Hostname: page-component-77c89778f8-m42fx Total loading time: 0 Render date: 2024-07-18T11:31:48.424Z Has data issue: false hasContentIssue false

A cognitive behavioural approach to the treatment of bulimia

Published online by Cambridge University Press:  09 July 2009

Christopher Fairburn*
Affiliation:
Universty of Edinburgh and Littlemore Hospital, Oxford
*
1Address for correspondence: Dr Christopher Fairburn, Warneford Hospital, Oxford OX3 7JX.

Synopsis

Bulimia nervosa is a relatively common eating disorder which has a significant physical and psychological morbidity and a poor prognosis. A behavioural approach to its treatment is described. This focuses on increasing control over eating, eliminating food avoidance and changing maladaptive attitudes. Preliminary findings are promising, with improvement appearing to be maintained. Components of the treatment may benefit patients who simply complain of overeating.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. International Universities Press: New York.Google Scholar
Fairburn, C. G. (1980). Self-induced vomiting. Journal of Psychosomatic Research 24, 193197.CrossRefGoogle ScholarPubMed
Fairburn, C. G. & Cooper, P. J. Self-induced vomiting: 669 cases. (In preparation.)Google Scholar
Gelder, M. G. (1979). Behaviour therapy as self-control. In Current Themes in Psychiatry, Vol. 2 (ed. Gaind, R. H. and Hudson, B. L.), pp. 165178. Macmillan: London.CrossRefGoogle Scholar
Goldfried, M. R. & Goldfried, A. P. (1975). Cognitive change methods. In Helping People Change (ed. Kanfer, F. H. and Goldstein, A. P.), pp. 89116. Pergamon Press: New York.Google Scholar
Green, R. S. & Rau, J. H. (1977). The use of diphenyl-hydantoin in compulsive eating disorders: further studies. In Anorexia Nervosa (ed. Vigersky, R. A.), pp. 377382. Raven Press: New York.Google Scholar
Mahoney, M. L. & Mahoney, K. (1976). Permanent Weight Control. W. W. Norton: New York.Google Scholar
Meichenbaum, D. (1977). Cognitive Behaviour Modification. Plenum: New York.CrossRefGoogle Scholar
Munby, M. & Johnston, D. W. (1980). Agoraphobia: the long term follow-up of behavioural treatment. British Journal of Psychiatry 137, 418427.CrossRefGoogle Scholar
Russell, G. F. M. (1979). Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine 9, 429448.CrossRefGoogle ScholarPubMed
Society of Actuaries (1959). Build and Blood Pressure Study Vol. 1. Society of Actuaries: Chicago.Google Scholar
Stuart, R. B. & Davis, B. (1972). Slim Chance in a Fat World: Behavioural Control of Obesity. Research Press: Illinois.Google Scholar
Wardle, J. (1980). Dietary restraint and binge eating. Behavioural Analysis and Modification 4, 201209.Google Scholar
Wardle, J. & Beinart, H. (1981). Binge eating: a theoretical review. British Journal of Clinical Psychology 20, 97109.CrossRefGoogle ScholarPubMed
Wermuth, B. M., Davis, K. L., Hollister, L. E. & Stunkard, A. J. (1977). Phenytoin treatment of the binge-eating syndrome. American Journal of Psychiatry 134, 12491253.Google ScholarPubMed