Describes a treatment approach for the symptom management of bulimia that is a synthesis of various techniques, including cognitive-behavioral therapy, response prevention, relapse training, and psychodynamic therapy. The model has been a useful teaching tool for staff and patients in both group and individual formats. Addresses the challenges of…

Describes a cognitive-behavioral treatment package for bulimia. Discusses the goals of this package (e.g., to modify distorted cognitions). (Author/ABB)

Assessed treatment for bulimia nervosa among 77 female patients assigned to wait-list control, self-monitoring of caloric intake and purging behaviors, cognitive-behavioral treatment, and cognitive-behavioral treatment plus response prevention of vomiting. All treatment groups showed significant improvement; control group did not.…

Evaluated effectiveness of group cognitive-behavioral treatment (CBT) and group interpersonal psychotherapy (IPT) for binge eating among 56 women with nonpurging bulimia. At posttreatment, both CBT and IPT conditions showed significant improvement in reducing binge eating, compared to waiting-list condition. Binge eating remained significantly…

Discusses the use of group approaches when treating bulimia and outlines recommendations for more efficacious group treatment. Recommends a comprehensive approach to assessment and treatment. Notes that a cognitive-behavioral approach seems viable. (Author/ABB)

Evaluated exposure plus response-prevention treatment of bulimia nervosa among 47 women. Subjects were assigned to either exposure plus response-prevention in one setting, exposure plus response-prevention in multiple settings, cognitive-behavioral therapy, or waiting-list control conditions. Found three treatment groups improved significantly on…

Tested initial effects of cognitive-behavioral therapy for binge eating. Female nonpurging binge eaters (n=44) were randomized to treatment or control groups. At posttreatment, significant difference was found, with 79 percent of treatment subjects reporting abstinence from binge eating and 94 percent decrease in binge eating compared with…

Reviews descriptive and experimental research relating to the eating disorder known as bulimia nervosa. Reviews outcome studies of group treatment of bulimia to examine the effectiveness of group intervention. Provides recommendations for practice and future research. (Author/PVV)

Outlines a cognitive-behavioral approach to treating bulimia, focusing on the client's eating behavior, physical condition, and dysfunctional attitudes responsible for deficiencies in self-concept. (Author/ABB)

Summarizes data pertaining to separate and combined effects of cognitive-behavioral and psychopharmacologic treatments for obesity and bulimia nervosa. Anorexiant medication appears to enhance restraint and facilitates weight loss with behavioral interventions in the treatment of obesity, but relapse occurs once medication is withdrawn.…

Sees cognitive-behavioral therapy (CBT) as applicable to all eating disorders but most intensively studied in treatment of bulimia nervosa. Briefly reviews most commonly used cognitive treatments for eating disorders, provides critical evaluation of their effectiveness, and speculates about their mechanisms of action. Notes that CBT has not been…

Although long-term treatments have successfully reduced or eliminated the binging and purging of bulimia patients, there is a critical need for effective short-term treatments since many bulimics are college students who are not available for lengthy treatment. Seven female university students participated in an eight session individual…

Sociocultural pressures to pursue an unrealistic ideal of thinness have contributed to an increasing number of students seeking help at a university counseling center for the eating disorders of anorexia nervosa and bulimia. To help these students, a group treatment technique was developed using a cognitive-behavioral approach. Treatment…

Identifies and discusses treatment of some irrational cognitions of bulimics concerning food, weight loss, eating, and dieting. Describes use of cognitive, behavioral, and emotional interventions. Notes importance of providing nutrition information and realistic diet practices. Group treatment approach is briefly addressed in dealing with…

Introduces framework using fairy tales, such as Cinderella, as vision-to-action treatment alternative for psychological dysfunctions focusing on eating disorders. Proposed model consists of four phases: identification of the fairy tale; development of connection with the fairy tale; introduction of conflict; and problem resolution. Provides…