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Cited by 549

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Psychotherapy and Bulimia Nervosa: Longer-term Effects of Interpersonal Psychotherapy, Behavior Therapy, and Cognitive Behavior Therapy

Fairburn, Christopher G.·1993·Archives of General Psychiatry
DOI 10.1001/archpsyc.1993.01820180009001
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Abstract

OBJECTIVE: To determine whether cognitive behavior therapy (CBT) for bulimia nervosa has a specific therapeutic effect and determine whether a simplified behavioral treatment (BT) of CBT is as effective as the full treatment. DESIGN: Randomized controlled trial involving three psychological treatments. Two planned comparisons, CBT with interpersonal psychotherapy (IPT), and CBT with BT. Closed 12-month follow-up period. Independent assessors. SETTING: Secondary referral center. PATIENTS: Seventy-five consecutively referred patients with bulimia nervosa. Patients with concurrent anorexia nervosa were excluded. INTERVENTIONS: Cognitive behavior therapy, IPT, BT conducted on an individual outpatient basis. There were nineteen sessions over 18 weeks. Six experienced therapists administered all three treatments. There was no concurrent treatment. MAIN OUTCOME MEASURE: Frequency of binge eating and purging. RESULTS: High rate (48%) of attrition and withdrawal among the patients who received BT. Over follow-up, few patients undergoing BT met criteria for a good outcome (cessation of all forms of binge eating and purging). Patients in the CBT and IPT treatments made equivalent, substantial, and lasting changes across all areas of symptoms, although there were clear temporal differences in the pattern of response, with IPT taking longer to achieve its effects. CONCLUSIONS: Bulimia nervosa may be treated successfully without focusing directly on the patient's eating habits and attitudes to shape and weight. Cognitive behavior therapy and IPT achieved equivalent effects through the operation of apparently different mediating mechanisms. A further comparison of CBT and IPT is warranted. The behavioral version of CBT was markedly less effective than the full treatment.

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Metadata

Authors
Fairburn, C. G.
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
1993-06-01
Volume
50
Issue
6
Pages
419
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.1993.01820180009001
OpenAlex
W2033131966
Cited by
549
References
4
FWCI
27.47
Type
journal article
Language
en
Open access
closed

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