Patients with bulimia nervosa who fail to engage in cognitive behavior therapy

Siǎn Coker, Christine Vize, Tracey Wade, Peter J. Cooper

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Although cognitive behavioral treatment is the treatment of choice in bulimia nervosa, patients' response is variable. A minority of patients do not respond at all and some never engage in treatment. This paper concerns the latter group. A case series of six such patients with whom treatment could not be initiated is compared with a group who received a full course of treatment. The group with whom treatment could not begin were found to have a longer history of disorder, to report excessive laxative abuse, to have more severe depressed mood and a greater dissatisfaction with their body weight. In addition, they were more likely to have abused psychoactive substances, engaged in episodes of self‐harm, and have a lower self‐esteem. They were also more likely to be diagnosed as having borderline personality disorder. Patients presenting with the wide range of difficulties characteristic of this group require a more intensive form of treatment than standard outpatient cognitive behavior therapy. © 1993 by John Wiley & Sons, Inc.

Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalInternational Journal of Eating Disorders
Volume13
Issue number1
DOIs
Publication statusPublished - 1 Jan 1993
Externally publishedYes

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