Understanding persistence in bulimia nervosa: a 5-year naturalistic study.

Abstract:

:Bulimia nervosa shows a marked tendency to persist, suggesting that powerful maintaining mechanisms operate. Using data from a prospective, 5-year, study of the natural course of 102 people with bulimia nervosa, the authors sought to identify predictors of persistence and to test specific hypotheses derived from the cognitive-behavioral theory of the persistence of bulimia nervosa. The results of both sets of analyses were consistent with the theory, with the degree of overevaluation of shape and weight and a history of childhood obesity predicting a persistent course. There was also support for the central prediction of the cognitive-behavioral theory. These findings suggest that the mechanisms specified by the theory influence its longer term natural course.

journal_name

J Consult Clin Psychol

authors

Fairburn CG,Stice E,Cooper Z,Doll HA,Norman PA,O'Connor ME

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

103-9

issue

1

eissn

0022-006X

issn

1939-2117

journal_volume

71

pub_type

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