| A naturalistic study of psychotherapy for bulimia nervosa, part 1: comorbidity and therapeutic outcome. | |
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MedLine Citation:
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PMID: 16131940 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Data from naturalistic samples provide an important complement to findings from randomized trials of psychotherapy. A random national sample of US clinicians provided data on 145 completed treatments of patients with bulimic symptoms. Treatment in the community was substantially longer than treatment prescribed in manuals, with a mean length of cognitive-behavioral therapy of 69 sessions and significantly longer for eclectic and psychodynamic therapies. Most patients treated in the community had substantial comorbidity, and this comorbidity was associated with longer treatments and poorer outcome. Using four common exclusion criteria from randomized controlled trials for bulimia nervosa, approximately 40% of the naturalistic sample would have been excluded from randomized controlled trials. These patients showed higher pretreatment severity and required longer treatments to achieve positive outcomes relative to patients who did not meet these exclusion criteria. |
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Authors:
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Heather Thompson-Brenner; Drew Westen |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Journal of nervous and mental disease Volume: 193 ISSN: 0022-3018 ISO Abbreviation: J. Nerv. Ment. Dis. Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-08-31 Completed Date: 2005-09-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375402 Medline TA: J Nerv Ment Dis Country: United States |
Other Details:
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Languages: eng Pagination: 573-84 Citation Subset: AIM; IM |
Affiliation:
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Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, Massachusetts 02215, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Behavior Therapy / methods Bulimia / diagnosis, epidemiology, therapy* Comorbidity Episode of Care Female Humans Manuals as Topic Mental Disorders / diagnosis, epidemiology Patient Selection Physician's Practice Patterns Private Practice Psychotherapy* / methods Q-Sort / statistics & numerical data Questionnaires Randomized Controlled Trials as Topic / statistics & numerical data Retrospective Studies Severity of Illness Index Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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MH MH062377/MH/NIMH NIH HHS; MH MH062378/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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