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Compliance with a self‐care manual in guided self‐change for bulimia nervosa
Author(s) -
Thiels Cornelia,
Schmidt Ulrike,
Troop Nicholas,
Treasure Janet,
Garthe Rolf
Publication year - 2001
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/erv.395
Subject(s) - bulimia nervosa , eating disorders , abstinence , vomiting , compliance (psychology) , psychology , psychiatry , medicine , clinical psychology , anesthesia , social psychology
Objective: To investigate the effect of compliance and its predictors on outcome. Method: Sixty‐two patients with DSM‐III‐R bulimia nervosa (BN) were randomly assigned to a self‐care manual plus eight fortnightly sessions of guided self‐change or 16 sessions of weekly cognitive behavioral therapy. Results: At the end of treatment, the group of high compliers had not achieved higher abstinence rates than low compliers regarding BN symptoms. At follow‐up on average 43 weeks (SD = 26 weeks) after the end of therapy, those who had completed more exercises were more likely than low compliers to be abstinent from bingeing and vomiting. Those with a high frequency of vomiting at the beginning of therapy were less likely to use the manual while those with a longer duration of illness and higher levels of restraint were more likely to use the manual. Discussion: Exercises seem to be particularly important. Copyright © 2001 John Wiley & Sons, Ltd and Eating Disorders Association.