Randomized Clinical Trial of Family-Based Treatment and Cognitive-Behavioral Therapy for Adolescent Bulimia Nervosa

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Randomized Clinical Trial of Family-Based Treatment and Cognitive-Behavioral Therapy for Adolescent Bulimia Nervosa.

OBJECTIVE There is a paucity of randomized clinical trials (RCTs) for adolescents with bulimia nervosa (BN). Prior studies suggest cognitive-behavioral therapy adapted for adolescents (CBT-A) and family-based treatment for adolescent bulimia nervosa (FBT-BN) could be effective for this patient population. The objective of this study was to compare the relative efficacy of these 2 specific thera...

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Cognitive behavioral therapy for bulimia nervosa.

Cognitive-behavioral therapy (CBT) is a first-line psychotherapeutic treatment for bulimia nervosa (BN). This article outlines three specific interventions--introducing and using the CBT model of BN, self-monitoring of eating and related experiences, and psychoeducation regarding various aspects of BN--representative of CBT overall but unique in their application to individuals with BN. The the...

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Randomized Clinical Trial of Parent-Focused Treatment and Family-Based Treatment for Adolescent Anorexia Nervosa.

OBJECTIVE There have been few randomized clinical trials (RCTs) for adolescents with anorexia nervosa (AN). Most of these posit that involving all family members in treatment supports favorable outcomes. However, at least 2 RCTs suggest that separate parent and adolescent sessions may be just as effective as conjoint treatment. This study compared the relative efficacy of family-based treatment...

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A randomized controlled comparison of family-based treatment and supportive psychotherapy for adolescent bulimia nervosa.

CONTEXT Evidenced-based treatment trials for adolescents with bulimia nervosa are largely absent. OBJECTIVE To evaluate the relative efficacy of family-based treatment (FBT) and supportive psychotherapy (SPT) for adolescents with bulimia nervosa. DESIGN Randomized controlled trial. SETTING The University of Chicago from April 1, 2001, through June 30, 2006. PARTICIPANTS Eighty patients,...

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A Randomized Controlled Comparison of Family-Based Treatment and Supportive Psychotherapy for Adolescent Bulimia Nervosa

Results: Forty-one patients were assigned to FBT and 39 to SPT. Categorical outcomes at posttreatment demonstrated that significantly more patients receiving FBT (16 [39%]) were binge-and-purge abstinent compared with those receiving SPT (7 [18%]) (P=.049). Somewhat fewer patients were abstinent at the 6-month followup; however, the difference was statistically in favor of FBT vs SPT (12 patien...

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ژورنال

عنوان ژورنال: Journal of the American Academy of Child & Adolescent Psychiatry

سال: 2015

ISSN: 0890-8567

DOI: 10.1016/j.jaac.2015.08.008