Cognitive-behavioral group psychotherapy of bulimia nervosa: Importance of logistical variables

Abstract

Although much of the psychotherapy for psychiatric disorders is conducted on a weekly basis, several researchers in the field of bulimia nervosa have utilized a more intensive approach as a means to strengthen treatment effects. A second issue concerns the amount of emphasis that should be placed on encouraging the interruption of bulimic symptoms early in treatment. In the current study we systematically studied these two issues. Subjects were randomly assigned to one of four forms of cognitive‐behavioral group psychotherapy, the four cells differing on the variables of intensity and emphasis on abstinence. The results indicate that a high intensity approach, an early abstinence approach, or a combination of these two approaches are all significantly more effective in inducing remission in patients with bulimia nervosa compared with a weekly psychotherapy that uses the same manual‐based cognitive‐behavioral therapy approach. © 1993 by John Wiley & Sons, Inc.

Rapid response to intensive treatment for bulimia nervosa and purging disorder: A randomized controlled trial of a CBT intervention to facilitate early behavior change.

“…This provides strong support for the emerging evidence in the literature that rapid response is likely caused by elements of CBT. Our findings are also consistent with those of Mitchell and colleagues (1993), which demonstrated that an explicit emphasis on early abstinence may be an ideal approach in intensive treatment settings (Mitchell et al, 1993). Our study extends Mitchell and colleagues' study by indicating that an emphasis on early abstinence may result in differential rates of rapid response (which was not examined in their study).…”

Rapid response to intensive treatment for bulimia nervosa and purging disorder: A randomized controlled trial of a CBT intervention to facilitate early behavior change.

“…This provides strong support for the emerging evidence in the literature that rapid response is likely caused by elements of CBT. Our findings are also consistent with those of Mitchell and colleagues (1993), which demonstrated that an explicit emphasis on early abstinence may be an ideal approach in intensive treatment settings (Mitchell et al, 1993). Our study extends Mitchell and colleagues' study by indicating that an emphasis on early abstinence may result in differential rates of rapid response (which was not examined in their study).…”

Maintenance factors for persistence of bulimic pathology: A prospective natural history study

“…Thus, if these behaviors are reduced quickly, there may be greater likelihood of remission. This is congruent with prior treatment studies that have shown that rapid responders to treatment showed greater symptom control and were less likely to relapse than slower responders [19–21]. …”

Cues in bulimia nervosa: Relationships with personality and treatment outcome

“……”

Rapid response to intensive treatment for bulimia nervosa and purging disorder: A randomized controlled trial of a CBT intervention to facilitate early behavior change.

“…This provides strong support for the emerging evidence in the literature that rapid response is likely caused by elements of CBT. Our findings are also consistent with those of Mitchell and colleagues (1993), which demonstrated that an explicit emphasis on early abstinence may be an ideal approach in intensive treatment settings (Mitchell et al, 1993). Our study extends Mitchell and colleagues' study by indicating that an emphasis on early abstinence may result in differential rates of rapid response (which was not examined in their study).…”

Maintenance factors for persistence of bulimic pathology: A prospective natural history study

“…Thus, if these behaviors are reduced quickly, there may be greater likelihood of remission. This is congruent with prior treatment studies that have shown that rapid responders to treatment showed greater symptom control and were less likely to relapse than slower responders [19–21]. …”

Cues in bulimia nervosa: Relationships with personality and treatment outcome

“……”

Rapid response to intensive treatment for bulimia nervosa and purging disorder: A randomized controlled trial of a CBT intervention to facilitate early behavior change.

“…This provides strong support for the emerging evidence in the literature that rapid response is likely caused by elements of CBT. Our findings are also consistent with those of Mitchell and colleagues (1993), which demonstrated that an explicit emphasis on early abstinence may be an ideal approach in intensive treatment settings (Mitchell et al, 1993). Our study extends Mitchell and colleagues' study by indicating that an emphasis on early abstinence may result in differential rates of rapid response (which was not examined in their study).…”

Maintenance factors for persistence of bulimic pathology: A prospective natural history study

“…Thus, if these behaviors are reduced quickly, there may be greater likelihood of remission. This is congruent with prior treatment studies that have shown that rapid responders to treatment showed greater symptom control and were less likely to relapse than slower responders [19–21]. …”

Cues in bulimia nervosa: Relationships with personality and treatment outcome

“……”