in psychology, disorders in eating patterns that comprise four categories: anorexia nervosa, bulimia, rumination disorder, and pica. Anorexia nervosa is characterized by self-starvation to avoid obesity. People with this disorder believe they are overweight, even when their bodies become grotesquely distorted by malnourishment. Bulimia is characterized by massive food binges followed by self-induced vomiting or use of diuretics and laxatives to avoid weight gain. Some anorexic patients combine bulimic purges with their starvation routine. These disorders generally afflict women—particularly in adolescence and young adulthood—and are much less common among men. Some researchers believe that anorexia and bulimia are caused by chemical imbalances in the brain; one study has linked bulimia to deprivation of tryptophan, an amino acid used by the body to make the neurotransmitter serotonin. Others contend that these disorders are rooted in societal ideals that value slenderness. Rumination disorder generally occurs during infancy, and involves repeated regurgitation accompanied by low body weight. Infants suffering from rumination disorder may re-ingest the regurgitated food. Pica, also found primarily among infants, is characterized by eating various non-nutritive substances like plaster, paint, or leaves. Obesity
is not generally considered an eating disorder, since its causes tend to be physiological.