Methylphenidate treatment for bulimia nervosa associated with a cluster b personality disorder.
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| Title: | Methylphenidate treatment for bulimia nervosa associated with a cluster b personality disorder. |
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| Authors: | Sokol MS (AUTHOR), Gray NS (AUTHOR), Goldstein A (AUTHOR), Kaye WH (AUTHOR) |
| Source: | International Journal of Eating Disorders. Mar1999, Vol. 25 Issue 2, p233-237. 5p. |
| Abstract: | OBJECTIVES: Psychotherapy and antidepressant medication are helpful to many patients with bulimia nervosa (BN). However, a substantial number of bulimics respond poorly to such treatments. Recent studies suggest that many of the poor responders have cluster B personality disorders. In some ways, the symptomatology of bulimics who have a comorbid cluster B disorder resembles that of patients with attention deficit hyperactivity disorder (ADHD). In particular, individuals in both groups frequently have a high level of impulsivity. Such a resemblance raised the question of whether administration of methylphenidate (MPH), a drug used to treat ADHD, would have therapeutic effects in this subgroup of BN patients. METHODS: In a pilot study, we administered MPH to 2 patients with BN and cluster B traits and found beneficial effects. These patients had not responded to adequate trials of psychotherapy and selective serotonin reuptake inhibitors (SSRIs). RESULTS: MPH treatment was effective. Both Patients had decreased binging and purging. DISCUSSION: MPH may be useful for bulimics with cluster B personality disorder who respond poorly to conventional treatment. Further studies of MPH administration may be worthwhile. Due to the potential risks, however, clinical treatment with this agent is not recommended at this time. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 107198143 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Methylphenidate treatment for bulimia nervosa associated with a cluster b personality disorder. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sokol+MS%22">Sokol MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gray+NS%22">Gray NS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Goldstein+A%22">Goldstein A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaye+WH%22">Kaye WH</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar1999, Vol. 25 Issue 2, p233-237. 5p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVES: Psychotherapy and antidepressant medication are helpful to many patients with bulimia nervosa (BN). However, a substantial number of bulimics respond poorly to such treatments. Recent studies suggest that many of the poor responders have cluster B personality disorders. In some ways, the symptomatology of bulimics who have a comorbid cluster B disorder resembles that of patients with attention deficit hyperactivity disorder (ADHD). In particular, individuals in both groups frequently have a high level of impulsivity. Such a resemblance raised the question of whether administration of methylphenidate (MPH), a drug used to treat ADHD, would have therapeutic effects in this subgroup of BN patients. METHODS: In a pilot study, we administered MPH to 2 patients with BN and cluster B traits and found beneficial effects. These patients had not responded to adequate trials of psychotherapy and selective serotonin reuptake inhibitors (SSRIs). RESULTS: MPH treatment was effective. Both Patients had decreased binging and purging. DISCUSSION: MPH may be useful for bulimics with cluster B personality disorder who respond poorly to conventional treatment. Further studies of MPH administration may be worthwhile. Due to the potential risks, however, clinical treatment with this agent is not recommended at this time. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=107198143 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/(sici)1098-108x(199903)25:2<233::aid-eat14>3.0.co;2-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 233 Titles: – TitleFull: Methylphenidate treatment for bulimia nervosa associated with a cluster b personality disorder. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sokol MS – PersonEntity: Name: NameFull: Gray NS – PersonEntity: Name: NameFull: Goldstein A – PersonEntity: Name: NameFull: Kaye WH IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar1999 Type: published Y: 1999 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 25 – Type: issue Value: 2 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
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