Survey of regional health care providers on selection of treatment for bulimia nervosa
Abstract
Objective To determine which treatments clinicians currently recommend for patients with bulimia nervosa (BN), to find out if they recommended evidence-based treatments, and to assess availability and clinician satisfaction with treatment options. Methods Surveys were sent to 1,263 health care providers in Minnesota, Iowa, and Wisconsin who were likely to encounter patients with BN. These health care providers comprised all primary care clinicians, physician assistants, advanced practice nurses, and all mental health/chemical dependency clinicians (MDs, Clinical Nurse Specialist (CNS), social workers, doctoral and masters-level therapists, and chemical dependency (CD) counselors) affiliated with the Mayo Clinic in Rochester, Minnesota. Results Evidence-based treatments for BN are recommended consistently and are generally perceived to be available, at least to practitioners affiliated with a large medical center in the Midwest. Clinician satisfaction with treatment options is modest. Discussion Clinicians are recommending evidence-based treatments for BN patients and find them to be generally available. Modest satisfaction with available treatments may reflect a realistic understanding of treatment options, which need further development.
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Studies indicate that therapists routinely use less well-supported or unevidenced approaches, despite being trained in CBT-ED.
“Such studies indicate that therapists routinely use less well-supported or unevidenced approaches, despite being trained in CBT-ED.”
From To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do (2018) · cites this paper as McAlpine, Schroder, Pankratz & Maurer, 2004
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- Authors
- McAlpine, D. E., Schroder, K., Pankratz, V. S., & Maurer, M.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- McAlpine, Donald E.
- ORCID
- Pankratz, V. Shane
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2003-12-30
- Volume
- 35
- Issue
- 1
- Pages
- 27-32
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2032456573
- Cited by
- 14
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2018: 1 · 2017: 1 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- bulimia nervosa, treatment selection, evidence-based treatment, clinician recommendations, treatment availability, provider satisfaction, mental health professionals, primary care providers, eating disorders
- MeSH terms
- Bulimia, Choice Behavior, Health Personnel, Health Planning Guidelines, Humans, Interpersonal Relations, Surveys and Questionnaires, Regional Health Planning, Cognitive Behavioral Therapy, Selective Serotonin Reuptake Inhibitors, Evidence-Based Medicine
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