{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:02:33Z","timestamp":1783177353957,"version":"3.54.6"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2010,9,2]],"date-time":"2010-09-02T00:00:00Z","timestamp":1283385600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec id=\"S0033291710001583_sec_a001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Few data exist examining the longer-term outcome of bulimia nervosa (BN) following treatment with cognitive behavioral therapy (CBT) and exposure with response prevention (ERP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291710001583_sec_a002\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>One hundred and thirty-five women with purging BN received eight sessions of individual CBT and were then randomly assigned to either relaxation training (RELAX) or one of two ERP treatments, pre-binge (B-ERP) or pre-purge cues (P-ERP). Participants were assessed yearly following treatment and follow-up data were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291710001583_sec_a003\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty-one per cent of the total sample attended long-term follow-up. At 5 years, abstinence rates from binging were significantly higher for the two exposure treatments (43% and 54%) than for relaxation (27%), with no difference between the two forms of exposure. Over 5 years, the frequency of purging was lower for the exposure treatments than for relaxation training. Rates of recovery varied according to definition of recovery. Recovery continued to increase to 5 years. At 5 years, 83% no longer met DSM-III-R criteria for BN, 65% received no eating disorder diagnosis, but only 36% had been abstinent from bulimic behaviors for the past year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291710001583_sec_a004\" sec-type=\"conclusion\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides possible evidence of a conditioned inoculation from exposure treatment compared with relaxation training in long-term abstinence from binge eating at 5 years, and the frequency of purging over 5 years, but not for other features of BN. Differences among the groups were not found prior to 5 years. CBT is effective for BN, yet a substantial group remains unwell in the long term. Definition of recovery impacts markedly on recovery rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291710001583","type":"journal-article","created":{"date-parts":[[2010,9,2]],"date-time":"2010-09-02T04:46:14Z","timestamp":1283402774000},"page":"1061-1071","source":"Crossref","is-referenced-by-count":53,"title":["Five-year outcome of cognitive behavioral therapy and exposure with response prevention for bulimia nervosa"],"prefix":"10.1017","volume":"41","author":[{"given":"V. V. W.","family":"McIntosh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. A.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. M.","family":"Bulik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. M. 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