{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:48Z","timestamp":1770508848050,"version":"3.49.0"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T00:00:00Z","timestamp":1247097600000},"content-version":"unspecified","delay-in-days":5060,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1995,9]]},"abstract":"<jats:title>SYNOPSIS<\/jats:title><jats:p>Numerous studies have estimated the frequency of bulimia nervosa among high school girls and college women, but population-based trends in incidence in a community have not been reported.<\/jats:p><jats:p>In this study we determined the incidence of bulimia nervosa by identifying persons residing in the community of Rochester, Minnesota, who had the disorder initially diagnosed during the 11-year period from 1980 to 1990. Using our comprehensive population-based data resource (the Rochester Epidemiology Project), we identified cases by screening 777 medical records with diagnoses of bulimia; feeding disturbance; rumination syndrome; adverse effects of cathartics, emetics, or diuretics; polyphagia; sialosis; or vomiting.<\/jats:p><jats:p>We identified 103 Rochester residents (100 female and 3 male) who fulfilled DSM-III-R diagnostic criteria for bulimia nervosa during the 11-year study period. Mean \u00b1 S.D. age for females at the time of diagnosis was 23\u00b70 \u00b1 6\u00b71 years (range, 14\u00b74 to 40\u00b72 years). Yearly incidence in females rose sharply from 7\u00b74 per 100000 population in 1980 to 49\u00b77 in 1983, and then remained relatively constant around 30 per 100000 population. The annual age-adjusted incidence rates were 26\u00b75 per 100000 population for females and 0\u00b78 per 100000 population for males. The overall age-and sex-adjusted annual incidence was 13\u00b75 per 100000 population.<\/jats:p><jats:p>Bulimia nervosa is a common disorder in adolescent girls and young women from 15 to 24 years of age. Histories of alcohol or drug abuse, depression, or anorexia nervosa were higher than expected in the general population.<\/jats:p>","DOI":"10.1017\/s0033291700037557","type":"journal-article","created":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T09:52:53Z","timestamp":1247133173000},"page":"1065-1071","source":"Crossref","is-referenced-by-count":63,"title":["Bulimia nervosa in Rochester, Minnesota from 1980 to 1990"],"prefix":"10.1017","volume":"25","author":[{"given":"T. J.","family":"Soundy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. R.","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. J.","family":"Suman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"L. J.","family":"Melton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,7,9]]},"reference":[{"key":"S0033291700037557_ref030","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199001000-00018"},{"key":"S0033291700037557_ref028","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1987.03400090097042"},{"key":"S0033291700037557_ref026","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198605)5:4<631::AID-EAT2260050404>3.0.CO;2-E"},{"key":"S0033291700037557_ref025","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1176\/ajp.142.4.482","article-title":"Characteristics of 275 patients with bulimia","volume":"142","author":"Mitchell","year":"1985","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700037557_ref024","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170000917X"},{"key":"S0033291700037557_ref018","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1176\/ajp.148.12.1627","article-title":"The genetic epidemiology of bulimia nervosa","volume":"148","author":"Kendler","year":"1991","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700037557_ref017","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1002\/1098-108X(198421)3:3<53::AID-EAT2260030305>3.0.CO;2-C","article-title":"The prevalence of frequent binge eating and bulimia in a nonclinical college sample","volume":"3","author":"Katzman","year":"1984","journal-title":"International Journal of Eating Disorders"},{"key":"S0033291700037557_ref015","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198911)8:6<647::AID-EAT2260080605>3.0.CO;2-H"},{"key":"S0033291700037557_ref014","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1986.01800020092012"},{"key":"S0033291700037557_ref009","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1176\/ajp.147.4.401","article-title":"Studies of the epidemiology of bulimia nervosa","volume":"147","author":"Fairburn","year":"1990","journal-title":"American Journal of Pschiatry"},{"key":"S0033291700037557_ref008","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1176\/ajp.145.6.753","article-title":"Bulimia in college women: incidence and recovery rates","volume":"145","author":"Drewnowski","year":"1988","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700037557_ref006","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198502)4:1<29::AID-EAT2260040105>3.0.CO;2-H"},{"key":"S0033291700037557_ref005","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.151.5.684"},{"key":"S0033291700037557_ref004","volume-title":"Calculating Incidence, Prevalence and Mortality Rates for Olmsted County, Minnesota: An Update","author":"Bergstralh","year":"1992"},{"key":"S0033291700037557_ref023","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1176\/ajp.148.7.917","article-title":"50-year trends in the incidence of anorexia nervosa in Rochester, Minn.: a population-based study","volume":"148","author":"Lucas","year":"1991","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700037557_ref003","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"S0033291700037557_ref007","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1988.tb06342.x"},{"key":"S0033291700037557_ref020","doi-asserted-by":"publisher","DOI":"10.1038\/scientificamerican1081-54"},{"key":"S0033291700037557_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(87)90100-0"},{"key":"S0033291700037557_ref031","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1990.01810170087013"},{"key":"S0033291700037557_ref027","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700031974"},{"key":"S0033291700037557_ref002","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"S0033291700037557_ref016","first-page":"743","volume-title":"Synopsis of Psychiatry: Behavioral Sciences, Clinical Psychiatry","author":"Kaplan","year":"1991"},{"key":"S0033291700037557_ref032","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.76.9.1135"},{"key":"S0033291700037557_ref010","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1176\/ajp.142.7.851","article-title":"Prevalence of bulimia in working and university women","volume":"142","author":"Hart","year":"1985","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700037557_ref012","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198508013130505"},{"key":"S0033291700037557_ref019","volume-title":"Eating Disorders in a General Practice Population. Prevalence, Characteristics and Follow-up at 12 to 18 months. Psychological Medicine Monograph Supplement 14","author":"King","year":"1989"},{"key":"S0033291700037557_ref001","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1980"},{"key":"S0033291700037557_ref013","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700020560"},{"key":"S0033291700037557_ref022","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)65638-9"},{"key":"S0033291700037557_ref011","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700015324"},{"key":"S0033291700037557_ref021","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03320260060036"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291700037557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T17:06:01Z","timestamp":1557767161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291700037557\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,9]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1995,9]]}},"alternative-id":["S0033291700037557"],"URL":"https:\/\/doi.org\/10.1017\/s0033291700037557","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,9]]}}}