Self-treatment of bulimia nervosa: a pilot study.
Twenty-eight patients with ICD-10 bulimia nervosa or atypical bulimia nervosa were given a cognitive-behavioral treatment handbook and were reassessed 4-6 weeks later. On a clinician-rated global improvement scale 12 patients had much improved and 8 patients had somewhat improved. Fifteen patients were abstinent of vomiting or laxatives at reassessment as opposed to five patients before treatment. Of the 21 patients who were bringing before treatment, 7 had a 75-100% reduction of binges and 5 had a 50-75% reduction of binges. Patients' nutritional knowledge increased significantly. A patient-administered hand-book may be a useful first intervention in the treatment of patients with bulimia nervosa.
Schmidt
U
U
Institute of Psychiatry, London, England.
Tiller
J
J
Treasure
J
J
D000328:Adult; D001242:Assertiveness; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008370:Manuals as Topic; D010865:Pilot Projects; D011340:Problem Solving; D012008:Recurrence; D012648:Self Care / Q000523:psychology