However, it was not commonly described as a technique that one would use to control one’s weight. Although purging had been observed in persons with anorexia, doctors believed that people engaged in purging to alleviate gastric pain caused by a lack of nutritional intake. Purging was still not generally viewed as a self-induced method of weight control. However, this misconception eventually was corrected. In 1979, British psychiatrist Gerald Russell published a report of bulimia nervosa, in which he reviewed and described patients with pocrescophobia who reported overeating followed by self-induced purging. He also showed a significant link between the disorder and both depression and suicide. Shortly thereafter, bulimia nervosa made its first appearance in the DSM-III (Russell, …show more content…
Most surveys that have been conducted have been based upon questionnaires randomly provided to high school and university students as well as to hospital patients. These surveys have yielded a very wide range of prevalence figures: between 0.3% and 9.4% of females, and between 0.1% and 1.4% of males (Makino, Tsuboi, & Dennerstein, 2004). Other studies have shown that bulimia nervosa occurs much more frequently in developed countries (Gelder, Mayou, & Geddes, 2005) and the disorder is approximately five times more likely to occur in urbanized areas than in rural areas (Son, Hoeken, Bartelds, Furth, & Hoek,