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We offer a new model for\n                      <jats:styled-content style=\"fixed-case\">BN<\/jats:styled-content>\n                      that describes two pathways of risk that may lead to the initial impulsive act of binge eating and purging in children and adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Scope<\/jats:title>\n                    <jats:p>\n                      We conducted a selective literature review, focusing on existing and new risk processes for\n                      <jats:styled-content style=\"fixed-case\">BN<\/jats:styled-content>\n                      in this select population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      We identify two ways in which girls increase their risk to begin engaging in the impulsive behavior of binge eating and purging. The first is state\u2010based: the experience of negative mood, in girls attempting to restrain eating, leads to the depletion of self\u2010control and thus increased risk for loss of control eating. The second is personality\u2010based: elevations on the trait of negative urgency, or the tendency to act rashly when distressed, increase risk, particularly in conjunction with high\u2010risk psychosocial learning. We then briefly discuss how these behaviors are reinforced, putting girls at further risk for developing\n                      <jats:styled-content style=\"fixed-case\">BN<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We highlight several areas in which further inquiry is necessary, and we discuss the clinical implications of the new risk model we described.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.12214","type":"journal-article","created":{"date-parts":[[2014,2,24]],"date-time":"2014-02-24T12:22:24Z","timestamp":1393244544000},"page":"852-864","source":"Crossref","is-referenced-by-count":38,"title":["Research Review: Two pathways toward impulsive action: an integrative risk model for bulimic behavior in youth"],"prefix":"10.1111","volume":"55","author":[{"given":"Carolyn 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