THERAPEUTICS
Family therapy does not improve outcomes in adolescents with bulimia nervosa compared to CBT guided self-care
| The first 150 words of the full text of this article appear below. |
Schmidt U, Lee S, Beecham J, et al. A randomized controlled trial of family therapy and cognitive behavior therapy guided self-care for adolescents with bulimia nervosa and related disorders. Am J Psychiatry 2007;164:591–8.
Design:
Randomised controlled trial.
Allocation:
Concealed.
Blinding:
Single blind (assessors blinded).
Follow-up period:
Twelve months (6 months’ treatment plus 6 months’ post-treatment follow-up).
Setting:
Four eating disorder services, UK; September 2000 to May 2003.
Patients:
Adolescents aged 13–20 years with DSM-IV bulimia nervosa or unspecified eating disorder (defined as binge eating and/or purging <2 times per week or for <3 months; or use of inappropriate compensatory behaviour without binging), who had a partner or family member able to participate in family treatment. Exclusions: low body mass index; learning disability, severe mental illness; substance dependence; or insufficient knowledge of English.
Intervention:
Family therapy (2 individual and 13 family sessions) or CBT guided self-care (10 weekly
School of Psychological Science, La Trobe University, Melbourne, Australia
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