| Abstract: | Twenty-eight patients with ICD-10 bulimia nervosa or atypical bulimia nervosa were given a cognitive-behavioral treatment handbook and were reassessed 4-6 weeks later, On a clinician-rated global improvement scale 12 patients had much improved and 8 patients had somewhat improved. Fifteen patients were abstinent of vomiting or laxatives at reassessment as opposed to five patients before treatment. Of the 21 patients who were hinging before treatment, 7 had a 75– 700% reduction of binges and 5 had a 50–75% reduction of binges. Patients' nutritional knowledge increased significantly. A patient-administered handbook may be a useful first intervention in the treatment of patients with bulimia nervosa. © 1993 by John Wiley & Sons, Inc. |
