Pathogenesis (development of the disease)
The pathogenesis of bulimia nervosa is not yet well understood. It is thought to be a combination of genetic, sociocultural, and psychological factors. In addition, personality traits such as perfectionism and introversion are present. Furthermore, additional disturbances occur in the central nervous system that disrupt satiety regulation, further driving the disease process.
Etiology (causes)
Biographic causes
- Homo- and bisexuality in men
- Professions – professional groups such as ballet dancers, models, athletes.
Behavioral causes
- Nutrition
- Recurrent dieting behavior
- Psycho-social situation
- Overweight (BMI ≥ 25; obesity).
Disease-related causes
- Depression
- Diabetes mellitus type 1 – diabetes of the young person.
Other causes
- Slimness mania of society