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Comparison of group and individual cognitive‐behavioral therapy for patients with bulimia nervosa

International Journal of Eating DisordersPublished 19 March 2003
Eunice Chen, Stephen Touyz, P. J. V. Beumont, Christopher G. Fairburn, Rosalyn A. Griffiths, Phyllis Butow
Citations128
SJR quartileQ1
SJR score1.70
SNIP1.46

TL;DR

A significantly greater proportion of individualCBT patients than group CBT patients were abstinent from bulimic behaviors at posttreatment, but not at follow-up, which has implications for the delivery of cost-effective and clinically effective treatment for BN.

Abstract

OBJECTIVE: The clinical effectiveness of group and individual cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) was compared. METHOD: Sixty BN patients from hospitals and general practitioners in Sydney, Australia, were allocated randomly to group or individual CBT. Forty-four completed treatment (n = 22 in group CBT and n = 22 in individual CBT). Patients were assessed at pretreatment, posttreatment, and at 3 and 6 months follow-up with the Eating Disorder Examination-12 and self-report questionnaires examining weight and shape attitudes (Eating Disorder Inventory-2), social adjustment (Social Adjustment Scale-Modified), self-esteem (Rosenberg Self-Esteem Scale), and general psychopathology (Symptom Checklist 90R). RESULTS: The effects of group and individual CBT were equivalent on most measures. However, a significantly greater proportion of individual CBT patients than group CBT patients were abstinent from bulimic behaviors at posttreatment, but not at follow-up. DISCUSSION: This has implications for the delivery of cost-effective and clinically effective treatment for BN.

Keywords

Psychology