title: Comparing two measures of eating restraint in bulimic women treated with cognitive-behavioral therapy.
abstract: OBJECTIVE
  To examine changes in dietary restraint patterns revealed by the Eating Disorders Examination Restraint subscale (EDE-R) and the Three-Factor Eating Questionnaire Cognitive Restraint scale (TFEQ-CR) in a large sample of women with bulimia nervosa (BN) who completed 18 weeks of cognitive-behavioral therapy (CBT).
  
  
  METHODS
  Data from 134 subjects were obtained from a larger study and analyzed using repeated-measures analysis of variance (ANOVA).
  
  
  RESULTS
  The EDE-R showed statistically and clinically significant decreases post-CBT, whereas the TFEQ-CR did not change significantly.
  
  
  CONCLUSIONS
  This is the first study to directly compare the EDE-R and TFEQ-CR before and after CBT in the same population. The contrasting results suggest the two measures tap different aspects of the dietary restraint construct. The EDE-R may primarily reflect dieting to lose weight whereas the TFEQ-CR may reflect dieting to avoid weight gain. In assessing changes in dietary restraint targeted by CBT for BN, the TFEQ-CR appears less useful.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California 94305-5722, USA. dlsafer@stanford.edu
authors.forename: Debra L
authors.initials: DL
authors.lastname: Safer
authors.forename: W Stewart
authors.initials: WS
authors.lastname: Agras
authors.forename: Michael R
authors.initials: MR
authors.lastname: Lowe
authors.forename: Susan
authors.initials: S
authors.lastname: Bryson
mesh_terms: D000328:Adult; D002032:Bulimia / Q000175:diagnosis* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires