{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T21:25:37Z","timestamp":1765315537484,"version":"3.46.0"},"reference-count":25,"publisher":"BMJ","issue":"6378","license":[{"start":{"date-parts":[[1983,5,21]],"date-time":"1983-05-21T00:00:00Z","timestamp":422323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1983,5,21]]},"abstract":"<jats:p>An \"epidemic\" prevalence of binge eating and vomiting (bulimia nervosa) has been reported, and treatment has been claimed to be difficult. This paper describes a short term outpatient treatment programme of eclectic orientation capable of being conducted by non-specialist staff, under medical supervision, in local centres. The treatment programme was evaluated in a controlled trial and in long term follow up. In 30 women with severe bulimia the treatment programme significantly reduced their incidence of dietary manipulation without producing weight gain, weight disorder, or neurotic illness. After treatment all the women had fewer symptoms; 24 stopped binge eating and vomiting at the end of treatment, and a further four stopped shortly afterwards. During formal follow up 20 showed no dietary abuse and a further eight reduced their attacks to an average of three episodes a year: all judged treatment to be a success. Pretreatment indicators of poorer prognosis include alcohol abuse and a history of anorexia nervosa. Married patients experienced marital difficulties or illness in the spouse.<\/jats:p>","DOI":"10.1136\/bmj.286.6378.1609","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1609-1613","source":"Crossref","is-referenced-by-count":202,"title":["Bulimia nervosa, binge eating, and psychogenic vomiting: a controlled treatment study and long term outcome."],"prefix":"10.1136","volume":"286","author":[{"given":"J H","family":"Lacey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1983,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1017\/S0033291700031974","article-title":"Bulimia nervosa: an ominous variant of anorexia nervosa","volume":"9","author":"Russell, G.F.M.","year":"1979","unstructured":"Russell GFM. Bulimia nervosa: an ominous variant of anorexia nervosa. 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' Feighner JP","author":"Fairburn, C.G.","key":"ref_13","unstructured":";2:3-46. '3 Fairburn CG. A cognitive behavioural approach to the management of bulimia. Psychol Med 1981;11:707-11. ' Feighner JP, Robins E, Guza SB, Woodruff RA, Windur G, Munoz R."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1001\/archpsyc.1972.01750190059011","article-title":"Diagnostic criteria for use in psychiatric research","volume":"26","year":"1972","unstructured":"Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 1972;26:57-63.","journal-title":"Arch Gen Psychiatry"},{"key":"ref_15","first-page":"713","article-title":"Anorexia nervosa","volume":"1","author":"Crisp, A.H.","year":"1967","unstructured":"Crisp AH. Anorexia nervosa. 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Chichester: John Wiley, 1983."},{"article-title":"Accepted","year":"1983","key":"ref_19","unstructured":"(Accepted 14 March 1983)"},{"key":"ref_20","unstructured":"We believe this to be the first recorded case of the toxic shock syndrome in association with staphylococcal endocarditis. Although the case was unusual as blood cultures yielded S aureus the patient had the classic features of the disease with fever, hypotension, desquamation, and evidence of multisystem involvement (myalgia, renal impairment, thrombocytopenia, and cardiac abnormalities) as defined by Bergdoll et al.2 The staphylococcus isolated was unusual since it belonged to phage group II, a group classically associated with production of epidermolytic toxins A and B and the scalded skin syndrome. It failed to produce these toxins but did elaborate enterotoxin F, which is characteristic of strains associated with the toxic shock syndrome.2 3","article-title":"We believe this to be the first recorded case of the toxic shock syndrome in association with staphylococcal endocarditis. Although the case was unusual as blood cultures yielded S aureus the patient had the classic features of the disease with fever, hypotension, desquamation, and evidence of multisystem involvement (myalgia, renal impairment, thrombocytopenia, and cardiac abnormalities) as defined by Bergdoll et al.2 The staphylococcus isolated was unusual since it belonged to phage group II, a group classically associated with production of epidermolytic toxins A and B and the scalded skin syndrome. It failed to produce these toxins but did elaborate enterotoxin F, which is characteristic of strains associated with the toxic shock syndrome.2 3"},{"key":"ref_21","first-page":"8714","article-title":"Non-menstrual toxic shock syndrome","volume":"96","author":"AL, I.Reingold; NT, Hargrett; BB, Dan; KN, Shands; BY, Strickland; CV, Broome","year":"1982","unstructured":"I Reingold AL, Hargrett NT, Dan BB, Shands KN, Strickland BY, Broome CV. Non-menstrual toxic shock syndrome. Ann Intern Med 1982;96:8714.","journal-title":"Ann Intern Med"},{"key":"ref_22","first-page":"1017","article-title":"A new staphylococcal enterotoxin, enterotoxin F, associated with toxic shock syndrome","volume":"i:","author":"Bergdoll, M.S.; Crass, B.A.; Reiser, R.F.; Robbins, R.G.; Davis, J.P.","year":"1981","unstructured":"Bergdoll MS, Crass BA, Reiser RF, Robbins RG, Davis JP. A new staphylococcal enterotoxin, enterotoxin F, associated with toxic shock syndrome. 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