Cognitive Behavioral Therapy and Bulimia Nervosa: Is It Better than other Treatments and Who Does It Work for?
Evidence has shown cognitive-behavioral therapy (CBT) to be an efficacious treatment for patients with bulimia nervosa (Wilson, Fairburn, Agras, Walsh, & Kraemer, 2002). Although CBT is an evidenced-based treatment, there are still many issues that remain unanswered. One issue that remains is whether CBT is more effective than other psychotherapies or drug therapies for the treatment of bulimia nervosa (BN). Another issue is the limitations of researchers' understanding of the mechanisms through which CBT works and the patient characteristics that are compatible with this form of treatment. This paper will: 1) briefly explain how CBT conceptualizes BN and give a rough outline of the treatment plan; 2) present studies that investigate CBT in comparison to other treatments and studies that examine patient characteristics that may mediate the outcome of CBT on BN; 3) provide an analysis of the strengths and weaknesses of these studies and; 4) express the author's opinion of the clinical application of CBT for patients with bulimia nervosa when considering the individual differences of the patients.
Constantino, M. J., Arnow, B. A., Blasey, C., & Agras, W. S. (2005). The association between patient characteristics and the therapeutic alliance in cognitive-behavioral and interpersonal therapy for bulimia nervosa. Journal of Clinical Psychology, 73, 203-211.
Fairburn, C. G., Peveler, R. C., Jones, R., Hope, R. A., & Doll, H. A. (1993). Predictors of 12-month outcome in bulimia nervosa and the influence of attitudes to shape and weight. Journal of Consulting and Clinical Psychology, 61, 696-698.
Loeb, K. L., Labouvie, E., Walsh, B. T., Petkova, E. L., & Waternaux, C. (1999). Psychological versus pharmacological treatments of bulimia nervosa: Predictors and processes of change. Journal of Consulting and Clinical Psychology, 67, 451-459.
Mussell, M. P., Fulkerson, J. A., Mitchell, J. E., Crosby, R. D., Hoberman, H. M., & Romano, J. L. (2000). Commitment to treatment goals in prediction of group cognitive-behavioral therapy treatment outcome for women with bulimia nervosa. Journal of Consulting and Clinical Psychology, 68, 432-437.
Thackwray, D. E., Smith, M. C., Bodfish, J. W., & Meyers, A. W. (1993). A comparison of behavioral and cognitive-behavioral interventions for bulimia nervosa. Journal of Consulting and Clinical Psychology, 61, 639-645.
Wilson, G. T., & Fairburn, C. G. (1993). Cognitive treatments for eating disorders. Journal of Consulting and Clinical Psychology, 61, 261-269.
Wilson, G. T., Fairburn, C. G., Agras, W. S., Walsh, B. T., & Kraemer, H. (2002). Cognitive-behavioral therapy for bulimia nervosa: Time course and mechanisms of change. Journal of Consulting and Clinical Psychology, 70, 267-274.
- There are currently no refbacks.
Copyright (c) 2017 The New School Psychology Bulletin
© The New School Psychology Bulletin | email@example.com