1998
DOI: 10.1017/s0033291798006618
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The role of exposure with response prevention in the cognitive-behavioural therapy for bulimia nervosa

Abstract: CBT is a highly effective treatment for bulimia nervosa. B-ERP was modestly superior to P-ERP at post-treatment; however, the advantage did not remain throughout the follow-up interval. ERP for bulimia nervosa is an expensive and logistically complicated treatment that does not appear to offer any significant additive benefits that are proportional to the amount of effort required to implement the treatment.

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Cited by 151 publications
(113 citation statements)
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“…The results of an another longitudinal study indicate that there is a specific temporal relationship between traits and PDs, whereby changes in the personality traits lead to subsequent changes in the disorder [60] . Bulik et al [61] could show that self-directedness scores, but not PD symptoms, predict rapid and sustained response to cognitive behavior therapy. These findings suggest that modifying personality traits is an important component of treating PDs.…”
Section: Discussionmentioning
confidence: 99%
“…The results of an another longitudinal study indicate that there is a specific temporal relationship between traits and PDs, whereby changes in the personality traits lead to subsequent changes in the disorder [60] . Bulik et al [61] could show that self-directedness scores, but not PD symptoms, predict rapid and sustained response to cognitive behavior therapy. These findings suggest that modifying personality traits is an important component of treating PDs.…”
Section: Discussionmentioning
confidence: 99%
“…Perhaps the best example is the development of guided cognitive behavioral self-help. 36 This is a brief adaptation of full-scale CBT for those eating disorders characterized by binge eating. The intervention typically consists of eight to ten 20-minute sessions in which the ''therapist'' or provider oversees the patient's implementation of a self-help program (usually provided in the form of a self-help book).…”
Section: Mode Of Treatment Deliverymentioning
confidence: 99%
“…To date, CBT-bulimia nervosa has shown the greatest clinical utility in reducing many of the core features associated with bulimia nervosa, including binge eating, purging, dietary restraint, and other eating-attitude-related changes (Agras et al, 2000;Bailer et al, 2004;Bulik, Sullivan, Carter, McIntosh, & Joyce, 1998;Wilson & Shafran, 2005). Other studies examining the combination of CBT and medications, such as fluoxetine and desipramine, suggest that combined interventions may confer an additive benefit (Agras et al, 1992;Walsh, Fairburn, Mickley, Sysko, & Parides, 2004).…”
Section: Bulimia Nervosamentioning
confidence: 99%