Outcome of bulimia nervosa: Prognostic indicators

Bulimia nervosa is an eating disorder that is growing in prevalence in Western societies, and affecting more people at a younger age. Requests for treatment are creating serious problems for mental health services, making it necessary to establish appropriate treatment guidelines aimed at increasing...

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Bibliographic Details
Published in:Journal of psychosomatic research 1998-11, Vol.45 (5), p.391-400
Main Author: Vaz, Francisco J
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Biological and medical sciences
Bulimia
Bulimia - psychology
Bulimia - therapy
Bulimia nervosa
Eating behavior disorders
Eating disorders
Follow-up studies
Humans
Medical sciences
Outcome
Outcome Assessment (Health Care)
Prediction
Prognosis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Social Environment
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Summary:Bulimia nervosa is an eating disorder that is growing in prevalence in Western societies, and affecting more people at a younger age. Requests for treatment are creating serious problems for mental health services, making it necessary to establish appropriate treatment guidelines aimed at increasing the effectiveness of clinical interventions and guaranteeing a rational therapeutic approach. For this reason, research on predictive factors of the outcome of bulimia nervosa has greatly increased in recent years. This article reviews this recent research and discusses the most prevalent clinical findings, grouping them into three specific categories: individual, environmental, and therapeutic factors. The main methodological problems for assessing the outcome of bulimia nervosa are also discussed, and some measures for increasing the reliability of the research are proposed.
ISSN:0022-3999
1879-1360
DOI:10.1016/S0022-3999(98)00017-8