Jo M Ellison1, Heather K Simonich2, Stephen A Wonderlich3, Ross D Crosby2, Li Cao2, James E Mitchell2, Tracey L Smith4, Marjorie H Klein5, Scott J Crow6, Carol B Peterson6. 1. Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States. Electronic address: dr.jo.ellison@gmail.com. 2. Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States. 3. Neuropsychiatric Research Institute, 120 8th St. S., Fargo, ND 58103, United States; School of Medicine and Health Sciences, University of North Dakota, 1919 Elm St. N., Fargo, ND 58102, United States. 4. Psychiatry and Behavioral Sciences, Baylor College of Medicine, 2002 Holcombe Blvd., Houston, TX 77030, United States. 5. Department of Psychiatry, University of Wisconsin, 6001 Research Park Blvd., Madison, WI 53719, United States. 6. Department of Psychiatry, University of Minnesota, 2450 Riverside Avenue South, Minneapolis, MN 55454, United States.
Abstract
OBJECTIVE: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. METHOD:Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). RESULTS: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. CONCLUSIONS: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.
RCT Entities:
OBJECTIVE: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. METHOD: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). RESULTS: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. CONCLUSIONS: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.
Authors: Christie Zunker; Carol B Peterson; Ross D Crosby; Li Cao; Scott G Engel; James E Mitchell; Stephen A Wonderlich Journal: Behav Res Ther Date: 2011-06-28
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