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A short-term cognitive behavioural therapy for bulimia nervosa including brief hospitalisation

Published online by Cambridge University Press:  16 April 2020

T Léonard ,
C Mirabel-Sarron ,
C Foulon ,
J-C Melchior ,
D Rigaud ,
M Apfelbaum  and
B Samuel-Lajeunesse
T Léonard*
Affiliation:
Clinique des Maladies Mentales et de L'Encéphale, Faculté de Médecine Cochin-Port Royal, Université Paris V
C Mirabel-Sarron
Affiliation:
Clinique des Maladies Mentales et de L'Encéphale, Faculté de Médecine Cochin-Port Royal, Université Paris V
C Foulon
Affiliation:
Clinique des Maladies Mentales et de L'Encéphale, Faculté de Médecine Cochin-Port Royal, Université Paris V
J-C Melchior
Affiliation:
Centre Hospitalier Universitaire Bichat-Claude Bernard, Faculté de Médecine Bichat, Paris VII, France
D Rigaud
Affiliation:
Centre Hospitalier Universitaire Bichat-Claude Bernard, Faculté de Médecine Bichat, Paris VII, France
M Apfelbaum
Affiliation:
Centre Hospitalier Universitaire Bichat-Claude Bernard, Faculté de Médecine Bichat, Paris VII, France
B Samuel-Lajeunesse
Affiliation:
Clinique des Maladies Mentales et de L'Encéphale, Faculté de Médecine Cochin-Port Royal, Université Paris V
*
*Correspondence and reprints: CMME, 100 rue de la Santé, 75674 Paris cedex, France
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Summary

This was a metabolic study of bulimia nervosa required to design short-term cognitive-behavioural therapy (CBT) beginning with a brief admission to a psychiatric ward. The treatment produced significant improvements in eating behaviour and results are compared with those of previously published studies. The comparisons do not suggest that brief admission at the onset of therapy might enhance its effectiveness. In other respects, increase in normal meal intake was found to correlate significantly with decrease in hinging. This supports the notion that appropriate food intake at meal times should be an important issue in CBT for bulimia nervosa.

Keywords

bulimia nervosacognitive-behavioural therapyhospitalisationmeal intake
Type
Original article
Information
European Psychiatry , Volume 12 , Issue 8 , 1997 , pp. 405 - 411
Copyright
Copyright © Elsevier, Paris 1997

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References

Agras, WSRossiter, EMArnow, BPharmacologic and cognitive-behavioral treatment for bulimia nervosa: a controlled comparison Am J Psychiatry 149 1992 82–87Google ScholarPubMed
Washington DC: APA American Psychiatric AssociationCommittee on nomenclature and statistics revised third editionDiagnostic and Statistical Manual of Mental Disorders 1987Google Scholar
Beck, ATRush, AJShaw, BFEmery, GCognitive therapy for depression 1979 Guilford Press New YorkGoogle Scholar
Fairburn, CGA cognitive-behavioral approach to the treatment of bulimia Psychol Med 11 1981 707–711CrossRefGoogle Scholar
Fairburn, CGCognitive-behavioral treatment for bulimia In: Garner, DMGarfinkel, PE ed. Handbook of psychotherapy for anorexia nervosa and bulimia 1985 Guilford Press New York160–192Google Scholar
Fairburn, CGJones, RPeveler, RHope, RAO'Connor, MThree psychological treatments for bulimia nervosa Arch Gen Psychiatry 48 1991 463–469CrossRefGoogle ScholarPubMed
Fairburn, CGJones, RPeveler, RHope, RAO'Connor, MPsychotherapy and bulimia nervosa: longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy Arch Gen Psychiatry 50 1993 419–428CrossRefGoogle ScholarPubMed
Fichter, MMQuadflieg, NReif, WThe course of eating disorders In: Herzog, W ed. The course of eating disorders 1992 Springer Heidelberg-New York-Tokyo133–149CrossRefGoogle Scholar
Freeman, CCognitive therapy In: Smukler, GDare, CTreasure, J eds. Handbook of Eating Disorders: theory, treatment and research 1995 John Wiley & Sons Chichester309–332Google Scholar
Garner, DMGarfinkel, PEThe Eating Attitude Test: an index of symptoms of anorexia nervosa Psychol Med 9 1979 273–279CrossRefGoogle ScholarPubMed
Garner, DMOlmsted, MPEating Disorder Inventory 1983 Psychological Assessment Resources OdessaGoogle Scholar
Garner, DMCognitive therapy for anorexia nervosa In: Garner, DMGarfinkel, PE eds. Handbook of psychotherapy for anorexia nervosa and bulimia 1987 Guilford Press New York301–327Google Scholar
Garner, DMRockert, WDavis, RComparison of cognitivebehavioral and supportive-expressive therapy for bulimia nervosa Am J Psychiatry 150 1993 37–46Google Scholar
Goldbloom, DOlmsted, MDavis, RA randomized controlled trial of fluoxetine and individual cognitive behavioral therapy for women with bulimia nervosa: short-term outcome Paper presented at the Sixth International Conference on Eating Disorders 1994Google Scholar
Griffiths, RAHadzi-Pavlovic, DChannon-Little, LThe shortterm follow-up effects of hypnobehavioural and cognitive behavioural treatment for bulimia nervosa Eur Eat Disord Rev 4 1996 12–313.0.CO;2-Q>CrossRefGoogle Scholar
Hamilton, MA rating scale for depression J Neurol Neurosurg Psychiatry 23 1960 56–62CrossRefGoogle ScholarPubMed
Hamilton, MThe assessment of anxiety states by rating Br J Med Psychol 32 1959 50–55CrossRefGoogle ScholarPubMed
Keller, MBHerzog, DBLavori, PWBradburn, ISMahoney, EMThe naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence, and psychosocial morbidity Int J Eat Disord 12 1992 1–93.0.CO;2-E>CrossRefGoogle Scholar
Kirkley, BGSchneider, JAAgras, WSBachman, JAComparison of two group-treatments for bulimia J Consult Clin Psychol 53 1985 43–48CrossRefGoogle ScholarPubMed
Lacey, JHBulimia nervosa, binge-eating and psychogenic vomiting: a controlled treatment study and long-term out-come Br J Psychiatry 144 1983 1609–1612Google Scholar
Laessle, RGBeumont, PJVButow, PLennerts, WO'Connor, MPirke, KM, et al.A comparison of nutritional management with stress management in the treatment for bulimia nervosa Br J Psychiatry 159 1991 250–261CrossRefGoogle ScholarPubMed
Lee, NFRush, AJCognitive-behavioral group therapy for bulimia Int J Eat Disord 5 1986 599–6153.0.CO;2-W>CrossRefGoogle Scholar
Leitenberg, HGross, JPeterson, JRosen, JCAnalysis of the anxiety model and the process of change during exposure plus response prevention treatment for bulimia nervosa Behav Therapy 5 1984 3–20CrossRefGoogle Scholar
Léonard, TFoulon, CSamuel-Lajeunesse, BMelchior, JCRigaud, DApfelbaum, MHigh resting energy expenditure in normal-weight bulimics and its normalization with control of eating behaviour Appetite 27 1996 223–233CrossRefGoogle ScholarPubMed
Mitchell, JEPyle, RLEckert, EDHatsukami, DPomerq, CZimmerman, RA comparison study of antidepressant and structured intensive group psychotherapy in the treatment of bulimia nervosa Arch Gen Psychiatry 47 1990 149–157CrossRefGoogle ScholarPubMed
Russell, GFMBulimia nervosa: an ominous variant of anorexia nervosa Psychol Med 9 1979 429–448CrossRefGoogle ScholarPubMed
Treasure, JSchmidt, UTroop, NTiller, JTod, GTurnbull, SSequential treatment for bulimia nervosa incorporating a self-care manual Br J Psychiatry 168 1996 94–98CrossRefGoogle ScholarPubMed
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