{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:24:51Z","timestamp":1778311491876,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1997,10,1]],"date-time":"1997-10-01T00:00:00Z","timestamp":875664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Rep"],"published-print":{"date-parts":[[1997,10]]},"abstract":"<jats:p>This study examined the clinical characteristics including stress-related factors of eating disorders in a sample of 312 diabetic patients with end-stage renal failure. The prevalence rate of bulimia nervosa was 5.1% (16 of 312 patients). The 16 patients with bulimia nervosa were 8 men and 8 women over 58 years old. Looking at the subjects by cause of end-stage renal failure, those with diabetes mellitus exhibited significantly higher prevalence rate of bulimia nervosa than two nondiabetic groups (diabetes 10%; nephritis 1.6%; others 1.9%). As for the association of bulimia nervosa and stress-related factors, end-stage renal failure patients with diabetes who exhibited bulimia nervosa showed significantly higher scores on a measure of alexithymia. These results suggest that, when liaison psychiatrists see diabetic patients with end-stage renal failure who exhibit bulimia nervosa, they should pay close attention to stress-related symptoms including alexithymia.<\/jats:p>","DOI":"10.2466\/pr0.1997.81.2.627","type":"journal-article","created":{"date-parts":[[2011,8,31]],"date-time":"2011-08-31T14:40:06Z","timestamp":1314801606000},"page":"627-633","source":"Crossref","is-referenced-by-count":6,"title":["Alexithymic Characteristics of Bulimia Nervosa in Diabetes Mellitus with End-Stage Renal Disease"],"prefix":"10.1177","volume":"81","author":[{"given":"Isao","family":"Fukunishi","sequence":"first","affiliation":[{"name":"Tokyo Institute of Psychiatry"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,10,1]]},"reference":[{"key":"bibr622-pr0.1997.81.2.627","volume-title":"Diagnostic and Statistical manual of mental disorders","author":"American Psychiatric Association.","year":"1987","edition":"3"},{"key":"bibr623-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)90005-1"},{"key":"bibr624-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)90005-1"},{"key":"bibr625-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.16.5.847b"},{"key":"bibr626-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.1177\/014572178901500415"},{"key":"bibr627-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(95)90081-6"},{"key":"bibr628-pr0.1997.81.2.627","doi-asserted-by":"publisher","DOI":"10.1159\/000288300"},{"key":"bibr629-pr0.1997.81.2.627","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1177\/003329419407500301","volume":"75","author":"Fukunishi I.","year":"1994","journal-title":"Psychological Reports"},{"key":"bibr630-pr0.1997.81.2.627","unstructured":"Fukunishi I., Kikuchi M., Wogan J., Takubo M. 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