Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Cognitive therapy, nutritional therapy and their combination in the treatment of bulimia nervosa
Autore:
Hsu, LKG; Rand, W; Sullivan, S; Liu, DW; Mulliken, B; McDonagh, B; Kaye, WH;
Indirizzi:
New England Med Ctr, Dept Psychiat, Boston, MA 02111 USA New England Med Ctr Boston MA USA 02111 pt Psychiat, Boston, MA 02111 USA Tufts Univ, Sch Med, Boston, MA 02111 USA Tufts Univ Boston MA USA 02111Tufts Univ, Sch Med, Boston, MA 02111 USA Western Psychiat Inst Clin, Pittsburgh, PA USA Western Psychiat Inst ClinPittsburgh PA USA st Clin, Pittsburgh, PA USA
Titolo Testata:
PSYCHOLOGICAL MEDICINE
fascicolo: 5, volume: 31, anno: 2001,
pagine: 871 - 879
SICI:
0033-2917(200107)31:5<871:CTNTAT>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
3 PSYCHOLOGICAL TREATMENTS; PLUS RESPONSE PREVENTION; BEHAVIORAL-THERAPY; LEARNED RESOURCEFULNESS; DEPRESSION; EXPOSURE; PSYCHOTHERAPY; PROGRAM; TRIAL; WOMEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Hsu, LKG New England Med Ctr, Dept Psychiat, Box 1007,750 Washington St, Boston, MA02111 USA New England Med Ctr Box 1007,750 Washington St Boston MAUSA 02111
Citazione:
L.K.G. Hsu et al., "Cognitive therapy, nutritional therapy and their combination in the treatment of bulimia nervosa", PSYCHOL MED, 31(5), 2001, pp. 871-879

Abstract

Background. This study compared the effectiveness of cognitive therapy (CT), nutritional therapy (NT), the combination of cognitive and nutritional therapy (CNT), against a control condition of support group (SG) in the treatment of bulimia nervosa. Methods. One hundred female out-patients who fulfilled DSM-III-R criteria for bulimia nervosa were randomized to the four treatment groups. NT and CTwere designed to cover different areas with minimal overlap. and CNT provided all of the features of both of these treatments. The control condition was conducted in a group self-help format. Each of the treatments lasted 14weeks. Results. All three active treatments as well as SG produced significant decreases in binge/vomit episodes. Intent-to-treat analysis found CNT and CT to be significantly more effective than SG in retaining subjects in treatment and completion of study, as well as in producing greater improvements indysfunctional attitudes and self-control. CNT was superior to SG in achieving abstinence from bulimic behaviour. NT was superior to SG only in increase of self-control. Logistic regression found that the cognitive component,whether given alone or in conjunction with NT, and higher pre-treatment self-control scores were significant predictors for both completion of study and abstinence. Conclusion, CT (either alone, or in combination with nutritional therapy) remains the treatment of choice for bulimia nervosa. A treatment escalationapproach should be tested for the treatment of bulimia with the more intensive and less widely available CT (with or without nutritional counselling)offered after patients have failed the less intensive and more widely available support group treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 18:09:01