A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments.
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....
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
1995
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| _version_ | 1797093293099581440 |
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| author | Fairburn, C Norman, P Welch, S O'Connor, M Doll, H Peveler, R |
| author_facet | Fairburn, C Norman, P Welch, S O'Connor, M Doll, H Peveler, R |
| author_sort | Fairburn, C |
| collection | OXFORD |
| description | 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 proportion 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. |
| first_indexed | 2024-03-07T03:58:14Z |
| format | Journal article |
| id | oxford-uuid:c39b2de5-7285-4109-b252-8af0326cda45 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:58:14Z |
| publishDate | 1995 |
| record_format | dspace |
| spelling | oxford-uuid:c39b2de5-7285-4109-b252-8af0326cda452022-03-27T06:17:43ZA prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c39b2de5-7285-4109-b252-8af0326cda45EnglishSymplectic Elements at Oxford1995Fairburn, CNorman, PWelch, SO'Connor, MDoll, HPeveler, RBACKGROUND: 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 proportion 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. |
| spellingShingle | Fairburn, C Norman, P Welch, S O'Connor, M Doll, H Peveler, R A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title | A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title_full | A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title_fullStr | A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title_full_unstemmed | A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title_short | A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. |
| title_sort | prospective study of outcome in bulimia nervosa and the long term effects of three psychological treatments |
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