A trial of a relapse prevention strategy in women with bulimia nervosa who respond to cognitive-behavior therapy
Article first published online: 15 APR 2004
Copyright © 2004 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Special Issue: Featuring Abstracts from the 2004 International Conference on Eating Disorders
Volume 35, Issue 4, pages 549–555, May 2004
How to Cite
Mitchell, J. E., Agras, W. S., Wilson, G. T., Halmi, K., Kraemer, H. and Crow, S. (2004), A trial of a relapse prevention strategy in women with bulimia nervosa who respond to cognitive-behavior therapy. Int. J. Eat. Disord., 35: 549–555. doi: 10.1002/eat.10265
- Issue published online: 15 APR 2004
- Article first published online: 15 APR 2004
- Manuscript Accepted: 14 JUN 2003
- relapse prevention;
- cognitive-behavior therapy;
- bulimia nervosa
This study examines a relapse prevention strategy for bulimia nervosa (BN). Subjects in a multicenter BN treatment trial who initially achieved abstinence after a course of cognitive-behavioral therapy (CBT) were told to recontact the clinic if they had a recurrence of symptoms or feared such a reoccurrence so that they could receive additional therapy visits.
At the end of CBT, subjects whose scores on the Eating Disorders Examination indicated that they were abstinent from binge eating and purging, and therefore considered to be treated successfully, were assigned randomly to follow-up only or to a crisis intervention model. With the crisis intervention model, subjects would receive additional visits if needed.
None of the 30 subjects who relapsed during the follow-up sought additional treatment visits.
Simply telling patients with BN who appear to have been successfully treated to come back if they have additional problems, or fear that they are developing such problems, may be an ineffective relapse prevention technique. Alternative strategies, such as planned return visits or phone calls, should be considered as alternative relapse prevention strategies. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 35: 549–555, 2004.