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J Consult Clin Psychol. 1999 Aug;67(4):451-9.

Psychological versus pharmacological treatments of bulimia nervosa: predictors and processes of change.

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  • 1Eating Disorders Clinic, Rutgers, State University of New Jersey, Piscataway 08854, USA. tewilson@rci.rutgers.edu

Abstract

This article extends the acute outcome findings from a study comparing psychological and pharmacological interventions for bulimia nervosa (B.T. Walsh et al., 1997) by examining 3 additional domains: predictive factors, therapeutic alliance, and time course of change. One hundred twenty women were randomized to cognitive-behavioral therapy (CBT), supportive psychotherapy (SPT) plus antidepressant medication or a placebo, or a medication-alone condition. Results indicate that high baseline frequencies of binge eating and vomiting, as well as a positive history of substance abuse or dependence, are negative prognostic indicators. Although a greater overall therapeutic alliance may increase the likelihood of remission, symptom change over the course of treatment may have as much of an impact on patient ratings of alliance as the reverse. CBT was significantly more rapid than SPT in reducing binge eating and vomiting frequencies.

PMID:
10450615
[PubMed - indexed for MEDLINE]
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