title: Perceptions of cognitive behavioural guided self-help treatment for bulimia nervosa in primary care.
abstract: This study examined perceptions of 36 women who participated in Guided Self-Help (GSH) treatment for bulimia nervosa delivered by general practitioners (GPs) in primary care. Qualitative responses revealed factors perceived to contribute toward treatment effectiveness including: improved eating behaviours, body image and emotional and general well-being; the empathic and practical style of the manual; specific behavioural strategies; GP facilitated positive therapeutic alliance and interventions with program implementation; and accessible treatment. Factors perceived as contributing to treatment ineffectiveness concerned: lack of changes to eating and body image; inadequacies of treatment program and approach; inadequate treatment dose; poor service delivery; and perceptions of low GP competence/professionalism and poor therapeutic alliance.
authors.affiliation: University of Melbourne, Melbourne, Australia.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Banasiak
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Paxton
authors.forename: Phillipa J
authors.initials: PJ
authors.lastname: Hay
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D001828:Body Image; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D002983:Clinical Competence; D015928:Cognitive Behavioral Therapy; D004645:Empathy; D005194:Family Practice; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care; D011361:Professional Competence; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D016896:Treatment Outcome