{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T12:48:54Z","timestamp":1771073334025,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T00:00:00Z","timestamp":1650931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cognitive\u2010behavioural therapy (CBT) delivered face\u2010to\u2010face and via the internet reduces bulimia nervosa (BN) symptoms. However, our empirical understanding of factors affecting patient outcomes is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Using data from a randomised, controlled trial comparing internet\u2010based (CBT4BN, <jats:italic>n<\/jats:italic>\u00a0=\u00a078) with face\u2010to\u2010face (CBTF2F, <jats:italic>n<\/jats:italic>\u00a0=\u00a071) group CBT (97% female, <jats:italic>M<\/jats:italic>\u00a0=\u00a028 years), we examined general treatment (across conditions) and modality\u2010specific predictors of end\u2010treatment and 1\u2010year outcomes (abstinence, binge\u2010eating frequency, purging frequency).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Improved eating disorder\u2010related quality of life (EDQOL) during treatment and follow\u2010up predicted abstinence at end\u2010treatment and 1\u2010year assessments. Improved EDQOL, disordered eating cognitions, and anxiety symptoms predicted less frequent binge eating and purging. Previous CBT and being employed predicted more frequent binge eating and purging at both assessments. Higher self\u2010transcendence and self\u2010directedness predicted less frequent binge eating. More severe binge eating and purging at baseline and end\u2010treatment predicted more frequent binge eating and purging at subsequent assessments. Improved EDQOL was more strongly associated with positive outcome in CBT4BN; improved depressive symptoms and health\u2010related QOL predicted positive outcome in CBT4BN but not CBTF2F.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Symptom improvement and certain character traits predicted positive outcome, whereas more severe presentation and prior CBT experience predicted poorer outcome. Consideration of intreatment symptom improvement may facilitate care recommendations, particularly for internet\u2010based modalities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2898","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T04:21:08Z","timestamp":1651033268000},"page":"373-387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["An exploratory investigation of predictors of outcome in face\u2010to\u2010face and online cognitive\u2010behavioural therapy for bulimia nervosa"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0659-9141","authenticated-orcid":false,"given":"Camden E.","family":"Matherne","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-381X","authenticated-orcid":false,"given":"Hunna","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"School of Psychology Curtin University  Bentley Western Australia Australia"},{"name":"Division of Paediatrics The University of Western Australia  Crawley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel B.","family":"Fassnacht","sequence":"additional","affiliation":[{"name":"College of Education Psychology and Social Work Flinders University  Adelaide South Australia Australia"},{"name":"Research School of Psychology The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathina","family":"Ali","sequence":"additional","affiliation":[{"name":"College of Education Psychology and Social Work Flinders University  Adelaide South Australia Australia"},{"name":"Research School of Psychology The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Zerwas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9540-7185","authenticated-orcid":false,"given":"Christine","family":"Peat","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristin","family":"Runfola","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychiatry &amp; 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