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A randomized controlled trial of family therapy and cognitive behavior guided self-care for adolescents with bulimia nervosa and related disorders

Schmidt, Ulrike, Lee, Sally, Beecham, Jennifer, Perkins, Sarah, Treasure, Janet, Yi, Irene, Winn, Suzanne, Robinson, Paul, Murphy, Rebecca, Keville, Saskia, and others. (2007) A randomized controlled trial of family therapy and cognitive behavior guided self-care for adolescents with bulimia nervosa and related disorders. American Journal of Psychiatry, 164 (4). pp. 591-598. ISSN 0002-953X. (doi:10.1176/appi.ajp.164.4.591) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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http://dx.doi.org/10.1176/appi.ajp.164.4.591

Abstract

Objective: To date no trial has focused

nervosa. The aim of this study was

of family therapy and cognitive

adolescents with bulimia nervosa or eating

Method: Eighty-five adolescents with bulimia

specified were recruited from eating

Participants were randomly assigned to

CBT guided self-care supported by a

measures were abstinence from bingeeating

at end of treatment (6 months) and

measures included other bulimic symptoms

Results: Of the 85 study participants, 41

CBT guided self-care. At 6 months, bingeing

reduction in the guided self-care group

this difference disappeared at 12

between groups in behavioral or attitudinal

cost of treatment was lower for guided

treatments did not differ in other cost

Conclusions: Compared with family

slight advantage of offering a more rapid

greater acceptability for adolescents with

specified.

Some 4%–7% of young females in Western countries

develops in adolescence, and individuals with a partial

Without treatment, bulimia nervosa tends to persist into

physical and mental disorders and imposes a major burden

Although numerous randomized controlled trials have

have been conducted with adolescents. U.K. guidelines on

eating disorders as a research priority. The guidelines

costs associated with these disorders.

adolescents with anorexia nervosa (2), and it has been

behavior therapy (CBT) is the treatment of choice for

for bulimia nervosa can be as effective as therapist-delivered

recommended as a first-line intervention for adults with

useful early intervention for bulimia in adolescents.

cost-effectiveness of family therapy and CBT guided selfcare

not otherwise specified. Our primary hypothesis was that in

specified, family therapy would produce higher rates

of treatment and at follow-up. Our secondary hypothesis

family therapy.

Item Type: Article
DOI/Identification number: 10.1176/appi.ajp.164.4.591
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: R. Bass
Date Deposited: 25 Apr 2008 14:34 UTC
Last Modified: 06 Feb 2020 04:00 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/2906 (The current URI for this page, for reference purposes)
Beecham, Jennifer: https://orcid.org/0000-0001-5147-3383
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