The outcome of bulimia nervosa: Findings from one-quarter century of research

American Journal of Psychiatry

Volumn 166, Issue 12, 2009, Pages 1331-1341

  Steinhausen, Hans Christoph ^a   Weber, Sandy ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

BULIMIA; COGNITIVE THERAPY; COMORBIDITY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE SEVERITY; FOLLOW UP; HUMAN; MORTALITY; PRIORITY JOURNAL; PROGNOSIS; REVIEW;

ADOLESCENT; ADULT; ANTIDEPRESSIVE AGENTS; BULIMIA NERVOSA; CHRONIC DISEASE; COMORBIDITY; FEMALE; FOLLOW-UP STUDIES; HUMANS; LONGITUDINAL STUDIES; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DROPOUTS; PROGNOSIS; PSYCHIATRIC STATUS RATING SCALES; PSYCHOTHERAPY; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 73249116012     PISSN: 0002953X     EISSN: 15357228     Source Type: Journal    
DOI: 10.1176/appi.ajp.2009.09040582     Document Type: Review

References (109)

1. Russell G: Bulimia nervosa: an ominous variant of anorexia nervosa. Psychol Med 1979; 9:429-448
2. Rathner G: Aspects of the natural history of normal and disordered eating and some methodological considerations, in The Course of Eating Disorders: Long-Term Follow-Up Studies of Anorexia and Bulimia Nervosa. Edited by Herzog W, Deter HC, Vandereycken W. Berlin, Springer, 1992, pp 273-301
3. Steinhausen H-C: Eating disorders, in Risks and Outcomes in Developmental Psychopathology. Edited by Steinhausen H-C, Verhulst FC. Oxford, UK, Oxford University Press, 1996, pp 210-330
4. Keel PK, Mitchell JE: Outcome in bulimia nervosa. Am J Psychiatry 1997; 54:313-321
5. Vaz FJ: Outcome of bulimia nervosa: prognostic indicators. J Psychosom Res 1998; 45:391-400
6. Quadflieg N, Fichter MM: The course and outcome of bulimia nervosa. Eur Child Adolesc Psychiatry 2003; 12:99-109
7. Berkman NB, Lohr KN, Bulik CM: Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord 2007; 40:293-309
8. Steinhausen H-C: The outcome of anorexia nervosa in the 20th century. Am J Psychiatry 2002; 159:1284-1293
9. Abraham SF: Sexuality and reproduction in bulimia nervosa patients over 10 years. J Psychosom Res 1998; 44:491-502
10. Abraham SF, Mira M, Llewellyn-Jones D: Bulimia: a study of outcome. Int J Eat Disord 1983; 2:175-180
11. Agras WS, Rossiter EM, Arnow B, Telch CF, Raeburn SD, Bruce B, Koran LM: One-year follow-up of psychosocial and pharmacologic treatments for bulimia nervosa. J Clin Psychiatry 1994; 55:179-183
12. Bailer U, de Zwaan M, Leisch F, Strnad A, Lennkh-Wolfsberg C, El-Giamal N, Hornik K, Kasper S: Guided self-help versus cognitive-behavioral group therapy in the treatment of bulimia nervosa. Int J Eat Disord 2004; 35:522-537
13. Banasiak SJ, Paxton SJ, Hay P: Guided self-help for bulimia nervosa in primary care: a randomized controlled trial. Psychol Med 2005; 35:1283-1294
14. Ben-Tovim D, Walker K, Freeman R, Kalucy R, Esterman A: Outcome in patients with eating disorders: a 5-year study. Lancet 2001; 357:1254-1257
15. Bogh EH, Rokkedal K, Valbak K: A 4-year follow-up on bulimia nervosa. Eur Eat Disord Rev 2005; 13:48-53
16. Brotman AW, Herzog DB, Hamburg P: Long-term course in 14 bulimic patients treated with psychotherapy. J Clin Psychiatry 1988; 49:157-160
17. Bulik CM, Sullivan PF, Joyce PR, Carter RA, McIntosh VV: Predictors of 1-year treatment outcome in bulimia nervosa. Compr Psychiatry 1998; 39:206-214
18. Carter FA, McIntosh VV, Joyce PR, Frampton CM, Bulik CM: Cue reactivity in bulimia nervosa: a useful self-report approach. Int J Eat Disord 2006; 39:694-699
19. Carter FA, McIntosh VV, Joyce PR, Sullivan PF, Bulik CM: Role exposure with response prevention in cognitive-behavioral therapy for bulimia nervosa: three-year follow-up results. Int J Eat Disord 2003; 33:127-135
20. Chen E, Touyz SW, Beumont PJ, Fairburn CG, Griffiths R, Butow P, Russell J, Schotte DE, Gertler R, Basten C: Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa. Int J Eat Disord 2003; 33:241-254
21. Collings S, King M: Ten-year follow-up of 50 patients with bulimia nervosa. Br J Psychiatry 1994; 164:80-87
22. Connors ME, Johnson CL, Stuckey NK: Treatment of bulimia with brief psychoeducational group therapy. Am J Psychiatry 1984; 141:1512-1516
23. Drewnowski A, Yee DK, Kurth CL, Krahn DD: Eating pathology and DSM-III-R bulimia nervosa: a continuum of behavior. Am J Psychiatry 1994; 151:1217-1219
24. Edelstein CK, Yager J, Gitlin M, Landsverk J: A clinical study of antidepressant medications in the treatment of bulimia. Psychiatr Med 1989; 7:111-121
25. Fahy TA, Russell GF: Outcome and prognostic variables in bulimia nervosa. Int J Eat Disord 1993; 14:135-145
26. Fairburn CG: A cognitive-behavioural approach to the management of bulimia. Psychol Med 1981; 11:707-711
27. Fairburn CG, Cooper Z, Doll HA, Norman P, O'Connor M: The natural course of bulimia nervosa and binge eating disorder in young women. Arch Gen Psychiatry 2000; 57:659-665
28. Fairburn CG, Jones R, Peveler RC, Hope RA, O'Connor M: Psychotherapy and bulimia nervosa: longer-term effects of interpersonal psychotherapy, behavior therapy and cognitive behavior therapy. Arch Gen Psychiatry 1993; 50:419-428
29. Fairburn CG, Kirk J, O'Connor M, Cooper PJ: A comparison of two psychological treatments for bulimia nervosa. Behav Res Therapy 1986; 24:629-643
30. Fairburn CG, Norman PA, Welch SL, O'Connor ME, Doll HA, Peveler RC: A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. Arch Gen Psychiatry 1995; 52:304-312
31. Fallon BA, Walsh BT, Sadik C, Saoud JB, Lukasik V: Outcome and clinical course in inpatient bulimic women: a 2- to 9-year follow-up study. J Clin Psychiatry 1991; 52:272-278
32. Fichter MM, Quadflieg N, Rief W: The German Longitudinal Bulimia Nervosa Study, in The Course of Eating Disorders: Long-Term Follow-up Studies of Anorexia and Bulimia Nervosa. Edited by Herzog W, Deter HC, Vandereycken W. Berlin, Springer, 1992, pp 133-149
33. Fichter MM, Quadflieg N: Course and two-year outcome in anorexic and bulimic adolescents. J Youth Adolesc 1996; 25:546-560
34. Fichter MM, Quadflieg N: Twelve-year course and outcome of bulimia nervosa. Psychol Med 2004; 34:1395-1406
35. Freeman RJ, Beach B, Davis R, Solyom L: The prediction of relapse in bulimia nervosa. J Psychiatr Res 1985; 19:349-353
36. Gendall KA, Joyce PR, Carter FA, McIntosh VV, Bulik CM: Thyroid indices and treatment outcome in bulimia nervosa. Acta Psychiatr Scand 2003; 108:190-195
37. Ghaderi A: Does individualization matter? A randomized trial of standardized (focused) versus individualized (broad) cognitive behavior therapy for bulimia nervosa. Behav Res Therapy 2006; 44:273-288
38. Giles TR, Young RR, Young DE: Case studies and clinical replication series: behavioral treatment of severe bulimia. Behav Therapy 1985; 16:393-405
39. Ie Grange D, Crosby RD, Rathouz PJ, Leventhal BL: A randomized controlled comparison of family-based treatment and supportive psychotherapy for adolescent bulimia nervosa. Arch Gen Psychiatry 2007; 64:1049-1056
40. Griffiths R, Channon-Little L, Hadzi-Pavlovic D: Hypnotizablility and outcome in the treatment of bulimia nervosa. Contemp Hypnosis 1995; 12:165-172
41. Grilo CM, Sanislow CA, Shea MT, Skodol AE, Stout RL, Pagano ME, Yen S, McGlashan TH: The natural course of bulimia nervosa and eating disorder not otherwise specified is not influenced by personality disorders. Int J Eat Disord 2003; 34:319-330
42. Herzog DB, Dorrer D, Keel PK, Selwyn SE, Ekeblad E, Flores AT, Greenwood DN, Burwell RA, Keller MB: Recovery and relapse in anorexia and bulimia nervosa: a 7.5-year follow-up study. J Am Acad Child Adolesc Psychiatry 1999; 38:829-837
43. Herzog DB, Field AE, Keller MB, West JC, Robbins WM, Staley J, Colditz GA: Subtyping eating disorders: Is it justified? J Am Acad Child Adolesc Psychiatry 1996; 35:928-936
44. Herzog DB, Keller MB, Lavori PW, Ott IL: Short-term prospective study of recovery in bulimia nervosa. Psychiatry Res 1988; 23:45-55
45. Herzog DB, Sacks NR, Keller MB, Lavori PW, Ranson KB, Gray HM: Patterns and predictors of recovery in anorexia nervosa and bulimia nervosa. J Am Acad Child Adolesc Psychiatry 1993; 32:835-842
46. Hsu LK: Treatment of bulimia with lithium. Am J Psychiatry 1984; 141:1260-1262
47. Hsu LK, Sobkiewicz TA: Bulimia nervosa: a four- to six-year follow-up study. Psychol Med 1989; 19:1035-1038
48. Hudson JI, Pope HG Jr, Keck PE Jr, McElroy SL: Treatment of bulimia nervosa with trazodone: short-term response and long-term follow-up. Clin Neuropharmacol 1989; 12:S38-S46
49. Huon GF, Brown LB: Evaluating a group treatment for bulimia. J Psychiatr Res 1985; 19:479-483
50. Jäger B, Liedtke R, Lamprecht F, Freyberger H: Social and health adjustment of bulimic women 7 to 9 years following therapy. Acta Psychiatr Scand 2004; 110:138-145
51. Johnson C, Tobin DL, Dennis A: Differences in treatment outcome between borderline and nonborderline bulimics at one-year follow-up. Int J Eat Disord 1990; 9:617-626
52. Johnson-Sabine E, Reiss D, Dayson D: Bulimia nervosa: a 5-year follow-up study. Psychol Med 1992; 22:951-959
53. Keel PK, Mitchell JE, Davis TL, Crow SJ: Long-term impact of treatment in women diagnosed with bulimia nervosa. Int J Eat Disord 2002; 31:151-158
54. Keel PK, Mitchell JE, Miller KB, Davis TL, Crow SJ: Long-term outcome of bulimia nervosa. Arch Gen Psychiatry 1999; 56:63-69
55. Keller MB, Herzog DB, Lavori PW, Bradburn IS, Mahoney EM: The naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence and psychological morbidity. Int J Eat Disord 1992; 12:1-9
56. King M: The natural history of eating pathology in attenders to primary medical care. Int J Eat Disord 1991; 10:379-387
57. Lacey JH: Bulimia nervosa, binge eating and psychogenic vomiting: a controlled treatment study and long-term outcome. BMJ 1983; 286:1609-1613
58. Lacey JH: Long-term follow-up of bulimic patients treated in integrated behavioural and psychodynamic treatment programmes, in The Course of Eating Disorders: Long-Term Follow-Up Studies of Anorexia and Bulimia Nervosa. Edited by Herzog W, Deter HC, Vandereycken W. Berlin, Springer, 1992, pp 150-173
59. Laessle RG, Beumont PJ, Butow P, Lennerts W, O'Connor ME, Pirke KM, Touyz SW, Waadt S: A comparison of nutritional man-
60. Maddocks SE, Kaplan AS, Woodside DB, Langdon L, Piran N: Two year follow-up of bulimia nervosa: the importance of abstinence as the criterion of outcome. Int J Eat Disord 1992; 12:133-141
61. Mitchell JE, Davis L, Goff G, Pyle RL: A follow-up study of patients with bulimia. Int J Eat Disord 1986; 5:441-450
62. Mitchell JE, Halmi K, Wilson GT, Agras WS, Kraemer H, Crow S: A randomized secondary treatment study of women with bulimia nervosa who fail to respond to CBT. Int J Eat Disord 2002; 32:271-281
63. Mitchell JE, Pyle RL, Hatsukami D, Goff G, Glotter D, Harper J: A 2 to 5 year follow-up study of patients treated for bulimia. Int J Eat Disord 1988; 8:157-165
64. Nevonen L, Broberg AG: A comparison of sequenced individual and group psychotherapy for patients with bulimia nervosa. Int J Eat Disord 2006; 39:117-127
65. Olmsted MP, Kaplan AS, Rockert W: Rate and prediction of relapse in bulimia nervosa. Am J Psychiatry 1994; 151:738-743
66. Olmsted MP, Kaplan AS, Rockert W: Defining remission and relapse in bulimia nervosa. Int J Eat Disord 2005; 38:1-6
67. Openshaw C, Waller G, Sperlinger D: Group cognitive-behavior therapy for bulimia nervosa: statistical versus clinical signifi-cance of changes in symptoms across treatment. Int J Eat Disord 2004; 36:363-375
68. Peterson CB, Wimmer S, Ackard DM, Crosby RD, Cavanagh LC, Engbloom S, Mitchell JE: Changes in body image during cognitive-behavioral treatment in women with bulimia nervosa. Body Image 2004; 1:139-153
69. Pope HG, Hudson JI, Jonas JM, Yurgelun-Todd D: Antidepressant treatment of bulimia: a two-year follow-up study. J Clin Psychopharmacol 1985; 5:320-327
70. Pyle RL, Mitchell JE, Eckert ED, Hatsukami D, Pomeroy C, Zimmerman R: Maintenance treatment and 6-month outcome for bulimic patients who respond to initial treatment. Am J Psychiatry 1990; 147:871-875
71. Reas DL, Williamson DA, Martin CK, Zucker NL: Duration of illness predicts outcome for bulimia nervosa: a long-term follow-up study. Int J Eat Disord 2000; 27:428-434
72. Reiss D, Johnson-Sabine E: Bulimia nervosa: 5-year social outcome and relationship to eating pathology. Int J Eat Disord 1995; 18:127-133
73. Richard M: Effective treatment of eating disorders in Europe: treatment outcome and its predictors. Eur Eat Disord Rev 2005; 13:169-179
74. Russell GF, Szmukler GI, Dare C, Eisler I: An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Arch Gen Psychiatry 1987; 44:1047-1056
75. Steiger H, Stotland S: Prospective study of outcome in bulimics as a function of axis-II comorbidity: long-term responses on eating and psychiatric symptoms. Int J Eat Disord 1996; 20:149-161
76. Steinhausen H-C, Seidel R: Outcome in adolescent eating disorders. Int J Eat Disord 1993; 14:487-496
77. Stevens EV, Salisbury JD: Group therapy for bulimic adults. Am J O rthopsychiatry 1984; 54:156-161
78. Sundgot-Borgen J, Rosenvinge JH, Bahr R, Sundgot-Schneider L: The effect of exercise, cognitive therapy and nutritional counseling in treating bulimia nervosa. Med Sci Sport Exer 2002; 34:190-194
79. Swift WJ, Ritzholz M, Kalin NH, Kaslow N: A follow-up study of thirty hospitalized bulimics. Psychosom Med 1987; 49:45-55
80. Toro J, Cervera M, Feliu MH, Garriga N, Jou M, Martinez E, Toro E: Cue exposure in the treatment of resistant bulimia nervosa. Int J Eat Disord 2003; 34:227-234
81. Tozzi F, Thornton LM, Klump KL, Fichter MM, Halmi K, Kaplan AS, Strober M, Woodside DB, Crow SJ, Mitchell JE, Rotondo A, Mauri M, Cassano G, Keel PK, Plotnicov KH, Pollice C, Lilenfeld LR, Berettini WH, Bulik CM, Kaye WH: Symptom fluctuation in eating disorders: correlates of diagnostic crossover. Am J Psychiatry 2005; 162:732-740
82. Treasure J, Schmidt U, Troop N, Tiller J, Todd G, Turnbull S: Sequential treatment for bulimia nervosa incorporating a self-care manual. Br J Psychiatry 1996; 168:94-98
83. Tseng MC, Lee MB, Lee YJ, Chen YY: Long-term outcome of bulimia nervosa in Taiwanese. J Formos Med Assoc 2004; 103:701-706
84. Wilson GT, Agras WS, Fairburn CG, Walsh BT, Kraemer H: Cognitive behavior therapy for bulimia nervosa: time course and mechanisms of change. J Consult Clin Psychol 2002; 70:267-274
85. Yager J, Landsverk J, Edelstein CK: A 20-month follow-up study of 628 women with eating disorders, II: course and severity. Am J Psychiatry 1987; 144:1172-1177
86. Yashkov YI, Bekuzaro DK: Effectiveness of biliopancreatic diversion in the patients with bulimia nervosa. Obes Surg 2006; 16:1433-1439
87. Zeeck A, Herzog T, Hartmann A: Day clinic or inpatient care for severe bulimia nervosa. Eur Eat Disord Rev 2004; 12:79-86
88. Fairburn CG, Cooper Z, Doll HA, Norman PA, O'Connor ME: Understanding persistence in bulimia nervosa: a 5-year naturalistic study. J Consult Clin Psychol 2003; 71:103-109
89. Fairburn CG, Peveler RC, Jones R, Hope RA, D oll HA: Predictors of 12-month outcome in bulimia nervosa and the influence of attitudes to shape and weight. J Consult Clin Psychol 1993; 61:696-698
90. Fallon BA, Sadik C, Saoud JB, Garfinkel RS: Childhood abuse, family environment, and outcome in bulimia nervosa. J Clin Psychiatry 1994; 55:424-428
91. Fichter MM, Quadflieg N: Six-year course of bulimia nervosa. Int J Eat Disord 1997; 22:361-384
92. Swift WJ, Kalin NH, Wamboldt FS, Kaslow N, Ritholz M: Depression in bulimia at 2- to 5-year follow-up. Psychiatry Res 1985; 16:111-122
93. Anderson CB, Joyce PR, Carter FA, McIntosh VV, Bulik CM: The effect of cognitive-behavioral therapy for bulimia nervosa on temperament and character as measured by the Temperament and Character Inventory. Compr Psychiatry 2002; 43:182-188
94. Binford RB, Crosby RD, Mussell MP, Peterson CB, Crow SJ: Coping strategies in bulimia nervosa treatment: impact on outcome in group cognitive-behavioral therapy. J Consult Clin Psychol 2005; 73:1089-1096
95. Carter FA, Bulik CM, McIntosh VV, Joyce PR: Cue reactivity as a predictor of outcome with bulimia nervosa. Int J Eat Disord 2002; 31:240-250
96. Carter FA, McIntosh VV, Joyce PR, Frampton CM, Bulik CM: Bulimia nervosa, childbirth and psychopathology. J Psychosom Res 2003; 55:357-361
97. Fairburn CG, Agras W S, Walsh BT, W ilson GT, Stice E: Prediction of outcome in bulimia nervosa by early change in treatment. Am J Psychiatry 2004; 161:2322-2324
98. Fichter MM, Quadflieg N, Rief W: Course of multi-impulsive bulimia. Psychol Med 1994; 24:591-604
99. Herzog T, Hartmann A, Sanholz A, Stammer H: Prognostic factors in outpatient psychotherapy of bulimia. Psychother Psychosom 1991; 56:48-55
100. Joiner TE, Heatherton TF, Keel PK: Ten-year stability and predictive validity of five bulimia-related indicators. Am J Psychiatry 1997; 154:1133-1138
101. Keel PK, Dorer DJ, Franko DL, Jackson SC, Herzog DB: Postremission predictors of relapse in women with eating disorders. Am J Psychiatry 2005; 162:2263-2268 agement with stress management in the treatment of bulimia nervosa. Br J Psychiatry 1991; 159:250-261
102. Richard M, Bauer S, Kordy H; COST Action B6: Relapse in anorexia and bulimia nervosa: a 2.5-year follow-up study. Eur Eat Disord Rev 2005; 13:180-190
103. Rossiter EM, Agras WS, Telch CF, Schneider JA: Cluster B personality disorder characteristics predict outcome in the treatment of bulimia nervosa. Int J Eat Disord 1993; 13:349-357
104. Thiel A, Züger M, Jacoby GE, Schüssler G: Thirty-month outcome in patients with anorexia or bulimia nervosa and concomitant obsessive-compulsive disorder. Am J Psychiatry 1998; 155:244-249
105. Turnbull S, Schmidt U, Troop NA, Tiller J, Todd G, Treasure JL: Predictors of outcome for two treatments for bulimia nervosa: short and long-term. Int J Eat Disord 1997; 21:17-22
106. Yager J, Rorty M, Rossotto E: Coping styles differ between recovered and nonrecovered women with bulimia nervosa, but not between recovered women and noneating-disordered control subjects. J Nerv Ment Dis 1995; 183:86-94
107. Cohen J: Statistical Power Analysis for the Behavioral Sciences. New York, Academic Press, 1977
108. Fairburn CG, Kirk J, O'Connor M, Anastasiades P, Cooper PJ: Prognostic factors in bulimia nervosa. Br J Clin Psychol 1987; 26(pt 3):223-224
109. Steinhausen H-C, Boyadjieva S, Griogoroiu-Serbanescu M, Neumärker KJ: The outcome of adolescent eating disorders: findings from an international collaborative study. Eur Child Adolesc Psychiatry 2003; 12(suppl 1):91-98