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Journal ArticleDOI

Group Cognitive—Behavioral Therapy and Group Interpersonal Psychotherapy for the Nonpurging Bulimic Individual A Controlled Comparison

01 Jan 1993-Journal of Consulting and Clinical Psychology (J Consult Clin Psychol)-Vol. 61, Iss: 2, pp 296-305
TL;DR: This article evaluated the effectiveness of group cognitive-behavioral treatment (CBT) and group interpersonal psychotherapy (IPT) for binge eating in women with nonpurging bulimia.
Abstract: This study evaluated the effectiveness of group cognitive-behavioral treatment (CBT) and group interpersonal psychotherapy (IPT) for binge eating. Fifty-six women with nonpurging bulimia were randomly assigned to 1 of 3 groups: CBT, IPT, or a wait-list control (WL). Treatment was administered in small groups that met for 16 weekly sessions. At posttreatment, both group CBT and group IPT treatment conditions showed significant improvement in reducing binge eating, whereas the WL condition did not. Binge eating remained significantly below baseline levels for both treatment conditions at 6-month and 1-year follow-ups. These data support the central role of both eating behavior and interpersonal factors in the understanding and treatment of bulimia.
Citations
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01 Jan 1998

1,458 citations


Cites background from "Group Cognitive—Behavioral Therapy ..."

  • ...*Interpersonal therapy for binge-eating Wilfley et al. (1993) disorder...

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  • ...…et al. (1995) *Hypnosis as an adjunct to cognitive-behavior Bolocofsky et al. (1985) therapy for obesity *Interpersonal therapy for binge-eating Wilfley et al. (1993) disorder *Interpersonal therapy for bulimia Fairburn et al. (1993) *Multi-component cognitive therapy for Lynch & Zamble (1989)…...

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  • ...…therapy for childhood obesity Epstein et al. (1994) Wheeler & Hess (1976) *Cognitive-behavior therapy for binge eating Telch et al. (1990) disorder Wilfley et al. (1993) *Cognitive-behavior therapy adjunctive to Nicholas et al. (1991) physical therapy for chronic pain *Cognitive-behavior therapy…...

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Journal ArticleDOI
TL;DR: The authors found that the effect sizes were homogeneously distributed about 0, as was expected under the Dodo bird conjecture, and that under the most liberal assumptions, the upper bound of the true effect was about.20.
Abstract: This recta-analysis tested the Dodo bird conjecture, which states that when psychotherapies intended to be therapeutic are compared, the true differences among all such treatments are 0. Based on comparisons between treatments culled from 6 journals, it was found that the effect sizes were homogeneously distributed about 0, as was expected under the Dodo bird conjecture, and that under the most liberal assumptions, the upper bound of the true effect was about .20. Moreover, the effect sizes (a) were not related positively to publication date, indicating that improving research methods were not detecting effects, and (b) were not related to the similarity of the treatments, indicating that more dissimilar treatments did not produce larger effects, as would be expected if the Dodo bird conjecture was false. The evidence from these analyses supports the conjecture that the efficacy of bona fide treatments are roughly equivalent. In 1936, Rosenzweig proposed that common factors were responsible for the efficacy of psychotherapy and used the conclusion of the Dodo bird from Alice in Wonderland (Carroll, 1865/1962) to emphasize this point: "At last the Dodo said, 'Everybody has won, and all must have prizes' " (p. 412). Later, Luborsky, Singer, and Luborsky ( 1975 ) reviewed the psychotherapy outcome literature, found that the psychotherapies reviewed were generally equivalent in terms of their outcomes, and decreed that the Dodo bird was correct. Since Luborsky et al.'s seminal review, the equivalence of outcome in psychotherapy has been called the Dodo bird effect. To many interested in the technical aspects of particular psychotherapies, the Dodo bird effect was distasteful and, on the face of it, unbelievable: If the indiscriminate distribution of prizes argument carried true conviction . . . we end up with the same advice for everyone"Regardless of the nature of your problem seek any form of psychotherapy." This is absurd. We doubt whether even the strongest advocates of the Dodo bird argument dispense this advice. (Rachman & Wilson, 1980, p. 167)

1,072 citations

DatasetDOI
01 Jan 1995
TL;DR: In this paper, a task force was constituted to consider methods for educating clinical psychologists, third party payors, and the public about effective psychotherapies, and to emphasize the strength of what we have to offer.
Abstract: At the request of David Barlow, President of Division 12, and under the aegis of Section I I I , this task force was constituted to consider methods for educating clinical psychologists, third party payors, and the public about effective psychotherapies. Lacking the enormous promotional budgets,arid sales staff of pharmaceutical companies, clinical psychologists labor at a disadvantage to disseminate irnportant findings about innovations in psychological procedures. Despite the great strides in the development and validation of effective treatments, it is not clear that the benefit of our approaches is widely appreciated, even by other clinical psychologists. We believe that, i f the public is to benefit from the availability of effective psychotherapies, and i f clinical psychology is to survive in this heyday of biological psychiatry, APA must act to emphasize the strength of what we have to offer — a variety of psychotherapies of proven efficacy. We suggest that psychologists hold an advantage in being the primary scientists in the

673 citations

Journal ArticleDOI
TL;DR: Behavioral treatment for obesity seeks to identify and modify eating, activity, and thinking habits that contribute to patients' weight problems as discussed by the authors, recognizing that body weight is affected by factors other than behavior, which include genetic, metabolic, and hormonal influences.

637 citations

Journal ArticleDOI
TL;DR: Evidence for medication or behavioral treatment for BN is strong, for self-help is weak; for harms related to medication is strong but either weak or nonexistent for other interventions; and evidence for differential outcome by sociodemographic factors is nonexistent.
Abstract: Objective: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), harms associated with treatments, factors associated with treatment efficacy, and differential outcome by sociodemographic characteristics. Method: We searched six major databases for studies on the treatment of AN from 1980 to September 2005, in all languages against a priori inclusion/exclusion criteria focusing on eating, psychiatric or psychological, or biomarker outcomes. Results: Thirty-two treatment studies involved only medications, only behavioral interventions, and medication plus behavioral interventions for adults or adolescents. The literature on medication treatments and behavioral treatments for adults with AN is sparse and inconclusive. Cognitive behavioral therapy may reduce relapse risk for adults with AN after weight restoration, although its efficacy in the underweight state remains unknown. Variants of family therapy are efficacious in adolescents, but not in

613 citations

References
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Reference EntryDOI
11 Jun 2013

113,134 citations

Journal ArticleDOI
TL;DR: The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed.
Abstract: The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out by a number of authors. Pasamanick12in a recent article viewed the low interclinician agreement on diagnosis as an indictment of the present state of psychiatry and called for "the development of objective, measurable and verifiable criteria of classification based not on personal or parochial considerations, but on behavioral and other objectively measurable manifestations." Attempts by other investigators to subject clinical observations and judgments to objective measurement have resulted in a wide variety of psychiatric rating scales.4,15These have been well summarized in a review article by Lorr11on "Rating Scales and Check Lists for the Evaluation of Psychopathology." In the area of psychological testing, a variety of paper-and-pencil tests have been devised for the purpose of measuring specific

35,176 citations


"Group Cognitive—Behavioral Therapy ..." refers methods in this paper

  • ...In addition, participants completed the following questionnaires, which were computer administered and scored: (a) the Beck Depression Inventory (BDI; Beck, Ward, Mendelson, Mock, & Erbaugh, 1961 ), a 21-item inventory measuring severity of depression; (b) the Inventory of Interpersonal Problems (IIP; Horowitz, Rosenberg, Baer, Ureno, & Villasenor; 1988 ), a measure of interpersonal problems and the level of distress arising from ......

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Book
21 Apr 1965

21,050 citations

Journal ArticleDOI
TL;DR: The first step was a collation of items from two existing questionnaires that measure the related concepts of 'restrained eating' and 'latent obesity', to which were added items newly written to elucidate these concepts.

4,391 citations


"Group Cognitive—Behavioral Therapy ..." refers background in this paper

  • ...It relates to weight change during depression, binge severity, and overeating during a laboratory study of food intake ( Stunkard & Messick, 1985 ). The disinhibition scale measures emotional eating ( Ganley, 1988 ), which is relevant because negative affect is often a precursor to bingeing behavior ( Arnow, Kenardy, & Agras, 1992 ; Davis, Freeman, & Garner, 1988 ). It also measures a tendency to disinhibit when exposed to ......

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