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Binge frequency predicts outcome in guided self-care treatment of bulimia nervosa

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In a study comparing eight sessions of fortnightly guided self-change (GSC) with 16 sessions of weekly cognitive behaviour therapy (CBT) in bulimia nervosa (BN) we examined pre-treatment predictors of outcome.


Stepwise regression analyses were performed.


In the GSC group, a lower pre-treatment binge frequency predicted better outcome at the end of treatment and at follow-up. In the CBT group, previous psychiatric disorder, absence of baseline depression and comorbidity predicted better outcome at the end of therapy and there was a trend for depression at baseline to predict a worse outcome at follow-up.


Those with more frequent bingeing may require a more intensive intervention than guided self-care. Copyright © 2000 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: bulimia nervosa; cognitive behaviour therapy; guided self-change; outcome; predictors

Document Type: Research Article

Affiliations: 1: * 2: Eating Disorder Research Group, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, U.K 3: Psychology Department, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, U.K

Publication date: 2000-08-01

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