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Patients with Bulimia Nervosa Who Fail to Engage in Cognitive Behavior Therapy.
- Source :
- International Journal of Eating Disorders; Jan1993, Vol. 13 Issue 1, p35-40, 6p
- Publication Year :
- 1993
-
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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02763478
- Volume :
- 13
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Eating Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 11928091
- Full Text :
- https://doi.org/10.1002/1098-108X(199301)13:1<35::AID-EAT2260130105>3.0.CO;2-N