“…Laxative abuse has been associated with greater general psychopathology, a history of depression and anxiety (17,18), borderline personality features and other personality disturbances (11,19,20), and greater eating symptomatology, such as body dissatisfaction, drive for thinness, and eating concerns (11,(21)(22)(23). Additional associations with self-injurious behaviors, suicide attempts, and other impulsive behaviors (18,24 -28) have been noted.…”