Cognitive-behavioral therapy for bulimia nervosa: An empirical analysis of clinical significance
Article first published online: 22 MAR 2004
Copyright © 2004 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 35, Issue 3, pages 262–274, April 2004
How to Cite
Lundgren, J. D., Danoff-Burg, S. and Anderson, D. A. (2004), Cognitive-behavioral therapy for bulimia nervosa: An empirical analysis of clinical significance. Int. J. Eat. Disord., 35: 262–274. doi: 10.1002/eat.10254
- Issue published online: 22 MAR 2004
- Article first published online: 22 MAR 2004
- Manuscript Accepted: 12 MAY 2003
- cognitive-behavioral therapy;
- bulimia nervosa;
- clinical significance;
- empirical analysis
The purpose of this review was to assess the clinical significance of cognitive-behavioral therapy for bulimia nervosa using the reliable change index and normative comparison analyses.
Fifteen treatment outcome studies using either individual or group cognitive-behavioral therapy for bulimia nervosa were selected for inclusion.
Results suggest that cognitive-behavioral therapy for bulimia nervosa produces clinically significant change for many treatment outcome measures when using the reliable change index. However, posttreatment symptomatology is rarely within a normative range when examined with normative comparison analyses.
This review provides a first step in examining the clinical significance of treatment for bulimia nervosa. Future studies should further this work by comparing the clinical significance of different types of treatment for bulimia nervosa using additional assessment measures. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 35: 262–274, 2004.