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The significance of the neurotic symptoms of bulimia nervosa is a subject of current debate. In the present paper, data are reported on changes in these symptoms during the course of psychological treatment directed at the eating disorder itself. A significant association was found between outcome in terms of eating habits and the severity of neurotic symptoms after treatment. There was no association between outcome and the pre-treatment level of neurotic symptoms. These findings suggest that the neurotic symptoms are likely to constitute a secondary psychological reaction.


Journal article


J Psychiatr Res

Publication Date





135 - 140


Adult, Anorexia Nervosa, Behavior Therapy, Cognition, Feeding and Eating Disorders, Female, Humans, Hyperphagia, Neurotic Disorders, Prognosis, Psychological Tests, Psychopathology, Psychotherapy, Brief