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Eat Behav. 2016 Jan;20:39-42. doi: 10.1016/j.eatbeh.2015.11.008. Epub 2015 Nov 12.

Meal patterning in the treatment of bulimia nervosa.

Author information

1
Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States. Electronic address: dr.jo.ellison@gmail.com.
2
Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States.
3
Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States; School of Medicine and Health Sciences, University of North Dakota, 1919 Elm St. N., Fargo, ND 58102, United States.
4
Psychiatry and Behavioral Sciences, Baylor College of Medicine, 2002 Holcombe Blvd., Houston, TX 77030, United States.
5
Department of Psychiatry, University of Wisconsin, 6001 Research Park Blvd., Madison, WI 53719, United States.
6
Department of Psychiatry, University of Minnesota, 2450 Riverside Avenue South, Minneapolis, MN 55454, United States.

Abstract

OBJECTIVE:

This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults.

METHOD:

Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE).

RESULTS:

Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment.

CONCLUSIONS:

The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.

KEYWORDS:

Bulimia nervosa; Meal patterning; Treatment

PMID:
26630618
PMCID:
PMC4701380
DOI:
10.1016/j.eatbeh.2015.11.008
[Indexed for MEDLINE]
Free PMC Article

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