A comparison of nutritional management with stress management in the treatment of bulimia nervosa.
ABSTRACT In a comparison of nutritional management (NM) and stress management (SM) for treatment of bulimia nervosa, 55 female patients were randomly assigned to either treatment. Therapy consisted of 15 sessions in a group over three months, by the end of which, patients under both treatment conditions showed a significant reduction in the frequency of binge eating and vomiting and a significant improvement in various psychopathological features such as body dissatisfaction and depression. All improvements were maintained over 12-month follow-up NM produced a more rapid improvement in general eating behaviour, a faster reduction in binge frequency and a higher abstinence rate from binge eating. SM led to greater positive changes in certain psychopathological features such as feelings of ineffectiveness, interpersonal distrust and anxiety. NM should be regarded as a necessary first intervention in all bulimic patients. Further psychological therapy, such as SM, is indicated as well for some patients, depending on their specific psychological difficulties.
- SourceAvailable from: Kelly J. Duncan[Show abstract] [Hide abstract]
ABSTRACT: This meta‐analysis included 111 clinical trials exploring the effectiveness of counseling/psychotherapy and guided self‐help approaches in the treatment of bulimia nervosa. In general, single‐group studies supported higher efficacy of counseling/psychotherapy, whereas wait‐list, treatment‐as‐usual, and placebo studies indicated both approaches were equally effective at termination (posttest) and follow‐up in altering binging, purging, laxative use, and self‐reported bulimia or body dissatisfaction perceptions in nearly all comparisons.Journal of counseling and development: JCD 04/2013; 91(2). · 0.62 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: We report a multidimensional meta-analysis of psycho- therapy trials for bulimia nervosa published between 1980 and 2000, including multiple variables in addition to effect size such as inclusion and exclusion, recovery, and sustained recovery rates. The data point to four conclu- sions. First, psychotherapy leads to large improvements from baseline. Approximately 40% of patients who com- plete treatment recover completely, although 60% main- tain clinically significant posttreatment symptoms. Sec- ond, individual therapy shows substantially better effects than group therapy for the therapies tested. Third, addi- tional approaches or treatment parameters (e.g., number of sessions) need to be tested for the substantial number of patients who enter treatment and do not recover. Fi- nally, the utility of meta-analyses can be augmented by including a wider range of outcome metrics, such as re- covery rates and posttreatment symptom levels.Clinical Psychology Science and Practice 01/2003; 10(3):269-287. · 2.92 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: This study reports the short-term (nine months) follow-up effects of eight weeks of hypnobehavioural and cognitive behavioural treatment of bulimia nervosa. Of the 78 subjects who entered treatment, 48 completed a closed follow-up of nine months duration. The results based on this sample showed that there were no differences in abstinence from bingeing and purging between the treatments and that abstinence increased over time for both treatments. Also, there were no differences between treatments on eating pathology, bulimic behaviours or general psychopathology measures in the short term. Both treatment types were equally acceptable to patients. The results were compared with other studies. It was suggested that the model for HBT is comparable in validity with the model underlying CBT and that HBT could justifiably be recommended as an alternative to CBT.European Eating Disorders Review 03/1996; 4(1):12-31. · 1.38 Impact Factor