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Prognostic factors in bulimia nervosa
C G Fairburn1, J Kirk, M O'Connor
1Department of Psychiatry, University of Oxford, Warneford Hospital, UK.
The British Journal of Clinical Psychology
|September 1, 1987
Summary
Low pre-treatment self-esteem predicts poorer outcomes for individuals with bulimia nervosa. This finding highlights self-esteem as a crucial factor in treatment success for this eating disorder.
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorders
Background:
- Bulimia nervosa is a complex eating disorder requiring effective treatment strategies.
- Identifying predictors of treatment success is crucial for optimizing patient care.
Purpose of the Study:
- To identify factors that predict treatment outcomes in patients with bulimia nervosa.
- To analyze outcome data from a controlled study over a 12-month follow-up period.
Main Methods:
- Utilized data from a controlled study on bulimia nervosa treatment.
- Assessed treatment outcome using four distinct indices.
- Monitored outcomes at four intervals during a 12-month post-treatment, follow-up period.
Main Results:
- Pre-treatment self-esteem level consistently predicted treatment outcome.
- Patients with lower initial self-esteem demonstrated less favorable responses to treatment.
- No other consistent predictors of outcome were identified across the assessed variables.
Conclusions:
- Self-esteem is a significant factor influencing treatment success in bulimia nervosa.
- Interventions aimed at improving self-esteem may enhance treatment efficacy for bulimia nervosa patients.