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Keywords:

  • cognitive-behavioral therapy;
  • antidepressants;
  • bulimia nervosa

Abstract

Objective

Both cognitive-behavioral therapy (CBT) and antidepressant medication have demonstrated efficacy in the treatment of bulimia nervosa. However, data concerning the long-term impact of such treatments have been limited. This study sought to determine if treatment with CBT and antidepressant medication was associated with better long-term outcome among women diagnosed with bulimia nervosa.

Method

Women (N = 101) who completed a controlled treatment study of bulimia nervosa participated in follow-up assessments approximately 10 years later.

Results

Women who received treatment with CBT or antidepressant medication or both reported improved social adjustment at long-term follow-up compared with women randomized to the placebo condition.

Discussion

Treatments with demonstrated efficacy for short-term outcome appear to improve psychosocial function at long-term follow-up among women initially diagnosed with bulimia nervosa. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 31: 151–158, 2002; DOI. 10.1002/eat.10017