Compliance with a self‐care manual in guided self‐change for bulimia nervosa

Cornelia Thiels*, Ulrike Schmidt, Nicholas Troop, Janet Treasure, Rolf Garthe

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective:</jats:title><jats:p>To investigate the effect of compliance and its predictors on outcome.</jats:p></jats:sec><jats:sec><jats:title>Method:</jats:title><jats:p>Sixty‐two patients with DSM‐III‐R bulimia nervosa (BN) were randomly assigned to a self‐care manual plus eight fortnightly sessions of guided self‐change or 16 sessions of weekly cognitive behavioral therapy.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>At the end of treatment, the group of high compliers had not achieved higher abstinence rates than low compliers regarding BN symptoms. At follow‐up on average 43 weeks (SD = 26 weeks) after the end of therapy, those who had completed more exercises were more likely than low compliers to be abstinent from bingeing and vomiting. Those with a high frequency of vomiting at the beginning of therapy were less likely to use the manual while those with a longer duration of illness and higher levels of restraint were more likely to use the manual.</jats:p></jats:sec><jats:sec><jats:title>Discussion:</jats:title><jats:p>Exercises seem to be particularly important. Copyright © 2001 John Wiley &amp; Sons, Ltd and Eating Disorders Association.</jats:p></jats:sec>
Original languageEnglish
Pages (from-to)255-262
Number of pages0
JournalEuropean Eating Disorders Review
Volume9
Issue number4
Early online date27 Jun 2001
DOIs
Publication statusPublished - Jul 2001

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