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A comparison of two psychological treatments for bulimia nervosa
Authors:Christopher G. Fairburn   Joan Kirk   Marianne O''Connor  Peter J. Cooper
Affiliation:

a University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, England

b University Department of Psychiatry, Addenbrokes Hospital, Cambridge, England

Abstract:Two standardized psychological treatments for bulimia nervosa were studied. A cognitive behavioural approach was compared with a form of short-term focal psychotherapy. Twenty-four patients who met strict diagnostic criteria for bulimia nervosa were randomly allocated to the two treatments. All the interviews were tape-recorded so that checks on their content could be made. Assessments took place at the beginning and end of treatment, and at 4-, 8- and 12-month follow-up. None of the patients dropped out of treatment or follow-up, but 1 patient from each treatment group had to be withdrawn on clinical grounds. Patients in both groups made substantial improvements which were well maintained over the 12-month treatment-free follow-up period. The cognitive behavioural approach was superior to short-term focal psychotherapy in terms of its effect on the patients' overall clinical state, their general psychopathology and social adjustment, and their assessment of their outcome.
Keywords:
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