Four-year follow-up of guided self-change for bulimia nervosa

@article{Thiels2003FouryearFO,
  title={Four-year follow-up of guided self-change for bulimia nervosa},
  author={Cornelia Thiels and Ulrike Schmidt and Janet L Treasure and Rolf Garthe},
  journal={Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity},
  year={2003},
  volume={8},
  pages={212-217}
}
  • C. Thiels, U. Schmidt, +1 author R. Garthe
  • Published 1 September 2003
  • Psychology, Medicine
  • Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
The aim of this follow-up study was to evaluate the longer-term effectiveness of guided self-care for bulimia nervosa. In the original trial, 62 patients with DSM-III-R bulimia nervosa were randomly assigned to: a) a self-care manual plus eight fortnightly sessions of cognitive behavioural therapy (guided self-change); or b) 16 weekly sessions of cognitive behavioural therapy (CBT). Twenty-eight of these patients (45% of the original cohort) were involved in this follow-up study based on… 
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    The British journal of psychiatry : the journal of mental science
  • 2005
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A treatment evaluation study of guided self-change for bulimia nervosa incorporated a self-care manual and investigated acceptability, drop-out rate, and ‘extra’ in psychological therapies.
randomised controlled trial guided self-help for bulimia nervosa : long-term evaluation of a . conventional v behavioural therapy − Internet-delivered cognitive Material
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References

SHOWING 1-10 OF 22 REFERENCES
Guided self-change for bulimia nervosa incorporating use of a self-care manual.
TLDR
Guided self-change incorporating use of a self-care manual offers an approach that can be as effective as standard cognitive behavior therapy in the long term and can considerably reduce the amount of therapist contact required.
Sequential treatment for bulimia nervosa incorporating a self-care manual.
TLDR
A sequential approach to the treatment of bulimia may be as effective as standard CBT and can considerably reduce the amount of therapist contact required.
A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments.
TLDR
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.
First step in managing bulimia nervosa: controlled trial of therapeutic manual
TLDR
A self directed treatment manual may be a useful first intervention in the treatment of bulimia nervosa because it significantly reduced frequency of binge eating and weight control behaviours other than vomiting.
Psychotherapy and bulimia nervosa. Longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy.
TLDR
Bulimia nervosa may be treated successfully without focusing directly on the patient's eating habits and attitudes to shape and weight through the operation of apparently different mediating mechanisms.
Guided and unguided self-help for binge eating.
TLDR
Patients improved their eating behavior, eliminated any inappropriate compensatory behaviors, reduced their shape concern, weight concern, and other symptoms of eating-related psychopathology, and improved their general psychological functioning.
Outcome in bulimia nervosa.
TLDR
Treatment interventions may speed eventual recovery but do not appear to alter outcome more than 5 years following presentation, and personality traits, such as impulsivity, may contribute to poorer outcome.
The eating disorders awareness test: A new instrument for the assessment of the effectiveness of psychoeducational approaches to the treatment of eating disorders
A consecutive series of 76 patients with ICD-10 bulimia nervosa or atypical bulimia nervosa (WHO, 1992) were given the Eating Disorders Awareness Test (EDAT) to assess patients' awareness of the
Bulimia nervosa: an ominous variant of anorexia nervosa.
  • G. Russell
  • Psychology, Medicine
    Psychological medicine
  • 1979
TLDR
The main aims of treatment are to interrupt the vicious circle of overeating and self-induced vomiting (or purging), and to persuade the patients to accept a higher weight.
Binge eating: nature, assessment and treatment
This informative and unusually practical text brings together original and significant contributions from leading experts from a wide variety of fields. Of major importance to clinicians are the two
...
1
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3
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