Prognostic factors in outpatient psychotherapy of bulimia

Psychother Psychosom. 1991;56(1-2):48-55. doi: 10.1159/000288530.

Abstract

Little is known about prognostic factors in the treatment of bulimic patients. In the context of an ongoing study we looked at 1-year symptomatic outcome of 37 outpatients fulfilling DSM-III-R criteria for bulimia nervosa in relation to a variety of measures at first assessment. These included multiple measures of depression, measures of borderline personality disorder, a personality inventory, a symptom checklist and information about the history and the severity of the illness. Results add evidence to the importance of personality variables in predicting outcome: patients with high scores on the Borderline Syndrome Index indicating a severe disturbance tend to have poorer symptomatic outcome, especially when they also experience themselves as dominant (Giessen-Test). Other factors, including abuse of alcohol and history of anorexia did not allow prediction of outcome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care*
  • Bulimia / psychology
  • Bulimia / therapy*
  • Depressive Disorder / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Personality Disorders / therapy
  • Probability
  • Prognosis
  • Psychotherapy*
  • Psychotherapy, Group