Pathophysiology of bulimia nervosa

Bulimia nervosa may have a genetic predisposition. Other predisposing factors include psychologic and personality factors, such as perfectionism, impaired self-concept, affective instability, poor impulse control and an absence of adaptive functioning to maturational tasks and developmental stressors (eg, puberty, peer and parental relationships, sexuality, marriage and pregnancy). B. Bulimia nervosa appears to have a chronic, sometimes episodic course in which periods of remission alternate...