"},{"key":"e_1_2_8_18_1","volume-title":"Eating disorder inventory 2, professional manual","author":"Garner D.M.","year":"1991"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10196"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707000797"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583\u2013199307000\u201300020"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10222"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700002543"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.4.798"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1375\/136905202320906101"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.15300277.1996.tb05266.x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019190"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.3.313"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.61.2.192"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20168"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.1.63"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.58.11.1005"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20138"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291708003942"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20277"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.55.7.603"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2002352"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2013003\u20131113\u20139"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1214\/aos\/1176346391"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.123851"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/34.1.65"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360\u20130443.1990.tb01654.x"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278\u20136133.13.4.308"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.013"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033\u20132909.128.5.825"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0013887"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291705006057"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798006576"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.3109\/10673229809000321"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.0607e15"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(98)00017-8"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20131614.2006.01758.x"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278\u20136133.19.2.115"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306\u20134603(00)00071\u2013X"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006\u2013341X.2000.00645.x"},{"key":"e_1_2_8_57_1","volume-title":"Sensation seeking: beyond the optimal level of arousal","author":"Zuckerman M.","year":"1979"}],"container-title":["European Eating Disorders Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Ferv.2182","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T05:24:35Z","timestamp":1698643475000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/erv.2182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,20]]},"references-count":56,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1002\/erv.2182"],"URL":"https:\/\/doi.org\/10.1002\/erv.2182","archive":["Portico"],"relation":{},"ISSN":["1072-4133","1099-0968"],"issn-type":[{"value":"1072-4133","type":"print"},{"value":"1099-0968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,20]]}}}