Group cognitive behavioral treatment in female soldiers diagnosed with binge/purge eating disorders

Rinat Carter, Dana Yanykulovitch-Levy, Hadas Wertheim, Shirley Gordon-Erez, Meital Shahimov, Abraham Weizman, Daniel Stein

Research output: Contribution to journalArticlepeer-review

Abstract

ABSTRACT: Cognitive behavioral treatment (CBT) is the recommended intervention in bulimia nervosa (BN) and eating disorders not otherwise specified with binge/purge (EDNOS-B/P) symptoms. There are fewer data on its application in a group format. We sought to investigate the effect of group CBT in female soldiers with B/P symptomatology in an open trial design. For this purpose we assessed 64 female soldiers serving in the Israeli Defense Force diagnosed with BN and EDNOS-B/P who participated in a group CBT format of 16 weekly sessions and one follow-up session. In this study, 42 participants (65.6%) completed treatment and 22 participants (34.4%) did not. A total of 39 treatment completers (92.8% of treatment completers) and 19 non-completers (86.4% of treatment non-completers) were assessed around 12 months after treatment. Participants completed at baseline and following treatment questionnaires assessing eating-related symptoms, depression, anxiety, and overall functioning. At follow-up they were assessed for eating-related symptoms. Our findings show only minimal baseline differences between treatment completers and non-completers. Significant improvement from baseline to post-treatment was shown for B/P and restrictive symptoms, depression, anxiety, and overall functioning. At that time, more than a third of treatment completers were abstinent from binging and more than a half from vomiting. The improvement in B/P and restricting symptoms was maintained at 1 year follow-up for treatment completers. At that time around 60% were abstinent from binging and more than 70% from vomiting. Participants not completing treatment were also improved at follow-up but to a lesser extent. The findings of the present study suggest that group CBT may be effective for the treatment of female soldiers with BN and EDNOS-B/P.

Original languageEnglish
Pages (from-to)338-353
Number of pages16
JournalEating Disorders
Volume24
Issue number4
DOIs
StatePublished - 7 Aug 2016

Fingerprint

Dive into the research topics of 'Group cognitive behavioral treatment in female soldiers diagnosed with binge/purge eating disorders'. Together they form a unique fingerprint.

Cite this