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• W2105841008 abstract "<h3>Context</h3> Evidenced-based treatment trials for adolescents with bulimia nervosa are largely absent. <h3>Objective</h3> To evaluate the relative efficacy of family-based treatment (FBT) and supportive psychotherapy (SPT) for adolescents with bulimia nervosa. <h3>Design</h3> Randomized controlled trial. <h3>Setting</h3> The University of Chicago from April 1, 2001, through June 30, 2006. <h3>Participants</h3> Eighty patients, aged 12 to 19 years, with a<i>DSM-IV</i>diagnosis of bulimia nervosa or a strict definition of partial bulimia nervosa. <h3>Interventions</h3> Twenty outpatient visits over 6 months of FBT or SPT. Participants were followed up at 6 months posttreatment. <h3>Main Outcome Measures</h3> Abstinence from binge-and-purge episodes as measured by the Eating Disorder Examination. Secondary outcome measures were Eating Disorder Examination binge-and-purge frequency and Eating Disorder Examination subscale scores. <h3>Results</h3> Forty-one patients were assigned to FBT and 39 to SPT. Categorical outcomes at posttreatment demonstrated that significantly more patients receiving FBT (16 [39%]) were binge-and-purge abstinent compared with those receiving SPT (7 [18%]) (<i>P</i> = .049). Somewhat fewer patients were abstinent at the 6-month follow-up; however, the difference was statistically in favor of FBT vs SPT (12 patients [29%] vs 4 patients [10%];<i>P</i> = .05). Secondary outcome assessment, based on random regression analysis, revealed main effects in favor of FBT on all measures of eating pathological features (<i>P</i> = .003 to<i>P </i> = .03 for all). <h3>Conclusions</h3> Family-based treatment showed a clinical and statistical advantage over SPT at posttreatment and at 6-month follow-up. Reduction in core bulimic symptoms was also more immediate for patients receiving FBT vs SPT." @default.
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• W2105841008 date "2007-09-01" @default.
• W2105841008 modified "2023-10-08" @default.
• W2105841008 title "A Randomized Controlled Comparison of Family-Based Treatment and Supportive Psychotherapy for Adolescent Bulimia Nervosa" @default.
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• W2105841008 doi "https://doi.org/10.1001/archpsyc.64.9.1049" @default.
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