Cognitive‐behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings. Issue 1 (2nd September 2013)

• Record Type: Journal Article
• Authors: Waller, Glenn; Gray, Emma; Hinrichsen, Hendrik; Mountford, Victoria; Lawson, Rachel; Patient, Eloise
• Is Part Of: International journal of eating disorders. Volume 47:Issue 1(2014:Jan.)
• Page Start: 13
• Page End: 17
• Publication Date: 2013-09-02
• Subjects: Appetite disorders -- Periodicals; Ingestion disorders -- Periodicals; Eating disorders -- Periodicals; 616.8526
• DOI: 10.1002/eat.22181
• Languages: English
• ISSNs: 0276-3478

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="eat22181-sec-0001" sec-type="section"> <title>Objective</title> <p>The efficacy of cognitive‐behavioral therapy (CBT) for bulimic disorders has been established in research trials. This study examined whether that efficacy can be translated into effectiveness in routine clinical practice.</p> </sec> <sec id="eat22181-sec-0002" sec-type="section"> <title>Method</title> <p>Seventy‐eight adult women with bulimic disorders (bulimia nervosa and atypical bulimia nervosa) undertook individual CBT, with few exclusion criteria and a treatment protocol based on evidence‐based approaches, utilizing individualized formulations. Patients completed measures of eating behaviors, eating attitudes, and depression pre‐ and post‐treatment. Eight patients dropped out. The mean number of sessions attended was 19.2.</p> </sec> <sec id="eat22181-sec-0003" sec-type="section"> <title>Results</title> <p>No pretreatment features predicted drop‐out. Treatment outcome was similar whether using treatment completer or intent to treat analyses. Approximately 50% of patients were in remission by the end of treatment. There were significant improvements in mood, eating attitudes, and eating behaviors. Reductions in bingeing and vomiting were comparable to efficacy trials.</p> </sec> <sec id="eat22181-sec-0004" sec-type="section"> <title>Discussion</title> <p>The improvements in this "real‐world" trial of CBT for adults with bulimic disorders mirrored those from large, funded research trials, though the conclusions that can be reached are inevitably limited by the nature of the trial (e.g., lack of control group and therapy validation). © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:13–17)</p> </sec> </abstract>