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Cited by 526

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

A Prospective Study of Outcome in Bulimia Nervosa and the Long-term Effects of Three Psychological Treatments

Fairburn, Christopher G.·1995·Archives of General Psychiatry
DOI 10.1001/archpsyc.1995.03950160054010
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Abstract

BACKGROUND: Little is known about the longer-term outcome of bulimia nervosa and the distal effects of treatment. METHODS: Prospective follow-up of subjects from two randomized controlled trials, involving a comparison of cognitive behavior therapy, behavior therapy, and focal interpersonal therapy. RESULTS: Ninety percent (89/99) underwent reassessment by interview (mean [+/- SD] length of follow-up, 5.8 +/- 2.0 years). Almost half (46%) had a DSM-IV eating disorder; 19%, bulimia nervosa; 3%, anorexia nervosa; and 24%, eating disorder not otherwise specified. There was a low rate of other psychiatric disorders. Premorbid and paternal obesity predicted a poor outcome. While the three treatments did not differ with respect to the proportion of subjects with anorexia nervosa or bulimia nervosa at follow-up, they did differ once all forms of DSM-IV eating disorder were considered together. Those who had received cognitive behavior therapy or focal interpersonal therapy were doing markedly better than those who had received behavior therapy. CONCLUSIONS: The longer-term outcome of bulimia nervosa depends on the nature of the treatment received. Patients who receive a treatment such as behavior therapy, which only has a short-lived effect, tend to do badly, whereas those who receive treatments such as cognitive behavior therapy or focal interpersonal therapy have a better prognosis.

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Metadata

Authors
Fairburn, C. G.
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
1995-04-01
Volume
52
Issue
4
Pages
304
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.1995.03950160054010
OpenAlex
W1986815930
Cited by
526
References
3
FWCI
30.65
Type
journal article
Language
en
Open access
closed

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