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  • Title: Coping strategies in bulimia nervosa treatment: impact on outcome in group cognitive-behavioral therapy.
    Author: Binford RB, Mussell MP, Crosby RD, Peterson CB, Crow SJ, Mitchell JE.
    Journal: J Consult Clin Psychol; 2005 Dec; 73(6):1089-96. PubMed ID: 16392982.
    Abstract:
    This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1- and 6-month follow-up. Frequency of outcome expectancies (OE), stimulus-response prevention (SRP), and social support-seeking (SSS) strategies significantly increased by end of treatment. By 1-month follow-up, use of SSS, not OE or SRP, declined significantly relative to treatment end. Although frequency of coping strategy use at treatment end did not predict 1-month BN symptom remission, SSS use at 1-month follow-up predicted 6-month remission. Findings highlight the importance of social support to maintain treatment gains.
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