Bulimic Symptoms (bulimic + symptom)

Distribution by Scientific Domains

Selected Abstracts

An evaluation of a supervised self-help programme for bulimic disorders

Lorraine Bell
Self-help programmes are recommended as cost-effective initial interventions for the treatment of bulimic disorders. This is a report of the effectiveness of such a programme in routine clinical practice. Twenty-one patients completed the programme and both pre- and post- measures. Patients were treated in a secondary mental health setting over an 11-month period from July 1998 to June 1999. Outcome was assessed using standardized measures and records of symptom levels and drop-out rates. Significant improvements in depression, bulimic symptom and severity were observed. Multi-impulsive clients (as indicated by clinically significant scores on bingeing and two other areas of impulsivity) had similar levels of bulimia but higher depression scores pre-treatment. They made significant gains in most areas but, despite reduction in depression scores, remained significantly depressed. They also made less improvement in disordered attitudes than non-impulsive clients. A global measure of motivation did not predict drop-out or outcome though numbers were small. Patients who used Getting Better Bit(e) by Bit(e) and received motivational enhancement sessions made a greater reduction in fasting behaviour and were less likely to drop out than those who used a more standard CBT programme, but these results could be due to other factors. Copyright © 2001 John Wiley & Sons, Ltd. [source]

Integrated psychodynamic therapy for bulimia nervosa and binge eating disorder: theory, practice and preliminary findings

Susan Murphy
Abstract While there is a substantial evidence base for the use of more recently developed therapeutic approaches, there is very little evidence that psychodynamically based treatments are effective in treating bulimia nervosa or binge-eating disorder. Clinicians have suggested that such an approach should be supplemented with behavioural foci and that it should be time-limited. This paper outlines an integrative approach to the outpatient treatment of these eating disorders, where psychodynamic principles and practice are used in tandem with behavioural strategies, and presents preliminary data on behavioural changes among patients who undertake this programme. A case series design was used, employing this approach with a selected group of 21 female patients. Data are presented on failure to complete the programme, as well as changes in body mass index and frequency of bingeing and vomiting. All of the 21 patients completed the programme, though 5 were lost to the study by the last follow-up point. Those who completed the programme had a stable body mass index, but showed clinically and statistically significant reductions in bulimic symptoms. These preliminary findings indicate that the bulimic disorders can be treated effectively using a psychodynamic approach that is integrated with behavioural techniques and that has time limits. While further research is needed to support this conclusion, it appears to be important to use a more integrative psychodynamic approach than is commonly used. Copyright © 2005 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Day treatment group programme for eating disorders: reasons for drop-out

Ute Franzen
Abstract This study was designed to identify clinical variables and personality factors that could predict the completion or non-completion of a day treatment group programme for patients with eating disorders. Patients (n,=,125) were subdivided into those who had completed a 4-month day treatment programme (n,=,106) and those who had dropped out (n,=,19). All the patients had been assessed with regard to eating psychopathology, general psychopathology and personality features at the beginning of the programme. At presentation, 50.4 per cent fulfilled DSM-IV criteria for anorexia nervosa, 39.2 per cent for bulimia nervosa and 10.4 per cent for an eating disorder not otherwise specified. Non-completion of therapy was associated with more severe bulimic symptoms, high levels of aggression and extraversion and low levels of inhibitedness. Assessment of these characteristics could be used to improve the therapy programme and to help those patients at increased risk of dropping out. Copyright © 2004 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Sexual orientation as a risk factor for bulimic symptoms

Lars WichstrÝm PhD
Abstract Objective: This study was carried out to examine whether sexual orientation predicts future bulimic symptoms and whether alleged risk factors associated with non-heterosexual sexual orientation explain the increased risk. Method: A nationally representative sample of Norwegian high school students (age 14,19; N = 2,924) completed self-reports about bulimic symptoms by means of the Bulimic Investigatory Test,Edinborough (BITE), same-sex sexual experience, degree of sexual attraction to the same sex, and alleged risk factors. They were reexamined 5 years later (T2). Results: Same-sex sexual experience before T1 increased the prevalence of bulimic symptoms at T2. Males who were attracted to the same sex at T1 had higher odds for bulimic symptoms compared with heterosexual males. These associations were still significant after controlling for initial bulimic symptoms and alleged risk factors. Conclusion: Same-sex sexual experience in both genders and non-heterosexual sexual attraction among males predict future bulimic symptoms. Commonly advocated explanations for this elevated risk were not supported. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006 [source]

Dissonance-based eating disorder prevention program: A preliminary dismantling investigation

Megan Roehrig MA
Abstract Objective A dissonance-based program aimed at reducing thin-ideal internalization has been found to significantly decrease levels of bulimic symptoms in young adult and adolescent females. Because this program is multifaceted, containing psychoeducation, counterattitudinal advocacy, and behavioral exposure components, the current study sought to investigate the mechanisms involved in symptom reduction. Method The current study compared the original treatment program with a dismantled version of the full package, which consisted solely of the specific dissonance component (i.e., the counterattitudinal advocacy procedure). Seventy-eight women were randomly assigned to either the full treatment condition or the counterattitudinal advocacy condition. Results Findings suggest that both interventions significantly reduced established risk factors for eating pathology as well as bulimic symptoms at termination and at 1-month follow-up. Conclusion Both treatments appear to be equally effective at reducing eating pathology in at-risk college women. Limitations of the study are discussed, and directions for future research are offered. © 2005 by Wiley Periodicals, Inc. [source]

Sociotropy and bulimic symptoms in clinical and nonclinical samples

Jumi Hayaki
Abstract Objective The purpose of this study is to examine the relation between sociotropy and bulimic symptoms. Studies of interpersonal functioning among individuals with bulimia nervosa consistently reveal issues of social dependency, need for approval, and fear of rejection. These themes are conceptually related to sociotropy, a cognitive-personality factor that has been implicated in the development and maintenance of depression. Individuals high in sociotropy are keenly invested in attaining others' approval and avoiding social rejection. Methods The relationship between sociotropy and bulimic symptoms was examined in two samples of women: undergraduate women and community women seeking treatment at a private eating disorder facility. Results In both samples, sociotropy was significantly associated with bulimic symptoms beyond the shared relation with depressed mood. Discussion Findings are discussed in terms of the maintenance and treatment of bulimia nervosa. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 172,176, 2003. [source]

Body image dissatisfaction and disordered eating in black and white women

Marisol Perez
Abstract Objective This study predicted and found that body image dissatisfaction and bulimic symptoms have a curvilinear relationship among undergraduate women. Results For the women in this sample, regardless of race, body image dissatisfaction correlated with bulimic symptoms, such that women who perceived themselves as bigger or smaller than the ideal body size for their ethnic group endorsed bulimic symptoms. Black and white women differed regarding their ethnic group's ideal body image and their self-perceptions of how they compared with the ideal image. Black women tended to report being underweight, whereas white women tended to report being overweight. Discussion The findings in this study suggest that some black women are not buffered against eating disorders as suggested in previous research. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 33: 342,350, 2003. [source]

Healthy weight control and dissonance-based eating disorder prevention programs: Results from a controlled trial

Eric Stice
Abstract Objective Because universal psychoeducational eating disorder prevention programs have had little success, we developed and evaluated two interventions for high-risk populations: a healthy weight control intervention and a dissonance-based intervention. Method Adolescent girls (N = 148) with body image concerns were randomized to one of these interventions or to a waitlist control group. Participants completed baseline, termination, and 1, 3, and 6-month follow-up surveys. Results Participants in both interventions reported decreased thin-ideal internalization, negative affect, and bulimic symptoms at termination and follow-up relative to controls. However, no effects were observed for body dissatisfaction or dieting and effects diminished over time. Discussion Results provide evidence that both interventions effectively reduce bulimic pathology and risk factors for eating disturbances. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 33: 10,21, 2003. [source]

An examination of willingness to self-disclose in women with bulimic symptoms considering the context of disclosure and negative affect levels

Lynette Evans
Abstract Objective This study explored the relationship between bulimic symptoms and self-disclosure. It examined whether women who reported greater bulimic symptomatology were generally less willing to self-disclose in intimate relationships or whether reluctance to disclose was confined to eating and weight concerns. Method Women with high and low scores on the Bulimia Test Revised (BULIT-R) were compared on self-disclosure about three topics (daily activities, eating, and weight) and sexual and relationship issues to three targets (mother, friend, and partner). Results There were significant main and interaction effects for BULIT-R score, target, and topic of self-disclosure. When depression was controlled for, it partially explained the association between bulimic behavior and self-disclosure. Discussion Results supported a contextual model of self-disclosure. Compared with nonbulimic women, women with bulimic symptoms were less willing to self-disclose certain topics to particular targets. Levels of depression explained low willingness to disclose on topics unrelated to eating and weight to some targets. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 31: 344,348, 2002; DOI 10.1002/eat.10020 [source]