title: Meal patterning in the treatment of bulimia nervosa.
abstract: OBJECTIVE
  This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults.
  
  
  METHODS
  Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE).
  
  
  RESULTS
  Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment.
  
  
  CONCLUSIONS
  The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States. Electronic address: dr.jo.ellison@gmail.com.
authors.forename: Jo M
authors.initials: JM
authors.lastname: Ellison
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States.
authors.forename: Heather K
authors.initials: HK
authors.lastname: Simonich
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States; School of Medicine and Health Sciences, University of North Dakota, 1919 Elm St. N., Fargo, ND 58102, United States.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States.
authors.forename: Li
authors.initials: L
authors.lastname: Cao
authors.affiliation: Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: Psychiatry and Behavioral Sciences, Baylor College of Medicine, 2002 Holcombe Blvd., Houston, TX 77030, United States.
authors.forename: Tracey L
authors.initials: TL
authors.lastname: Smith
authors.affiliation: Department of Psychiatry, University of Wisconsin, 6001 Research Park Blvd., Madison, WI 53719, United States.
authors.forename: Marjorie H
authors.initials: MH
authors.lastname: Klein
authors.affiliation: Department of Psychiatry, University of Minnesota, 2450 Riverside Avenue South, Minneapolis, MN 55454, United States.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Crow
authors.affiliation: Department of Psychiatry, University of Minnesota, 2450 Riverside Avenue South, Minneapolis, MN 55454, United States.
authors.forename: Carol B
authors.initials: CB
authors.lastname: Peterson
mesh_terms: D000328:Adult; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D062407:Meals / Q000523:psychology*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Bulimia nervosa; Meal patterning; Treatment