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The Prediction of Treatment Response in Bulimia Nervosa a Study of Patient Variables

Published online by Cambridge University Press:  02 January 2018

Sarah E. Maddocks  and
Allan S. Kaplan
Sarah E. Maddocks*
Affiliation:
Women's College Hospital, Toronto
Allan S. Kaplan
Affiliation:
Eating Disorder Centre, Toronto General Hospital, Department of Psychiatry, University of Toronto
*
∗Department of Psychology, Women's College Hospital, 76 Grenville Street, Toronto, Ontario, Canada M5S 1B2
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Abstract

To investigate the predictive value of a wide range of variables for distinguishing subjects who demonstrate a favourable treatment response from those who do not, 86 women with a DSM–III–R diagnosis of bulimia nervosa who completed a group treatment programme for eating disorders were studied. Discriminant-function analysis of demographic variables, weight history, specific eating-disorder psychopathology, mood status and social adjustment before treatment was performed; five factors (depression and core symptoms of eating disorder) best discriminated ‘positive’ from ‘poor’ treatment responders, accounting for 44% of the variance.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 6 , December 1991 , pp. 846 - 849
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Abraham, S. F., Mira, M. & Llewellyn-Jones, D. (1983) Bulimia: a study of outcome. International Journal of Eating Disorders, 2, 175–180.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Beck, A. T. (1978) Depression Inventory. Philadelphia: Center for Cognitive Therapy.Google Scholar
Cooper, P. J. & Fairburn, C. G. (1983) Binge-eating and self-induced vomiting in the community. A preliminary study. British Journal of Psychiatry, 142, 139–144.Google Scholar
Davis, R., Olmsted, M. P. & Rockert, W. (1990) Brief group psychoeducation for bulimia nervosa: assessing the clinical significance of change. Journal of Consulting and Clinical Psychology, 58, 882–885.Google Scholar
Fairburn, C. G., Kirk, J., O'Connor, M., et al (1986) A comparison of two psychological treatments for bulimia nervosa. Behaviour Research and Therapy, 24, 629–643.Google Scholar
Fairburn, C. G., Kirk, J., O'Connor, M., et al (1987) Prognostic factors in bulimia nervosa. British Journal of Clinical Psychology, 26, 223–224.Google Scholar
Garner, D. M. (1987) Psychotherapy outcome research with bulimia nervosa. Psychotherapy and Psychosomatics, 48, 129–140.Google Scholar
Garner, D. M., Olmsted, M., Bohr, Y., et al (1982) The Eating Attitudes Test: psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.Google Scholar
Garner, D. M., Olmsted, M. & Policy, J. (1983) Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.3.0.CO;2-6>CrossRefGoogle Scholar
Garner, D. M., Rockert, W., Olmsted, M. P., et al (1985) Psycho-educational principles in the treatment of bulimia nervosa. In Handbook of Psychotherapy for Anorexia Nervosa and Bulimia (eds Garner, D. M. & Garfinkel, P. E.). New York: Guilford Press.Google Scholar
Hamilton, M. (1959) The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurological Psychiatry, 23, 56–62.Google Scholar
Hsu, L. K. G. & Holder, D. (1986) Bulimia nervosa: treatment and short-term outcome. Psychological Medicine, 16, 65–70.Google Scholar
Johnson, C. (1985) Initial consultation for patients with bulimia and anorexia nervosa. In Handbook of Psychotherapy for Anorexia Nervosa and Bulimia (eds Garner, D. M. & Garfinkel, P. E.). New York: Guilford Press.Google Scholar
Klecka, W. R. (1980) Discriminant Analysis. Beverly Hills: Sage.CrossRefGoogle Scholar
Levin, A. P. & Hyler, S. E. (1986) DSM–III personality diagnosis in bulimia. Comprehensive Psychiatry, 27, 47–53.Google Scholar
Maddocks, S. E. (1987) Eating Behaviour Evaluation Form. Toronto: Toronto General Hospital.Google Scholar
Mitchell, J. E., Davis, L., Goff, G., et al (1986) A follow-up study of patients with bulimia. International Journal of Eating Disorders, 5, 441–450.3.0.CO;2-J>CrossRefGoogle Scholar
Norman, D. K. & Herzog, D. B. (1986) A 3–year outcome study of normal weight bulimia: assessment of psychological functioning and eating attitudes. Psychiatry Research, 19, 199–205.Google Scholar
Piran, N., Kaplan, A., Kerr, A., et al (1989) A day hospital program for anorexia nervosa and bulimia. International Journal of Eating Disorders, 8, 511–521.Google Scholar
Pope, H. G., Frankenburg, F. R., Hudson, J. I., et al (1987) Is bulimia associated with borderline personality disorder? A controlled study. Journal of Clinical Psychiatry, 48, 181–184.Google Scholar
Rosenberg, M. (1965) Society and the Adolescent Self-Image. New Jersey: Princeton Press.Google Scholar
Weissman, M. & Bothwell, S. (1976) Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 1111–1115.Google Scholar
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