scholarly journals Therapeutic alliance in Enhanced Cognitive Behavioural Therapy for bulimia nervosa: Probably necessary but definitely insufficient

2014 ◽  
Vol 57 ◽  
pp. 65-71 ◽  
Author(s):  
Bronwyn C. Raykos ◽  
Peter M. McEvoy ◽  
David Erceg-Hurn ◽  
Susan M. Byrne ◽  
Anthea Fursland ◽  
...  
Keyword(s):  
Bulimia Nervosa ◽  
Therapeutic Alliance ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals Stepped care and cognitive–behavioural therapy for bulimia nervosa: randomised trial

2011 ◽  
Vol 198 (5) ◽  
pp. 391-397 ◽  
Author(s):  
James E. Mitchell ◽  
Stewart Agras ◽  
Scott Crow ◽  
Katherine Halmi ◽  
Christopher G. Fairburn ◽  
...  
Keyword(s):  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Relative Effectiveness ◽  
Randomised Trial ◽  
Behavioural Therapy ◽  
Individual Therapy ◽  
Stepped Care ◽  
Self Help ◽  
Treatment Conditions ◽  
Cognitive Behavioural

BackgroundThis study compared the best available treatment for bulimia nervosa, cognitive–behavioural therapy (CBT) augmented by fluoxetine if indicated, with a stepped-care treatment approach in order to enhance treatment effectiveness.AimsTo establish the relative effectiveness of these two approaches.MethodThis was a randomised trial conducted at four clinical centres (Clinicaltrials.gov registration number: NCT00733525). A total of 293 participants with bulimia nervosa were randomised to one of two treatment conditions: manual-based CBT delivered in an individual therapy format involving 20 sessions over 18 weeks and participants who were predicted to be non-responders after 6 sessions of CBT had fluoxetine added to treatment; or a stepped-care approach that began with supervised self-help, with the addition of fluoxetine in participants who were predicted to be non-responders after six sessions, followed by CBT for those who failed to achieve abstinence with self-help and medication management.ResultsBoth in the intent-to-treat and completer samples, there were no differences between the two treatment conditions in inducing recovery (no binge eating or purging behaviours for 28 days) or remission (no longer meeting DSM–IV criteria). At the end of 1-year follow-up, the stepped-care condition was significantly superior to CBT.ConclusionsTherapist-assisted self-help was an effective first-level treatment in the stepped-care sequence, and the full sequence was more effective than CBT suggesting that treatment is enhanced with a more individualised approach.

Cognitive-Behavioural Treatment of Bulimia Nervosa

1995 ◽  
Vol 12 (2) ◽  
pp. 81-97 ◽  
Author(s):  
Harold Leitenberg
Keyword(s):  
Bulimia Nervosa ◽  
Effective Treatment ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

This paper reviews the literature on cognitive-behavioural treatment of bulimia nervosa, including the rationale and procedure for including an exposure plus response-prevention component. Comparisons of the full cognitive-behavioural therapy package to no treatment, other forms of psychotherapy, and pharmacotherapy are evaluated. The evidence suggests that cognitive-behavioural therapy is a relatively effective treatment for bulimia nervosa, although long-term outcome is still far from optimal.

A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population

2010 ◽  
Vol 41 (2) ◽  
pp. 407-417 ◽  
Author(s):  
V. C. Sánchez-Ortiz ◽  
C. Munro ◽  
D. Stahl ◽  
J. House ◽  
H. Startup ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Eating Disorder Examination ◽  
Delayed Treatment ◽  
Cognitive Behavioural ◽  
E Mail

BackgroundBulimic eating disorders are common among female students, yet the majority do not access effective treatment. Internet-based cognitive-behavioural therapy (iCBT) may be able to bridge this gap.MethodSeventy-six students with bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) were randomly assigned to immediate iCBT with e-mail support over 3 months or to a 3-month waiting list followed by iCBT [waiting list/delayed treatment control (WL/DTC)]. ED outcomes were assessed with the Eating Disorder Examination (EDE) at baseline, 3 months and 6 months. Other outcomes included depression, anxiety and quality of life.ResultsStudents who had immediate iCBT showed significantly greater improvements at 3 and 6 months than those receiving WL/DTC in ED and other symptoms.ConclusionsiCBT with e-mail support is efficacious in students with bulimic disorders and has lasting effects.

A short-term cognitive behavioural therapy for bulimia nervosa including brief hospitalisation

1997 ◽  
Vol 12 (8) ◽  
pp. 405-411 ◽  
Author(s):  
T Léonard ◽  
C Mirabel-Sarron ◽  
C Foulon ◽  
J-C Melchior ◽  
D Rigaud ◽  
...  
Keyword(s):  
Food Intake ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Eating Behaviour ◽  
Behavioural Therapy ◽  
Psychiatric Ward ◽  
Metabolic Study ◽  
Short Term ◽  
Meal Intake ◽  
Cognitive Behavioural

SummaryThis was a metabolic study of bulimia nervosa required to design short-term cognitive-behavioural therapy (CBT) beginning with a brief admission to a psychiatric ward. The treatment produced significant improvements in eating behaviour and results are compared with those of previously published studies. The comparisons do not suggest that brief admission at the onset of therapy might enhance its effectiveness. In other respects, increase in normal meal intake was found to correlate significantly with decrease in hinging. This supports the notion that appropriate food intake at meal times should be an important issue in CBT for bulimia nervosa.

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