TY - JOUR
T1 - Patients with bulimia nervosa who fail to engage in cognitive behavior therapy
AU - Coker, Siǎn
AU - Vize, Christine
AU - Wade, Tracey
AU - Cooper, Peter J.
PY - 1993/1/1
Y1 - 1993/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0027415724&partnerID=8YFLogxK
U2 - 10.1002/1098-108X(199301)13:1<35::AID-EAT2260130105>3.0.CO;2-N
DO - 10.1002/1098-108X(199301)13:1<35::AID-EAT2260130105>3.0.CO;2-N
M3 - Article
C2 - 8477275
AN - SCOPUS:0027415724
VL - 13
SP - 35
EP - 40
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
SN - 0276-3478
IS - 1
ER -