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A Journal on Psychiatry, Psychology and Psychopharmacology
Official Journal of the Italian Society of Social Psychiatry
Indexed/Abstracted in: EMBASE, e-psyche, PsycINFO, Scopus, Emerging Sources Citation Index
Minerva Psichiatrica 2002 June;43(2):141-50
Parallel course and treatment of two sisters suffering from bulimia nervosa in comorbidity with depressive and personality disorder
Keller R., Pesce G.
The authors describe the clinical and psychopathological features of two sisters suffering from bulimia nervosa, the second and third born of three daughters. They show a parallel onset of the disorder and parallel course of illness, also during the treatment. The second born daughter (SB), ten years older than the third born daughter (TB), was the leader of the disorder. Borderline and obsessive-compulsive personality in SB, and obsessive-compulsive and histrionic personality in TB were observed. Double depression, with dysthimia and major depressive episodes, was also diagnosed in both. Obsessive-compulsive personality was present in the mother and a binge-eating disorder in father, who became diabetic of type II. Both sisters were treated with a parallel integrated treatment based on a first cycle of 15 sessions of progressive cycle supportive-expressive oriented psychotherapy, with cognitive component, by two different psychotherapeutists, with common weekly supervision, combined with fluoxetine 20 mg/day. Affective and eating symptoms markedly improved, also one year after the end of the psychotherapy.