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.
Pyle
R L
RL
Department of Psychiatry, University of Minnesota Medical School, Minneapolis 55455.
Mitchell
J E
JE
Eckert
E D
ED
Hatsukami
D
D
Pomeroy
C
C
Zimmerman
R
R
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