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

  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},
  • 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… 
Internet-delivered cognitive-behavioural therapy v. conventional guided self-help for bulimia nervosa: long-term evaluation of a randomised controlled trial
Internet-based guided self- help for bulimia nervosa was not superior compared with bibliotherapy, the gold standard of self-help, but Improvements remain stable in the long term.
Psychological treatments for bulimia nervosa and binging.
The efficacy of CBT and particularly CBT-BN in the treatment of people with bulimia nervosa and also related eating disorder syndromes was supported, and other psychotherapies were also efficacious, particularly interpersonal psychotherapy in the longer-term.
Self-help and guided self-help for eating disorders.
PSH/GSH may have some utility as a first step in treatment and may have potential as an alternative to formal therapist-delivered psychological therapy in people with eating disorders.
Psychotherapy for bulimia nervosa and binging.
The efficacy of cognitive-behavioural psychotherapy (CBT) and particularly CBT-BN in the treatment of people with bulimia nervosa was supported and other psychotherapies were also efficacious, particularly interpersonal psychotherapy in the longer-term.
Using latent growth curve modeling in clinical treatment research: An example comparing guided self-change and cognitive behavioral therapy treatments for bulimia nervosa
This experimental study demonstrates the usefulness of multi-group piece-wise latent growth curve models (LGCM) in clinical research, particularly for assessing and comparing treatment effects.
ICBT for Eating Disorders
Research suggests that treatment adherence is lower in BN patients who are younger and show more dietary restraint and lower BMI at baseline, and evidence for the cost-effectiveness of ICBT programmes is as yet limited.
Narcissism in the eating disorders: Impact on treatment engagement and drop-out.
This paper reviews research examining the psychosocial factors that influence adherence to the psychological treatment of the eating disorders. Drop-out in the eating disorders was found to range
Number of Different Purging Behaviors Used Among Women With Eating Disorders: Psychological, Behavioral, Self-Efficacy and Quality of Life Outcomes
Using different purging behaviors was significantly associated at follow-up with lower self-esteem, greater depression, higher state and trait anxiety, higher BMI, poorer self-efficacy for normative eating and body image, compromised quality of life, greater dietary restraint, and eating, shape and weight concerns.
Guided self-change for bulimia.
  • C. Thiels
  • Medicine, Psychology
    The British journal of psychiatry : the journal of mental science
  • 2005
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
digital object identifier (DOIs) and date of initial publication. the indexed by PubMed from initial publication. Citations to Advance online articles must include final publication). Advance online


Guided self-change for bulimia nervosa incorporating use of a self-care manual.
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.
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.
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
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.
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.
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.
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
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