title: Experimental test of the affect-regulation theory of bulimic symptoms and substance use: a randomized trial.
abstract: OBJECTIVE
  Conduct a randomized trial to test whether a cognitive behavioral intervention designed to decrease depressive symptoms produces subsequent decreases in bulimic and substance use symptoms.
  
  
  METHODS
  Female participants (N = 145) with elevated depressive symptoms were randomly assigned to a 4-session depression intervention or a measurement-only condition and assessed through 6-month follow-up.
  
  
  RESULTS
  Relative to control participants, intervention participants showed decreases in depressive symptoms. Intervention participants also showed significantly greater reductions in bulimic symptoms, but not substance use, and change in depressive symptoms mediated this effect for bulimic symptoms.
  
  
  CONCLUSIONS
  The results provide experimental support for the theory that affect disturbances contribute to bulimic pathology, but do not support the affect regulation theory of substance use.
authors.affiliation: Department of Psychology, University of Texas at Austin, Austin, Texas, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Burton
authors.forename: Eric
authors.initials: E
authors.lastname: Stice
authors.forename: Sarah Kate
authors.initials: SK
authors.lastname: Bearman
authors.forename: Paul
authors.initials: P
authors.lastname: Rohde
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D002032:Bulimia / Q000453:epidemiology* / Q000523:psychology; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D009341:Negativism; D013334:Students; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology