{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:24:33Z","timestamp":1792099473034,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"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":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>It is unclear how many patients with bulimia nervosa (BN) completely abstain from the core behavioral symptoms after receiving psychological treatment. The present meta\u2010analysis of randomized controlled trials (RCTs) aimed to (a) estimate the prevalence of patients who abstain from binge eating and\/or purging following all psychological treatments for BN, and (b) test whether these abstinence estimates are moderated by the type of treatment modality delivered, the definition of abstinence applied, and trial quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Forty\u2010five RCTs were included, with 78 psychotherapy conditions. Pooled event rates were calculated using random effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At post\u2010treatment, the total weighted percentage of treatment\u2010completers who achieved abstinence was 35.4% (95% CI\u00a0=\u00a029.6, 41.7), while the total weighted percentage of abstinence for all randomized patients (intention\u2010to\u2010treat) was 29.9% (95% CI\u00a0=\u00a025.7, 33.2). Abstinence estimates were highest in trials that used behavioral\u2010based treatments (e.g., cognitive\u2013behavioral therapy, behavior therapy). There was also evidence that guided self\u2010help interventions produced the lowest post\u2010treatment abstinence rates, but with no difference at follow\u2010up from clinician\u2010led treatments, and studies that used a shorter timeframe for defining abstinence (i.e., 14\u00a0days symptom\u2010free compared to 28\u2010days symptom\u2010free) produced the highest abstinence rates. Abstinence estimates at follow\u2010up for both the completer (34.6%; 95% CI\u00a0=\u00a029.3, 40.2) and intention\u2010to\u2010treat (28.6%; 95% CI\u00a0=\u00a025.1, 32.3) analyses were essentially the same as the post\u2010treatment estimates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Over 60% of patients fail to fully abstain from core BN symptoms even after receiving our most empirically\u2010supported treatments. The present findings highlight the urgency toward improving the effectiveness of psychological treatments for BN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.22838","type":"journal-article","created":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:56:45Z","timestamp":1518051405000},"page":"287-294","source":"Crossref","is-referenced-by-count":164,"title":["How many individuals achieve symptom abstinence following psychological treatments for bulimia nervosa? A meta\u2010analytic review"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-7139","authenticated-orcid":false,"given":"Jake","family":"Linardon","sequence":"first","affiliation":[{"name":"School of Psychology Deakin University, 221 Burwood Highway Burwood Victoria 3125 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-770X","authenticated-orcid":false,"given":"Tracey D.","family":"Wade","sequence":"additional","affiliation":[{"name":"School of Psychology Flinders University, GPO Box 2100 Adelaide South Australia 5001, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.57.5.459"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470743386"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22042"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.02.026"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.00455.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12378-1"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810290075014"},{"key":"e_1_2_5_9_1","first-page":"1","article-title":"Psychological treatments for bulimia nervosa and binging","volume":"2009","author":"Hay P. 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