Patterns of eating and abstinence in women treated for bulimia nervosa

Objective: The current study sought to determine whether there is an optimal pattern of eating leading to cessation of binge eating and purging in bulimic women. Method: Data on the number of meals and snacks consumed were obtained from the Eating Disorders Examination (EDE) pretreatment and posttre...

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Bibliographic Details
Published in:The International journal of eating disorders 2005-12, Vol.38 (4), p.330-334
Main Authors: Shah, N, Passi, V, Bryson, S, Agras, W.S
Format: Article
Language:English
Subjects:
abstinence
Adult
Behavior
Behavior therapy. Cognitive therapy
Biological and medical sciences
Bulimia
bulimia nervosa
Bulimia Nervosa - diagnosis
Bulimia Nervosa - epidemiology
Bulimia Nervosa - psychology
Bulimia Nervosa - therapy
Cognitive Therapy
Comorbidity
consciousness
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - psychology
Eating
Eating disorders
eating habits
eating patterns
Feeding Behavior
Female
Food Deprivation
Humans
Individual psychotherapy
Medical sciences
Medical treatment
patients
Pattern recognition
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Treatments
Women
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Summary:Objective: The current study sought to determine whether there is an optimal pattern of eating leading to cessation of binge eating and purging in bulimic women. Method: Data on the number of meals and snacks consumed were obtained from the Eating Disorders Examination (EDE) pretreatment and posttreatment, for individuals participating in a randomized controlled study comparing cognitive-behavioral therapy and interpersonal therapy. Records were available for 158 participants. Results: The numbers of meals and snacks eaten from pretreatment to posttreatment increased significantly. A pattern of eating with at least 80 meals combined with at least 21 afternoon snacks within a 28-day period was associated with an abstinence rate of 70%. In contrast, for subjects having 72-80 meals, those having greater than 11 evening snacks have an abstinence rate of 4%. Conclusion: The critical elements of the pattern of eating related to abstinence appear to be the total number of meals consumed and the timing of snacks.
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.20204