A critique of outcome classification found in bulimia nervosa treatment outcome research.

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  • Author(s): Diacogiannis, Joanne Elizabeth. U Hartford, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 74(7-B)(E), 2014.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      978-1-267-98182-0
    • Keywords:
      outcome classification, bulimia nervosa treatment, treatment outcomes, psychological disorders, cognitive behavioral therapy
    • Abstract:
      Bulimia Nervosa (BN) is a serious, refractory psychological disorder, characterized by repeated episodes of binge eating followed by inappropriate compensatory behaviors, and a preoccupation with shape or weight which unduly influences self-worth (American Psychiatric Association, 2000). Current research-based approaches to treatment have primarily included cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT). Both CBT and IPT have typically reported success rates of about 50% (Clausen, 2004; Epstein & Sloan, 2005; Hinrichsen, H., Morrison, T., Wallter, G., & Schmidt, U., 2007; Richard, M., Bauer, S., & Kordy, H., 2005). Although outcome rates appear moderate, previous authors have identified a variety of methodological problems common in BN treatment outcome research which compromise the quality and reliability of research conclusions (Clausen, 2004; Lundgren, J., Danoff-Burg, S., & Anderson, D., 2003; Quadflied & Fichter, 2003; Shapiro, 2007; Wonderlich, S., Crosby, R., Mitchell, J., Zwaan, M., Engel, S., Connolly, K., Flessner, C., Redlin, J., Markland, M., Simonich, H., Wright, T., Swanson, J., & Taheri, M., 2006). Potentially more problematic to the interpretation of outcome studies and our ability to make firm claims about the effectiveness of BN treatment is a lack of consensus in the way researchers establish and define treatment outcome groups. This dissertation includes a comprehensive literature review of BN treatment research from 1994-2010, and examines classifications and definitions of BN treatment outcome. Results of this review showed substantial inconsistencies in the use of outcome labels across researchers. In addition, outcome terms were often poorly defined or not defined at all. Implications of these findings are discussed in terms of the quality and interpretability of BN treatment research, as well as possible steps to remedy these methodological problems and proposed outcome label definitions. These findings highlight the need for the field to begin addressing and correcting these problems in future BN treatment outcome research. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI3556308
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:3556308
    • Subject Terms:
    • PsycINFO Classification:
      General Psychology (2100)
    • Population:
      Human
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20140303
    • Accession Number:
      2014-99020-288
  • Citations
    • ABNT:
      DIACOGIANNIS, J. E. A critique of outcome classification found in bulimia nervosa treatment outcome research. 2014. ProQuest Information & Learning, [s. l.], 2014. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2014-99020-288. Acesso em: 25 fev. 2020.
    • AMA:
      Diacogiannis JE. A critique of outcome classification found in bulimia nervosa treatment outcome research. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2014;74(7-B(E)). http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2014-99020-288. Accessed February 25, 2020.
    • APA:
      Diacogiannis, J. E. (2014). A critique of outcome classification found in bulimia nervosa treatment outcome research [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 74, Issue 7–B(E)).
    • Chicago/Turabian: Author-Date:
      Diacogiannis, Joanne Elizabeth. 2014. “A Critique of Outcome Classification Found in Bulimia Nervosa Treatment Outcome Research.” 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=2014-99020-288.
    • Harvard:
      Diacogiannis, J. E. (2014) A critique of outcome classification found in bulimia nervosa treatment outcome research, 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=2014-99020-288 (Accessed: 25 February 2020).
    • Harvard: Australian:
      Diacogiannis, JE 2014, ‘A critique of outcome classification found in bulimia nervosa treatment outcome research’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 74, no. 7–B(E), viewed 25 February 2020, .
    • MLA:
      Diacogiannis, Joanne Elizabeth. “A Critique of Outcome Classification Found in Bulimia Nervosa Treatment Outcome Research.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 74, no. 7–B(E), ProQuest Information & Learning, 2014. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2014-99020-288.
    • Chicago/Turabian: Humanities:
      Diacogiannis, Joanne Elizabeth. “A Critique of Outcome Classification Found in Bulimia Nervosa Treatment Outcome Research.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2014. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2014-99020-288.
    • Vancouver/ICMJE:
      Diacogiannis JE. A critique of outcome classification found in bulimia nervosa treatment outcome research [Internet]. Vol. 74, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2014 [cited 2020 Feb 25]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2014-99020-288