{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T09:16:44Z","timestamp":1759483004680},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,7,22]],"date-time":"2004-07-22T00:00:00Z","timestamp":1090454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The current study examined the usefulness of a new, cognitive\u2010based self\u2010help manual for bulimia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Twenty people were provided with assessment and six sessions of guided self\u2010help using the manual. Participants were assessed for eating\u2010related behaviors and attitudes and psychopathology at pretreatment, posttreatment, and at the 3\u2010month follow\u2010up. Assessment instruments included the Eating Disorder Examination, Symptom Checklist\u201090\u2010Revised, Rosenberg Self\u2010Esteem Scale, Screening Test for Co\u2010morbid Personality Disorders, and The University of Rhode Island Change Assessment. Data from 15 people were available at posttreatment and from 13 people at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Using intention\u2010to\u2010treat analyses, binge eating, vomiting, four of the five eating attitudes and self\u2010esteem significantly improved between pretreatment and posttreatment. At follow\u2010up, there was continued improvement on all measures, with the exception of binge eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Guided self\u2010help using cognitive techniques is a promising first\u2010line treatment for bulimia nervosa, with further evaluation required in a randomized, controlled trial with long\u2010term follow\u2010up. \u00a9 2004 by Wiley Periodicals, Inc. 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