The Role of Impulsivity in Women with Bulimia Nervosa using Q Methodology

This study exploresthe link between bulimia nervosa and impulsivity. Using Q methodology, twenty-six women with or without a history of bulimia nervosa ranked statements reflective of impulsivity. Results showedthattwo factors were generated, indicating two statistically distinct ways of responding. Participants who loaded on factor A were characterized by their structured approach around decision-making, thinking through consequences of actions, and tendency towards planning/organization. In all but one participant, this factor was represented by participants with no history of bulimia nervosa. Participants who loaded on factor B were characterized by pleasure-seeking urges, quick action, lack ofself-control, and difficulty in postponing reward. This factor, except for one participant, consisted of individuals with a history of bulimia nervosa. In conclusion, the current study providesanevidence for a pattern of impulsivity in women with bulimia nervosa not found in their healthy counterparts.