Maintenance factors for persistence of bulimic pathology: A prospective natural history study.

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Title: Maintenance factors for persistence of bulimic pathology: A prospective natural history study.
Authors: Bohon, Cara, Stice, Eric, Burton, Emily
Source: International Journal of Eating Disorders. Mar2009, Vol. 42 Issue 2, p173-178. 6p. 2 Charts.
Subjects: Bulimia, Compulsive eating, Eating disorders in women, Ideals (Psychology), Treatment of eating disorders, Disease relapse prevention, Therapeutics
Abstract: Objective: To characterize the natural course of bulimia nervosa and identify potential maintenance factors that predict persistence of bulimic pathology in order to advance knowledge of processes that perpetuate this eating disturbance and permit the design of more efficacious treatments. Method: We followed 96 women with threshold or subthreshold bulimia nervosa over a 1-year period with quarterly interviews. Results: There were high rates of remission and relapse on a month-to-month basis, but remission became more likely to persist after a period of approximately 4 months of symptom abstinence. Initial elevations in thin-ideal internalization, expectations for reward from eating, and binge frequency predicted greater time to remission of binge eating. Initial elevations in dietary restraint and compensatory behavior frequency predicted greater time to remission of compensatory behaviors. Discussion: Results imply that treatments for eating disorder may be more effective if they can reduce thin-ideal internalization, eating expectancies, and ineffective dieting and produce rapid cessation of binge eating and compensatory behaviors. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009 [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="AR" term="%22Bohon%2C+Cara%22">Bohon, Cara</searchLink><br /><searchLink fieldCode="AR" term="%22Stice%2C+Eric%22">Stice, Eric</searchLink><br /><searchLink fieldCode="AR" term="%22Burton%2C+Emily%22">Burton, Emily</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar2009, Vol. 42 Issue 2, p173-178. 6p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Bulimia%22">Bulimia</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+eating%22">Compulsive eating</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders+in+women%22">Eating disorders in women</searchLink><br /><searchLink fieldCode="DE" term="%22Ideals+%28Psychology%29%22">Ideals (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+relapse+prevention%22">Disease relapse prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
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  Data: Objective: To characterize the natural course of bulimia nervosa and identify potential maintenance factors that predict persistence of bulimic pathology in order to advance knowledge of processes that perpetuate this eating disturbance and permit the design of more efficacious treatments. Method: We followed 96 women with threshold or subthreshold bulimia nervosa over a 1-year period with quarterly interviews. Results: There were high rates of remission and relapse on a month-to-month basis, but remission became more likely to persist after a period of approximately 4 months of symptom abstinence. Initial elevations in thin-ideal internalization, expectations for reward from eating, and binge frequency predicted greater time to remission of binge eating. Initial elevations in dietary restraint and compensatory behavior frequency predicted greater time to remission of compensatory behaviors. Discussion: Results imply that treatments for eating disorder may be more effective if they can reduce thin-ideal internalization, eating expectancies, and ineffective dieting and produce rapid cessation of binge eating and compensatory behaviors. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009 [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/eat.20600
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        Text: English
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      – SubjectFull: Eating disorders in women
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      – SubjectFull: Therapeutics
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              Text: Mar2009
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