Maintenance treatment and 6-month outcome for bulimic patients who respond to initial treatment.
Bulimic subjects who responded to intensive group psychotherapy plus imipramine or placebo or to imipramine alone (N = 68) were assigned to 4-month maintenance with weekly support groups and/or medication (placebo or imipramine) and were evaluated 6 months after initial treatment (N = 61). Thirty percent of the subjects relapsed during the 6 months. Initial treatment with group psychotherapy plus placebo or imipramine was associated with a lower relapse rate than initial treatment with imipramine alone. Neither attendance at the maintenance group sessions nor imipramine maintenance was associated with better outcome.
Department of Psychiatry, University of Minnesota Medical School, Minneapolis 55455.
R L
RL
Pyle
J E
JE
Mitchell
E D
ED
Eckert
D
D
Hatsukami
C
C
Pomeroy
R
R
Zimmerman
D000293:Adolescent; D000328:Adult; D002032:Bulimia / Q000517:prevention & control* / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007099:Imipramine / Q000627:therapeutic use*; D010043:Outcome and Process Assessment, Health Care; D010919:Placebos; D011615:Psychotherapy, Group; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence
D010919:Placebos; D007099:Imipramine