Skip to main content

Compliance with a self-care manual in guided self-change for bulimia nervosa

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.

Abstract:

Objective

To investigate the effect of compliance and its predictors on outcome.

Method

62 patients with DSM-III-R bulimia nervosa (BN) were randomly assigned to a self-care manual plus eight fortnightly sessions of guided self-change or 16 sessions of weekly cognitive behavioural therapy.

Results

At the end of treatment, the group of high compliers had not achieved higher abstinence rates than low compliers regarding BN symptoms. At follow-up on average 43 weeks (SD 26) after the end of therapy, those who had completed more exercises were more likely than low compliers to be abstinent from bingeing and vomiting. Those with a high frequency of vomiting at the beginning of therapy were less likely to use the manual while those with a longer duration of illness and higher levels of restraint were more likely to use the manual.

Discussion

Exercises seem to be particularly important. Copyright © 2001 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: bulimia nervosa; compliance; guided self-change; outcome; predictors; self-care manual

Document Type: Miscellaneous

DOI: http://dx.doi.org/10.1002/erv.370

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

Publication date: March 1, 2001

More about this publication?

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Partial Open Access Content
Partial Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more