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Clinical Case Studies
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Using Cognitive-Behavioral Therapy to Treat Adolescent-Onset Bulimia Nervosa: A Case Study

Ann M. Schapman-Williams

Notre Dame de Namur University, Belmont, CA, Stanford University, Palo Alto, CA

James Lock

Stanford University, Palo Alto, CA

This case study describes the treatment of an adolescent female, referred to as Susan, who presented for evaluation at the Eating Disorders Clinic of Child and Adolescent Psychiatry at Stanford University. Susan presented with symptoms of body image disturbance, dietary restriction, binge eating, self-inducted vomiting, and overexercise, and was diagnosed with bulimia nervosa (BN). She was treated with 20 sessions of manualized cognitive-behavioral therapy (CBT) for BN adjusted for adolescents. Susan's progress throughout treatment is detailed in this case study report. Results lend support to a scant body of case series studies attesting to the efficacy of CBT for use with adolescents with BN. Large-scale, randomized studies are needed to corroborate preliminary conclusions that have been promulgated in this case study.

Key Words: bulimia nervosa • adolescents • eating disorders • cognitive-behavioral therapy

References

  • Agras, W.S., & Apple, R.F. (1997). Overcoming eating disorders: A therapist guide. San Antonio, Texas: Graywind Publications.
  • Agras, W.S., Walsh, T., Fairburn, C.G., Wilson, G.T., & Kraemer, H.C. (2000). A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Archiver of General Psychiarty, 57(5), 459—466.[CrossRef]
  • Agras, W.S., Rossiter, E.M., Arnow, B., Telch, C.F., Raeburn, S.D., Bruce, B., & Koran, L.M. (1994). One-year follow-up of psychosocial and pharmacologic treatments of bulimia nervosa. Journal of Clinical Psychiatry, 55, 179—183.
  • American Psychological Association. (1994). Diagnostic and statistical manual of mental disorders: Fourth edition. Washington D.C.: Author.
  • Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
  • Bowers, W.A., Evans, K., LeGrange, D., & Andersen, A.E. (2003). Cognitive therapy with children and adolescents: A casebook for clinical practice. New York: Guilford.
  • Cooper, Z., Cooper, P.J., & Fairburn, C.G. (1989). The validity of the eating disorder examination and its sub-scales. British Journal of Psychiatry, 154, 807—812.[Abstract/Free Full Text]
  • Cooper, Z., & Fairburn, C.G. (1987). The eating disorder examination: A semi-structured interview for the assessment of specific psychopathology of eating disorders. International Journal of Eating Disorders, 6, 1—8.[CrossRef]
  • Fairburn, C.G. (1981). A cognitive-behavioral approach to the management of bulimia. Psychological Medicine, 11, 707—711.[Medline] [Order article via Infotrieve]
  • Fairburn, C.G. (2002). Cognitive behavioral therapy for bulimia nervosa. In C. G. Fairburn & K. D. Brownell (Eds.), Eating disorders and obesity: A comprehensive handbook (pp. 302—307). New York: Guilford.
  • Fairburn, C.G., Jones, R., Peveler, R.C., Carr, S.J., Solomon, R.A., O'Connor, M.E., Burton, J., & Hope, R.A. (1991). Three psychological treatments for bulimia nervosa: A comparative trial. Archives in General Psychiatry, 48(5), 463—469.[Abstract/Free Full Text]
  • Fairburn, C.G., Jones, R., Peveler, R.C., Hope, R.A., & O'Connor, M. (1993). Psychotherapy and bulimia nervosa: Longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy. Archives in General Psychiatry, 50(6), 419—428.[Abstract/Free Full Text]
  • Fairburn, C.G., Kirk, J., O'Connor, M., & Cooper, P.J. (1986). A comparison of two psychological treatments for bulimia nervosa. Behaviour Research and Therapy, 24(6), 629—643.[CrossRef][Medline] [Order article via Infotrieve]
  • Fairburn, C.G., Marcus, M.D., & Wilson, G.T. (1993). Cognitive-behavioral therapy for binge eating and bulimia nervosa: A comprehensive treatment manual. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 361—404). New York: Guilford.
  • Fairburn, C.G., Stice, E., Cooper, Z., Doll, H.A., Norman, P.A., & O'Connor, M.E. (2003). Understanding persistence in bulimia nervosa: A five-year naturalistic study. Journal of Consulting and Clinical Psychology, 71(1), 103—109.[CrossRef][Medline] [Order article via Infotrieve]
  • Garner, D.M., Rockert, W., Davis, R., Garner, M.V., Olmsted, M.P., & Eagle, M. (1993). Comparison of cognitive-behavioral and supportive-expressive therapy for bulimia nervosa. American Journal of Psychiatry, 150(1), 37—46.[Abstract/Free Full Text]
  • Goldbloom, D.S., Olmsted, M., Davis, R., Clewes, J., Heinmaa, M., Rockert, W., & Shaw, B. (1997). A randomized controlled trail of fluoxetine and cognitive behavioral therapy for bulimia nervosa: Short-term outcome. Behaviour Research and Therapy, 35(9), 803—811.[CrossRef][Medline] [Order article via Infotrieve]
  • Kendall, P.C. (1991). Child and adolescent therapy: Cognitive-behavioral procedures. New York: Guilford.
  • Lock, J. (2002). Treating adolescents with eating disorders in a family context: Empirical and theoretical considerations. Child and Adolescent Psychiatry Clinics, 11, 331—342.[CrossRef]
  • Lock, J. (2005). Adjusting cognitive behavior therapy for adolescents with bulimia nervosa: Results of case series. American Journal of Psychotherapy, 59(3), 267—281.[Medline] [Order article via Infotrieve]
  • Pomeroy, C., & Mitchell, J.E. (2002). Medical complications of anorexia nervosa and bulimia nervosa. In C. G. Fairburn & K. D. Brownell (Eds.), Eating Disorders and Obesity: Second Edition (pp. 278—285). New York: Guilford.
  • Schapman, A.M., Lock, J., & Couturier, J. (in press). Cognitive behavioral therapy for adolescents with bulimia: A case series. International Journal of Eating Disorders.
  • Wilfley, D.E., Schwartz, M.B., Spurrell, E.B., & Fairburn, C.G. (2000). Using the eating disorder examination to identify specific psychopathology of binge eating disorder. International Journal of Eating Disorders, 27(3), 259—269.[CrossRef][Medline] [Order article via Infotrieve]
  • Wilfley, D.E., Welch, R.R., Stein, R.I., Spurrell, E.B., Cohen, L.R., Saelens, B.E., Dounchis, J.Z., Frank, M.A., Wiseman, C.V., & Matt, G.E. (2002). A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder. Archives in General Psychiatry, 59(8), 713—721.[Abstract/Free Full Text]

Clinical Case Studies, Vol. 6, No. 6, 508-524 (2007)
DOI: 10.1177/1534650107296822


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This Article
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What's this?