{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T09:23:56Z","timestamp":1744968236121,"version":"3.38.0"},"reference-count":82,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T00:00:00Z","timestamp":1172707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T00:00:00Z","timestamp":1172707200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p> Bulimia nervosa is a disorder of complex etiology that tends to occur in young women. These individuals binge eat and purge by vomiting or other means, and often have depression, anxiety, substance abuse and extremes of impulse control. It is thought that binge eating and purging behaviors are, at least in part, a means of coping with dysphoric mood states and interpersonal stress. Bulimic symptoms are not likely to abate without development of new coping skills and behaviors. In the past 25 years, considerable progress has been made in developing specific psychotherapies and medication for the treatment of bulimia nervosa. Despite this progress, many individuals have partial responses to therapy and may remain chronically ill. This complex illness often requires a multidisciplinary team of professionals for effective management and, despite significant advances in treatment, bulimia nervosa continues to present major challenges for providers of care. <\/jats:p>","DOI":"10.2217\/17455057.3.2.255","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T02:16:10Z","timestamp":1172801770000},"page":"255-265","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Management of Bulimia Nervosa"],"prefix":"10.1177","volume":"3","author":[{"given":"Mary Ellen","family":"Trunko","sequence":"first","affiliation":[{"name":"University of California, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanne E","family":"Rockwell","sequence":"additional","affiliation":[{"name":"University of California, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Curry","sequence":"additional","affiliation":[{"name":"University of California, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristin","family":"Runfola","sequence":"additional","affiliation":[{"name":"University of California, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter H","family":"Kaye","sequence":"additional","affiliation":[{"name":"University of California, San Diego, CA, USA"},{"name":"University of Pittsburgh, School of Medicine, Western Psychiatric Institute and Clinic, Iroquois Building, Suite 600, 3811 O'Hara Street, Pittsburgh PA 15213, USA, Tel.: +1 412 647 9845; Fax: +1 412 647 9740;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,3,1]]},"reference":[{"key":"bibr0101-17455057.3.2.255","unstructured":"Papers of special note have been highlighted as either of interest (\u2022) or of considerable interest (\u2022\u2022) to readers."},{"key":"bibr1-17455057.3.2.255","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700031974"},{"key":"bibr2-17455057.3.2.255","unstructured":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 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