A 32-year-old well-dressed woman presents to the emergency room at

In addition, a clinical interview was conducted to obtain clinical data on symptoms, demographics, development, family and social factors. Consultation in the clinic was based on a medical recommendation from a psychologist, either employed at school or selected by the parents. Mentally handicapped persons, or those brought up in institutions were not included in the study. No one refused to participate in the study. The analysis excluded 4 girls who had severe depression accompanied by slightly increased symptoms of bulimia. Persons presenting subclinical symptoms according to DSM-IV (significant weight loss within normal range, vomiting less frequently than twice a week, vomiting after subjective overeating episodes) were included in the relevant main groups (ANR (n = 7), ANBP (n = 6), BUL (n = 2)). All the study subjects required psychiatric treatment.

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