Evidence map›Paper›PMID 25961467›Full record

ArticlePsychological review2015

A risk and maintenance model for bulimia nervosa: From impulsive action to compulsive behavior.

Carolyn M Pearson, Stephen A Wonderlich, Gregory T Smith

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Psychological review, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03393039 (Neural Effects of Negative Affect on Food Choices and Reward In Individuals With Binge Eating Episodes), which is not on this map. Cited by 88 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 4 pooled it
23.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03393039 naactive not recruitingnot on this mapstarted 2018, after this paper: background citation

Neural Effects of Negative Affect on Food Choices and Reward In Individuals With Binge Eating Episodes

TypeinterventionalSponsorUniversity of California, San DiegoRan2018 to 2027Enrolled410ConditionsBulimia Nervosa, Binge-Eating Disorder, Obesity, Eating DisorderArmsNegative Affect Task
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 4 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
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  4. Impulsivity and self-harm in adolescence: a systematic review.European child & adolescent psychiatry · 2017
    Pooled it
  5. Neurocognitive Profiles and Predictors of Symptom Trajectory During and After Treatment in Adolescent Bulimia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Trial
  6. Rituals and preoccupations associated with bulimia nervosa in adolescents: Does motivation to change matter?European eating disorders review : the journal of the Eating Disorders Association · 2019
    Trial
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  8. Bulimia nervosa.Nature reviews. Disease primers · 2026
    Review
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Carolyn M PearsonDepartment of Psychiatry, University of Kentucky.
Stephen A WonderlichDepartment of Clinical Neuroscience, Neuropsychiatric Research Institute, University of North Dakota School of Medicine and Health Sciences.
Gregory T SmithDepartment of Psychology, University of Kentucky.
University of Kentucky · US

Funding

Developmental Transitions and Risk for Alcohol UseR01AA016166 · NIAAA · UNIVERSITY OF KENTUCKY · PI SMITH, GREGORY T. · 2008 to 2012
$2.9M
Ecological Momentary Assessment of Anorexia NervosaR01MH059674 · NIMH · SANFORD RESEARCH NORTH · PI WONDERLICH, STEPHEN ARTHUR · 2000 to 2009
$2.1M
NIAAA NIH HHS R01 AA016166NIAAA NIH HHS R01-AA-016166NIMH NIH HHS R01-MH-059474NIMH NIH HHS R01 MH059674
6 · The paper itself

Abstract

This article offers a new model for bulimia nervosa (BN) that explains both the initial impulsive nature of binge eating and purging, as well as the compulsive quality of the fully developed disorder. The model is based on a review of advances in research on BN and advances in relevant basic psychological science. It integrates transdiagnostic personality risk, eating-disorder-specific risk, reinforcement theory, cognitive neuroscience, and theory drawn from the drug addiction literature. We identify both a state-based and a trait-based risk pathway, and we then propose possible state-by-trait interaction risk processes. The state-based pathway emphasizes depletion of self-control. The trait-based pathway emphasizes transactions between the trait of negative urgency (the tendency to act rashly when distressed) and high-risk psychosocial learning. We then describe a process by which initially impulsive BN behaviors become compulsive over time, and we consider the clinical implications of our model. (PsycINFO Database Record

Indexed as

Models, PsychologicalBulimia NervosaHumansImpulsive BehaviorSelf-Control

Identifiers

PMID25961467
PMCPMC4486518
OpenAlexW2415213789

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.