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How bulimia nervosa relates to addictive behavior

Author

Listed:
  • Daniela Iorio
  • Michelle Sovinsky

Abstract

Using longitudinal data that tracks bulimic behavior among young girls (National Heart, Lung, and Blood Institute Growth and Health Study), we examine (1) whether bulimic behavior is consistent with addiction criteria as stated in the Diagnostic and Statistical Manual of Mental Disorders DSM-IV (APA, 1994); and 2) whether the persistence in bulimia nervosa (BN) reflects tolerance formed from an addiction or if it can be attributed to slow learning about the deleterious health effects of BN. Making the case for treating BN as an addiction has important policy implications. First, it suggests that the timing of educational policy and treatment is crucial: preventive educational programs aimed at instructing girls about the deleterious health effects of BN, as well as treatment interventions, will be most effective if provided in the early stages. Second, it would put those exhibiting BN on more equal footing (from a treatment reimbursement perspective) with individuals with drug or alcohol addictions.

Suggested Citation

  • Daniela Iorio & Michelle Sovinsky, 2012. "How bulimia nervosa relates to addictive behavior," ECON - Working Papers 095, Department of Economics - University of Zurich.
    • Handle: RePEc:zur:econwp:095
    as

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    File URL: https://www.zora.uzh.ch/id/eprint/65904/1/econwp095.pdf
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    References listed on IDEAS

    as
    1. Michelle S. Goeree & John C. Ham & Daniela Iorio, 2009. "Caught in the bulimic trap? Persistence and state dependence of bulimia among young women," IEW - Working Papers 447, Institute for Empirical Research in Economics - University of Zurich, revised Jul 2012.
    2. Rosen, Sherwin, 2007. "Studies in Labor Markets," National Bureau of Economic Research Books, University of Chicago Press, number 9780226726304, December.
    3. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    4. James J. Heckman, 1981. "Heterogeneity and State Dependence," NBER Chapters, in: Studies in Labor Markets, pages 91-140, National Bureau of Economic Research, Inc.
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    More about this item

    Keywords

    Eating disorders; bulimia nervosa; addiction;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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