title: The relative efficacy of fluoxetine and manual-based self-help in the treatment of outpatients with bulimia nervosa.
abstract: A randomized, placebo-controlled study was conducted examining the singular and combined effects of fluoxetine and a self-help manual on suppressing bulimic behaviors in women with bulimia nervosa. A total of 91 adult women with bulimia nervosa were randomly assigned to one of four conditions: placebo only, fluoxetine only, placebo and a self-help manual, or fluoxetine and a self-help manual. Subjects were treated for 16 weeks. Primary outcome measures included self-reports of bulimic behaviors. Fluoxetine and a self-help manual were found to be effective in reducing the frequency of vomiting episodes and in improving the response rates for vomiting and binge-eating episodes. Furthermore, both factors were shown to be acting additively on the primary and secondary efficacy measures in this study. Results are discussed in relation to previous research and the implications for treatment of bulimia nervosa.
authors.affiliation: Neuropsychiatric Research Institute, Fargo, North Dakota 58107, USA. mitchell@medicine.nodak.edu
authors.forename: J E
authors.initials: JE
authors.lastname: Mitchell
authors.forename: L
authors.initials: L
authors.lastname: Fletcher
authors.forename: K
authors.initials: K
authors.lastname: Hanson
authors.forename: M P
authors.initials: MP
authors.lastname: Mussell
authors.forename: H
authors.initials: H
authors.lastname: Seim
authors.forename: R
authors.initials: R
authors.lastname: Crosby
authors.forename: M
authors.initials: M
authors.lastname: Al-Banna
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use*; D002032:Bulimia / Q000188:drug therapy* / Q000523:psychology; D005473:Fluoxetine / Q000627:therapeutic use*; D006801:Humans; D008370:Manuals as Topic; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology; D012648:Self Care / Q000379:methods / Q000523:psychology; D016037:Single-Blind Method; D014839:Vomiting / Q000188:drug therapy / Q000523:psychology
chemical_list: D018687:Antidepressive Agents, Second-Generation; D005473:Fluoxetine