Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders.

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  • Author(s): Vidalakis, Nicole Kyria. Stanford U., US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 64(5-B), 2003. pp. 2410.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Physical Description:
      1
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • Keywords:
      cognitive behavioral therapy, Bulimia Nervosa, Purging Disorders, guided self-help
    • Abstract:
      The objective of this study was to treat adolescents with Bulimia Nervosa (BN) or Purging Disorders (PD) using cognitive behavioral therapy (CBT) as compared to a control intervention of guided self-help. The specific form of CBT used was based on the manual 'Overcoming Eating Disorders' (Agras & Apple, 1997) which was designed for clinicians treating adults with these disorders. The control intervention was based on a guided self-help manual written by Christopher Fairburn to accompany his book 'Overcoming Binge Eating' (1995). It was hypothesized that, compared to the control group, the subjects in the treatment group would have a greater reduction in their bingeing and/or purging (B/P) behaviors. The intention was to compare the effectiveness of these two treatments, and also to examine the effects of including a family component in the treatment protocol. Nine subjects, ranging in age from 15 to 17, were randomly assigned to either the CBT group or to the guided self-help group. The following assessments were administered pre- and post-treatment: The Eating Disorder Examination Questionnaire (EDE-Q), The Achenbach Child Behavior Checklist, The Achenbach Youth Self-Report Scale, and the Family Environment Scale, Form R. Although the small sample size precluded statistically significant results, certain recurring themes developed as the therapy progressed, including: privacy vs. secrecy; how reinforcement systems are structured and administered; the usefulness of keeping a food log; teaching assertiveness vs. aggressiveness; and the relationship between reducing B/P behaviors and a similar reduction in other self-destructive behaviors such as alcohol consumption and illegal drug use. The CBT group received eighteen fifty-minute sessions, while the guided self-help group received eighteen thirty-minute sessions, as dictated by Fairburn's manual. The first and last three sessions included the families in both groups. While every subject in the CBT group finished all 18 sessions, only one subject in the control group did so, and the CBT group decreased their bingeing and purging behaviors on average more than the subjects in the guided self-help group did. These results support the idea that further research is warranted to analyze using CBT with adolescents with BN or PD. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI3090697
    • Subject Terms:
    • PsycINFO Classification:
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
      Human
    • Age Group:
      Adolescence (13-17 yrs)
    • Tests & Measures:
      Child Behavior Checklist
    • Methodology:
      Empirical Study; Qualitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20040329
    • Accession Number:
      2003-95022-214
  • Citations
    • ABNT:
      VIDALAKIS, N. K. Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders. 2003. ProQuest Information & Learning, [s. l.], 2003. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214. Acesso em: 22 fev. 2020.
    • AMA:
      Vidalakis NK. Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2003;64(5-B):2410. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214. Accessed February 22, 2020.
    • APA:
      Vidalakis, N. K. (2003). Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 64, Issue 5–B, p. 2410).
    • Chicago/Turabian: Author-Date:
      Vidalakis, Nicole Kyria. 2003. “Using a Cognitive Behavioral Therapy Intervention for Adolescents with Bulimia Nervosa and Purging Disorders.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214.
    • Harvard:
      Vidalakis, N. K. (2003) Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214 (Accessed: 22 February 2020).
    • Harvard: Australian:
      Vidalakis, NK 2003, ‘Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 64, no. 5–B, p. 2410, viewed 22 February 2020, .
    • MLA:
      Vidalakis, Nicole Kyria. “Using a Cognitive Behavioral Therapy Intervention for Adolescents with Bulimia Nervosa and Purging Disorders.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 64, no. 5–B, ProQuest Information & Learning, 2003, p. 2410. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214.
    • Chicago/Turabian: Humanities:
      Vidalakis, Nicole Kyria. “Using a Cognitive Behavioral Therapy Intervention for Adolescents with Bulimia Nervosa and Purging Disorders.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2003. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214.
    • Vancouver/ICMJE:
      Vidalakis NK. Using a cognitive behavioral therapy intervention for adolescents with bulimia nervosa and purging disorders [Internet]. Vol. 64, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2003 [cited 2020 Feb 22]. p. 2410. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2003-95022-214