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Therapy consisted of 15 sessions in a group over three months, by the end of which, patients under both treatment conditions showed a significant reduction in the frequency of binge eating and vomiting and a significant improvement in various psychopathological features such as body dissatisfaction and depression. All improvements were maintained over 12\u2013month follow-up. NM produced a more rapid improvement in general eating behaviour, a faster reduction in binge frequency and a higher abstinence rate from binge eating. SM led to greater positive changes in certain psychopathological features such as feelings of ineffectiveness, interpersonal distrust and anxiety. NM should be regarded as a necessary first intervention in all bulimic patients. Further psychological therapy, such as SM, is indicated as well for some patients, depending on their specific psychological difficulties.<\/jats:p>","DOI":"10.1192\/bjp.159.2.250","type":"journal-article","created":{"date-parts":[[2008,10,27]],"date-time":"2008-10-27T13:05:58Z","timestamp":1225112758000},"page":"250-261","source":"Crossref","is-referenced-by-count":71,"title":["A Comparison of Nutritional Management with Stress Management in the Treatment of Bulimia Nervosa"],"prefix":"10.1192","volume":"159","author":[{"given":"R. G.","family":"Laessle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. J. 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