{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:37:41Z","timestamp":1782819461582,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T00:00:00Z","timestamp":1359331200000},"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":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The cost effectiveness of various treatment strategies for bulimia nervosa (BN) is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To examine the cost effectiveness of stepped care treatment for BN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Randomized trial conducted at four clinical centers with intensive measurement of direct medical costs and repeated measurement of subject quality of life and family\/significant other time involvement. Two hundred ninety\u2010three women who met DSM\u2010IV criteria for BN received stepped care treatment or cognitive behavioral therapy. Cost effectiveness ratios were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The cost per abstinent subject was $12,146 for stepped care, and $20,317 for cognitive behavioral therapy. Quality of life ratings improved significantly with treatment, and family\/significant other time burden diminished substantially.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>In this trial, stepped care for BN appeared cost effective in comparison to cognitive behavioral therapy. Treatment was associated with improved quality of life and diminished time costs of illness. \u00a9 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.22087","type":"journal-article","created":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T01:57:39Z","timestamp":1359338259000},"page":"302-307","source":"Crossref","is-referenced-by-count":46,"title":["A cost effectiveness analysis of stepped care treatment for bulimia nervosa"],"prefix":"10.1002","volume":"46","author":[{"given":"Scott J.","family":"Crow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. 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