Objective: Conduct a randomized treatment trial to test whether healthy dieting maintains bulimic symptoms or effectively reduces this eating disturbance.
Methods: Female participants (n=85) with full- and sub-threshold bulimia nervosa were randomly assigned to a 6-session healthy dieting intervention or waitlist condition and assessed through 3-month follow-up.
Results: Relative to control participants, intervention participants showed modest weight loss during treatment and demonstrated significant improvements in bulimic symptoms that persisted through follow-up.
Discussion: These preliminary results suggest that this intervention shows potential for the treatment of bulimia nervosa and may be worthy of future refinement and evaluation. Results also provide experimental evidence that dieting behaviors do not maintain bulimia nervosa, suggesting the need to reconsider maintenance models for this eating disorder. 相似文献
Growth trajectories of co-occurring symptomatology were examined in a community sample of 493 female adolescents who were followed annually from early to late adolescence. On average, depression, eating disorder, and substance abuse symptoms increased over time, whereas antisocial behavior decreased. Increases in each symptom domain were associated with relative increases in all other domains. Initial depressive and antisocial behavior symptoms predicted future increases in the other; substance abuse and antisocial behavior symptoms also showed prospective reciprocal relations. Initial depression predicted increases in eating disorder and substance abuse symptoms. Initial eating disorder symptoms predicted increases in substance abuse problems. Finally, the results suggest that the developmental covariation between depressive and eating disorder symptoms and between antisocial behavior and substance abuse symptoms was accounted for by distinct but related 2nd-order growth parameters. 相似文献
In this study, we examined the capacity of MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 2001) validity indexes to identify malingered depression associated with a workplace injury. We compared 27 graduate students simulating depression with archival records of 33 inpatients diagnosed with major depressive disorder. We employed a mixed-group validation design to generate true positive rates (TPR) and false positive rates (FPR) for the various MMPI-2 validity scales [F, FB, F(p), FBS, F - K, Ds2] while we accounted for base rates of malingering in each sample. The Fake Bad scale (FBS) was the only validity measure that produced acceptable TPR and FPR or a significant correlation with malingering status. 相似文献
Functional analysis test conditions typically manipulate a single antecedent variable and an associated consequence to better isolate response-reinforcer relations. In some instances no problem behavior is observed, perhaps representing a false-negative finding. The present study evaluated one approach to assess potentially false-negative findings within functional analyses. Participants were exposed to single-antecedent functional analysis test conditions and combined-antecedent test conditions within a multielement design. Both participants engaged in problem behavior primarily during the combined-antecedent test conditions, and treatments matched to the results were effective in reducing problem behavior. Findings are discussed in terms of clinical implications of combining antecedent variables to further examine potentially false-negative functional analysis results. 相似文献
This study investigated the consistency of interpersonal perceptions regarding people who exhibit features of personality disorders. The participants (N=82) were college students who were assessed for features of personality disorders, using both self-report and peer nominations at Time 1. Two years later, participants attended four meetings in groups of 7 to 12 people for a total of 2 hours. Group discussions were designed to encourage interaction and give participants an opportunity to behave in ways that might be expected from people with personality problems. After Meetings 1 and 4, group members ranked their impressions of each other with regard to several personality traits and behavioral attributes. We observed important consistencies between the peer nominations collected at Time 1 and personality rankings made by a different peer group at Time 2. There was considerable convergence between personality disorder features and negative evaluations by others, with participants high in detachment eliciting the most negative reactions from peers in the lab. 相似文献
The relation between cognitive self-consciousness and meta-worry, and their association with symptoms of worry and obsessional thoughts were examined. 53 undergraduate students completed the expanded version of the Cognitive Self-consciousness Scale, the Meta-worry subscale of the Anxious Thoughts Inventory, the Penn State Worry Questionnaire, and the Padua Inventory-Revised. Analysis showed that cognitive self-consciousness and meta-worry were moderately correlated (r =.57). Further, both constructs were positively associated with symptoms of worry and obsessional thoughts. When controlling for cognitive self-consciousness, metaworry remained significantly correlated to both types of symptoms. Yet, when controlling for meta-worry, correlations between cognitive self-consciousness and symptoms of worry and obsessional thoughts clearly attuned and were no longer significant. These findings suggest that meta-worry is more important for understanding excessive, intrusive thought patterns than the mere tendency to monitor one's thoughts. 相似文献
Ratings of importance were reviewed for nine graduate admissions criteria for the 573 graduate degree programs listed in American Psychological Association's Graduate Study in Psychology (2003). Overall, the three criteria receiving the highest percentages of importance ratings were letters of recommendation, statement of goals and objectives, and grade point average. Importance ratings varied depending on the degree programs offered. Results are discussed in terms of the advice offered students interested in admission to graduate school and the importance of students tailoring their graduate admissions process to their specific degree program. 相似文献
Research has suggested that perception and action are independent (see M. A. Goodale & A. Haffenden, 1998). The authors used the Ebbinghaus illusion to test this hypothesis in 2 experiments. Verbal reports of perceived size were compared with maximum grip aperture during grasping (Experiment 1) and manual reports of perceived size (Experiment 2). A multidimensional signal detection analysis was used to distinguish among the possible interactions between the two processes in each experiment (H. Kadlec & J. T. Townsend, 1992a, 1992b). In Experiment 1, the percepts were independent, and there were no interactions between processes for verbal and visuomotor responses. In Experiment 2, the percepts associated with verbal and manual reports were independent, but the processes interacted at the levels of the stimulus information and the decision rules used to transform each percept into a response. 相似文献
This study examined the reliability, factor structure, and convergent validity of the Dutch version of C. S. Carver and T. L. Whites (1994) Behavioral Approach System and Behavioral Inhibition System Scales (BIS/BAS Scales). For this purpose, the BIS/BAS Scales, a shortened version of the Eysenck Personality Questionnaire (EPQ), and the Dickman Impulsivity Inventory (DII) were administered to 246 undergraduate students in The Netherlands. The internal consistency of the BIS/BAS Scales was sufficient. Further, exploratory and confirmatory factor analysis showed that the Dutch BIS/BAS Scales have a factor structure similar to the English version. Finally, BIS/BAS Scales were found to correlate in a theoretically meaningful way with extraversion, neuroticism, psychoticism, and impulsivity. 相似文献