Bulimia Nervosa (DSM-IV-TR) Mental and Behavioural Disorders Bulimia nervosa
Conditions
Interventions
1. Psychoanalytic psychotherapy, weekly sessions for two years (approximately 90 sessions)
2. Cognitive behavior therapy, 21 sessions over approximately 20 weeks
Sponsors
Danish Council for Independent Research (Denmark)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age > 17 years 2. Patient fulfilling the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria for bulimia nervosa 3. The patient has signed written informed consent before randomisation
Exclusion criteria
Exclusion criteria: 1. Concurrent ICD-10 diagnosis within the categories F00-31 (organic disorders, substance-related disorders, disorders of the schizophrenic spectrum, manic and bipolar disturbances), F32.1, 32.2, 32.3, 33.1, 33.2 and 33.3 (moderate and severe depression) 2. Concurrent ICD-10 diagnosis within the categories F40-49 (anxiety disorders, dissociative disorders, somatoform disorders), if the disorder is judged to be a major obstacle to the psychotherapeutic treatment of bulimia 3. Alcohol dependency or abuse of psychoactive substances 4. Concurrent somatic illness which will be a major obstacle to the psychothera-peutic treatment 5. Pregnancy or plans interfering with the treatment such as longer travels 6. Inability to speak and/or understand Danish
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recovery from bulimia nervosa, defined as no binge eating or purging during the previous 28 days assessed with the Eating Disorder Examination (Fairburn & Cooper, 1993) 2. Remission of the bulimic symptoms, defined as binge eating and purging less than twice per week over the last 28 days (i.e. below the DSM-IV frequency threshold) assessed with the Eating Disorder Examination (Fairburn & Cooper, 1993) | — |
Secondary
| Measure | Time frame |
|---|---|
| Symptom measures 1. Symptom Checklist-92 (SCL-92) (Derogatis, 1983; Derogatis & Lazarus, 1994) 2. Beck Depression Inventory (BDI) (Beck et al., 1961) 3. State-Trait Anxiety Inventory (STAI) (Spielberger, 1983) 4. Target complaints (TC) (Battle et al., 1966; Mintz & Kiesler, 1982) Personality measures 1. Defense Style Questionnaire-40 (DSQ-40) (Bond et al., 1983) 2. Inventory of Interpersonal Problems (IIP) (Horowitz et al., 1988) 3. Inventory of Personality Organization (IPO) (Lenzenweger et al., 2001) 4. Adult Attachment Interview (AAI) (George et al., 1985; Main & Goldwyn, 1998) 5. Reflective-Functioning Scales (Fonagy et al., 1998) | — |
Countries
Denmark
Outcome results
None listed