title: Do eating attitudes predict early change in eating behaviors among women with bulimic disorders who are treated with cognitive behavioral therapy?
abstract: OBJECTIVE
  This study examined the eating attitudes that are associated with a reduction in bulimic behaviors during the key early stage of cognitive behavioral therapy (CBT).
  
  
  METHODS
  A case series of 41 patients with bulimia nervosa (full or partial syndrome) took part. They were drawn from the case loads of CBT therapists working in an outpatient specialist eating disorders team. Each patient completed the Eating Disorder Examination-Questionnaire and recorded the frequency of objective binges, the frequency of vomiting and the number of laxatives taken between Sessions 1 and 6.
  
  
  RESULTS
  The participants' reduction in behaviors suggested that the early part of CBT was effective. Correlational analyses showed that those with poorer eating attitudes at the outset of therapy were likely to show the greatest behavioral change by Session 6, in keeping with findings relating to the full duration of CBT.
  
  
  CONCLUSIONS
  Patients with relatively unhealthy eating attitudes are more likely to show positive behavioral change in the early part of course of CBT. Clinicians might need to encourage patients with bulimic disorders to work harder on behavioral change when the individual has less pathological eating attitudes at the outset.
authors.affiliation: Loughborough University Centre of Research into Eating Disorders, Loughborough University, Leicestershire, UK.
authors.forename: Michelle
authors.initials: M
authors.lastname: Haslam
authors.forename: Caroline
authors.initials: C
authors.lastname: Meyer
authors.forename: Glenn
authors.initials: G
authors.lastname: Waller
mesh_terms: D001294:Attitude to Health; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014839:Vomiting / Q000523:psychology