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        A Randomized Controlled Two-Stage Trial in the Treatment of Bulimia Nervosa, Comparing CBT Versus Motivational Enhancement in Phase 1 Followed by Group Versus Individual CBT in Phase 2

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        Katzman_et_al_MET_versus_CBT_2010_.pdf (PDF, 378Kb)
        Author
        Katzman, Melanie A.
        Bara-Carril, Nuria
        Rabe-Hesketh, Sophia
        Schmidt, Ulrike
        Troop, Nicholas
        Treasure, Janet
        Attention
        2299/9433
        Abstract
        Objective: To conduct a randomized, controlled, two-stage trial in the treatment of bulimia nervosa, comparing cognitive-behavioral therapy (CBT) versus motivational enhancement in Phase 1 followed by group versus individual CBT in Phase 2. Methods: A total of 225 patients with bulimia nervosa or eating disorder not otherwise specified (EDNOS) were recruited into a randomized controlled trial lasting 12 weeks with follow-ups at 1 year and 2.5 years. Results: Patients improved significantly across all of the interventions with no differences in outcome or treatment adherence. Including motivational enhancement therapy rather than a CBT first phase of treatment did not affect outcome. Conclusions: Outcome differences between individual and group CBT were minor, suggesting that group treatment prefaced by a short individual intervention may be a cost-effective alternative to purely individual treatment.
        Publication date
        2010-09
        Published in
        Psychosomatic medicine
        Published version
        https://doi.org/10.1097/PSY.0b013e3181ec5373
        Other links
        http://hdl.handle.net/2299/9433
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