Premorbid Body Weight

In BN, unlike in AN, individual and familial overweight and critical comments about weight shape and eating habits appear to play a significant role as precursors. A greater proportion of patients reported childhood obesity than either healthy controls or general psychiatric control subjects, and BN patients reported more parental obesity than either control group [51]. The McKnight investigators [52] identified thin body preoccupation and social pressure as predictive for the onset of BN, for the partial syndrome BN and for binge eating disorder. Greater previous weight fluctuations and rates of dieting emerged as predisposing variables in the twin study by Kendler et al. [53].

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