{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:34:49Z","timestamp":1791027289646,"version":"4.1.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[1998,5,1]],"date-time":"1998-05-01T00:00:00Z","timestamp":893980800000},"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":[[1998,5]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> One hundred and thirty-five women with \nbulimia nervosa participated in a randomized \nclinical trial designed to determine whether the addition of \nexposure with response prevention to a \ncore of cognitive-behavioural therapy (CBT) leads to greater \nclinical improvement and lower risk \nof relapse. We present results from the end of treatment and 6- and 12-month\n follow-up.<\/jats:p><jats:p><jats:bold>Methods.<\/jats:bold> Participants received eight sessions of CBT and \nwere then randomized to either exposure \nto pre-binge cues (B-ERP), exposure to pre-purge cues (P-ERP), or a \nrelaxation training control condition (RELAX).<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> CBT produced significant clinical change. At \nthe end of the behavioural treatments, there \nwere no significant differences across the three groups on abstinence (66%\n in B-ERP, 45% in \nP-ERP and 47% in RELAX), or frequency of bingeing and purging. B-ERP, but\n not P-ERP, \nsignificantly reduced anxiety on the cue reactivity assessment, \nfood restriction, body dissatisfaction \nand depression. These differences were not maintained at 6-month follow-up.\n At 12-months, B-ERP \nwas independently associated with lower food restriction and better global\n functioning.<\/jats:p><jats:p><jats:bold>Conclusions.<\/jats:bold> CBT is a highly effective treatment for bulimia\n nervosa. \nB-ERP was modestly superior \nto P-ERP at post-treatment; however, the advantage did not remain throughout\n the follow-up \ninterval. ERP for bulimia nervosa is an expensive and logistically \ncomplicated treatment that does \nnot appear to offer any significant additive benefits that are proportional\n \nto the amount of effort required to implement the treatment.<\/jats:p>","DOI":"10.1017\/s0033291798006618","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:36:08Z","timestamp":1027762568000},"page":"611-623","source":"Crossref","is-referenced-by-count":122,"title":["The role of exposure with response prevention in the \ncognitive-behavioural therapy for bulimia nervosa"],"prefix":"10.1017","volume":"28","author":[{"given":"C. M.","family":"BULIK","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. F.","family":"SULLIVAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. A.","family":"CARTER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. V.","family":"McINTOSH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. R.","family":"JOYCE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[1998,5,1]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291798006618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T15:06:21Z","timestamp":1554563181000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291798006618\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,5]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1998,5]]}},"alternative-id":["S0033291798006618"],"URL":"https:\/\/doi.org\/10.1017\/s0033291798006618","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,5]]}}}