title: Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa.
abstract: OBJECTIVE
  The clinical effectiveness of group and individual cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) was compared.
  
  
  METHODS
  Sixty BN patients from hospitals and general practitioners in Sydney, Australia, were allocated randomly to group or individual CBT. Forty-four completed treatment (n = 22 in group CBT and n = 22 in individual CBT). Patients were assessed at pretreatment, posttreatment, and at 3 and 6 months follow-up with the Eating Disorder Examination-12 and self-report questionnaires examining weight and shape attitudes (Eating Disorder Inventory-2), social adjustment (Social Adjustment Scale-Modified), self-esteem (Rosenberg Self-Esteem Scale), and general psychopathology (Symptom Checklist 90R).
  
  
  RESULTS
  The effects of group and individual CBT were equivalent on most measures. However, a significantly greater proportion of individual CBT patients than group CBT patients were abstinent from bulimic behaviors at posttreatment, but not at follow-up.
  
  
  CONCLUSIONS
  This has implications for the delivery of cost-effective and clinically effective treatment for BN.
authors.affiliation: Yale Center of Eating and Weight Disorders, Department of Psychology, Yale University, PO Box 208205, New Haven, CT 06520-8205, USA. echen@uwashington.edu
authors.forename: Eunice
authors.initials: E
authors.lastname: Chen
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Touyz
authors.forename: Pierre J V
authors.initials: PJ
authors.lastname: Beumont
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Fairburn
authors.forename: Rosalyn
authors.initials: R
authors.lastname: Griffiths
authors.forename: Phyllis
authors.initials: P
authors.lastname: Butow
authors.forename: Janice
authors.initials: J
authors.lastname: Russell
authors.forename: David E
authors.initials: DE
authors.lastname: Schotte
authors.forename: Robert
authors.initials: R
authors.lastname: Gertler
authors.forename: Christopher
authors.initials: C
authors.lastname: Basten
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002032:Bulimia / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D011615:Psychotherapy, Group; D012649:Self Concept; D012919:Social Behavior; D016896:Treatment Outcome