Predictors of early change in bulimia nervosa after a brief psychoeducational therapy.
We aimed to examine baseline predictors of treatment response in bulimic patients. 241 seeking-treatment females with bulimia nervosa completed an exhaustive assessment and were referred to a six-session psychoeducational group. Regression analyses of treatment response were performed. Childhood obesity, lower frequency of eating symptomatology, lower body mass index, older age, and lower family's and patient's concern about the disorder were predictors of poor abstinence. Suicidal ideation, alcohol abuse, higher maximum BMI, higher novelty seeking and lower baseline purging frequency predicted dropouts. Predictors of early symptom changes and dropouts were similar to those identified in longer CBT interventions.
Fernàndez-Aranda
Fernando
F
Eating Disorders Unit, Department of Psychiatry, University Hospital of Bellvitge, C/ Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain; CIBER Fisiopatologia Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain. Electronic address: ffernandez@bellvitgehospital.cat.
Álvarez-Moya
Eva M
EM
Eating Disorders Unit, Department of Psychiatry, University Hospital of Bellvitge, C/ Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain; CIBER Fisiopatologia Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain. Electronic address: ealvarez@bellvitgehospital.cat.
Martínez-Viana
Cristina
C
Eating Disorders Unit, Department of Psychiatry, University Hospital of Bellvitge, C/ Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address: fendo@wanadoo.es.
Sànchez
Isabel
I
Eating Disorders Unit, Department of Psychiatry, University Hospital of Bellvitge, C/ Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address: isasanchez@bellvitgehospital.cat.
Granero
Roser
R
Laboratory of Applied Statistics, Departament de Psicobiologia I Metodologia, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain. Electronic address: roser.granero@uab.cat.
Penelo
Eva
E
Laboratory of Applied Statistics, Departament de Psicobiologia I Metodologia, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain. Electronic address: eva.penelo@uab.cat.
Forcano
Laura
L
CIBER Fisiopatologia Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain. Electronic address: lforcano@bellvitgehospital.cat.
Peñas-Lledó
Eva
E
University of Extremadura Medical School, Clinical Research Center (CICAB), Hospital Universitario Infanta Cristina, 06071 Badajoz, Spain. Electronic address: elledo@unex.es.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D015992:Body Mass Index; D002032:Bulimia / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008603:Mental Health; D008875:Middle Aged; D010349:Patient Compliance; D010352:Patient Dropouts; D010353:Patient Education as Topic; D011237:Predictive Value of Tests; D011614:Psychotherapy, Brief; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult