Prediction of outcome in bulimia nervosa by early change in treatment

Am J Psychiatry. 2004 Dec;161(12):2322-4. doi: 10.1176/appi.ajp.161.12.2322.

Abstract

Objective: The authors' goal was to identify predictors of treatment response in bulimia nervosa and, in particular, to attempt to replicate and extend the observation that early change predicts outcome.

Method: Predictors of response at the end of treatment and 8-month follow-up were sought from a group of 220 women treated with either cognitive behavior therapy or interpersonal psychotherapy.

Results: Early change in frequency of purging was the best predictor of response at the end of treatment and at 8-month follow-up.

Conclusions: Early change in treatment is a robust and potent predictor of immediate and longer-term outcome in bulimia nervosa.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Body Mass Index
  • Bulimia / therapy*
  • Cognitive Behavioral Therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Prognosis
  • Psychotherapy / methods*
  • Time Factors
  • Treatment Outcome
  • Vomiting / epidemiology
  • Vomiting / prevention & control