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KMID : 0377819920120070832
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Diagnosis and Treatment
1992 Volume.12 No. 7 p.832 ~ p.836
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A CASE OF BULIMIA NERVOSA WITH MAJOR DEPRESSION
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신석호/Shin, Suk-Ho
권용실/김보연/이정태/이성필/Kweon, Yong-Sil/Kim, Bo-Yeon/Lee, Chung-Tai/Lee, Sung-Pil
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Abstract
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Bulimia nervosa is an eating disorder characterized by peculiar pattern of recurrent epsodic binge eating which leave the patient feeling de-pressed and guilty, a feeling of.a lack of control over eating behavior, self-induced vomiting, use of laxatives or diuretics, strict dieting or fasting or vigorous exercise in order to avoid putting on weight.
We experienced a case of 22-year-old single female patient admitted to our psychiatric ward due to recurrent binge eatings, spontaneous and self-induced vomiting and excessive overconcern about body weight and shape associated with depressive symptoms. The patient was treated with a supportive psychotherapy, symptomatic treatment and tricyclic antidepressant medication (imipramine, up to 200mg/day), and showed considerable response. From this case and literature review, it seemed to be important to pay more attention to eating problems.
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KEYWORD
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