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A sequenced group psychotherapy model for bulimia nervosa patients: a pilot study
Author(s) -
Nevonen Lauri,
Broberg Anders G.,
Lindström Marianne,
Levin Birgitta
Publication year - 1999
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/(sici)1099-0968(199903)7:1<17::aid-erv276>3.0.co;2-s
Subject(s) - bulimia nervosa , eating disorders , interpersonal psychotherapy , beck depression inventory , psychology , eating disorder inventory , clinical psychology , group psychotherapy , psychotherapist , psychiatry , medicine , anxiety , randomized controlled trial
Abstract The main objective with this study was to develop a sequenced treatment model for group psychotherapy with bulimia nervosa patients including cognitive‐behavioural therapy and interpersonal psychotherapy techniques. This study comprises 29 participants in four successive treatment groups who meet the DSM‐IV criteria for bulimia nervosa or eating disorder NOS. All the participants were measured pre‐ and post‐treatment using the following instruments: a semi‐structured interview for eating disorder symptomatology (BAB.4.1), Eating Disorder Inventory (EDI‐2), Symptom Check List (SCL‐90), Beck's Depression Inventory (BDI), Coping Resources Inventory (CRI) and Body Mass Index (BMI). Ratings for the participants' weight phobia, bingeing and vomiting decreased significantly. Significant pre‐ to post‐ differences were demonstrated for EDI, SCL and CRI but not for BDI. A 1‐year follow‐up, including both clinical and self ratings, showed that the improvement was sustained and that progress seemed to have continued. In addition to post‐treatment effects, now both BDI and the interpersonal sensitivity subscale of the SCL showed significant changes. The results suggest that there is reason to continue the development of a sequenced treatment model based on CBT and IPT techniques and to test the model in a controlled study. Copyright © 1999 John Wiley & Sons, Ltd and Eating Disorders Association.