TY - JOUR
AU1 - Fairburn, Christopher G.
AU2 - Norman, Patricia A.
AU3 - Welch, Sarah L.
AU4 - O&apos
AU5 - Connor, Marianne E.
AU6 - Doll, Helen A.
AU7 - Peveler, Robert C.
AB - Abstract Background: Little is known about the longer-term outcome of bulimia nervosa and the distal effects of treatment. Methods: Prospective follow-up of subjects from two randomized controlled trials, involving a comparison of cognitive behavior therapy, behavior therapy, and focal interpersonal therapy. Results: Ninety percent (89/99) underwent reassessment by interview (mean [±SD] length of follow-up, 5.8±2.0 years). Almost half (46%) had a DSM-IV eating disorder; 19%, bulimia nervosa; 3%, anorexia nervosa; and 24%, eating disorder not otherwise specified. There was a low rate of other psychiatric disorders. Premorbid and paternal obesity predicted a poor outcome. While the three treatments did not differ with respect to the pro-portion of subjects with anorexia nervosa or bulimia nervosa at follow-up, they did differ once all forms of DSM-IV eating disorder were considered together. Those who had received cognitive behavior therapy or focal interpersonal therapy were doing markedly better than those who had received behavior therapy. Conclusions: The longer-term outcome of bulimia nervosa depends on the nature of the treatment received. Patients who receive a treatment such as behavior therapy, which only has a short-lived effect, tend to do badly, whereas those who receive treatments such as cognitive behavior therapy or focal interpersonal therapy have a better prognosis. References 1. Russell GFM. Bulimia nervosa: an ominous variant of anorexia nervosa . Psychol Med . 1979;9:429-448.Crossref 2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Third Edition . Washington, DC: American Psychiatric Association; 1980. 3. Keller MB, Herzog DB, Lavori PW, Bradburn IS, Mahoney EM. The naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence, and psychosocial morbidity . 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TI - A Prospective Study of Outcome in Bulimia Nervosa and the Long-term Effects of Three Psychological Treatments
JF - Archives of General Psychiatry
DO - 10.1001/archpsyc.1995.03950160054010
DA - 1995-04-01
UR - https://www.deepdyve.com/lp/american-medical-association/a-prospective-study-of-outcome-in-bulimia-nervosa-and-the-long-term-otOK0CeXnN
SP - 304
EP - 312
VL - 52
IS - 4
DP - DeepDyve
ER -