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Focused Versus Enhanced Cognitive Behavioral Therapy for Treating Women With Bulimia Nervosa
This study is currently recruiting participants.
Study NCT00494858   Information provided by National Institute of Mental Health (NIMH)
First Received: June 28, 2007   Last Updated: April 29, 2009   History of Changes
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June 28, 2007
April 29, 2009
July 2007
Eating disorder symptoms [ Time Frame: Measured throughout the study ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00494858 on ClinicalTrials.gov Archive Site
  • Depression symptoms [ Time Frame: Measured throughout the study ] [ Designated as safety issue: No ]
  • Anxiety symptoms [ Time Frame: Measured throughout the study ] [ Designated as safety issue: No ]
  • Interpersonal relationships [ Time Frame: Measured throughout the study ] [ Designated as safety issue: No ]
Same as current
 
Focused Versus Enhanced Cognitive Behavioral Therapy for Treating Women With Bulimia Nervosa
Treatment of Bulimia Nervosa: Dysregulated Subtype

This study will compare the effectiveness of two types of cognitive behavioral therapy in treating adult women with the dysregulated subtype of bulimia nervosa.

Bulimia nervosa (BN) is a common eating disorder that is characterized by periods of bingeing and purging. People with the dysregulated subtype of BN experience behavioral impulsivity; disruption of cognitive, affective, behavioral, and neurophysiological processes (dysregulation); interpersonal dysfunction; and poor treatment response. To date, no therapies have been tested for this specific population, and it is unknown whether therapy that directly focuses on treating BN symptoms or one that addresses both eating and personality disorder symptoms is more effective. Cognitive behavioral therapy (CBT), which concentrates on modifying patients' behaviors and ways of thinking, has been effective in treating BN. This study will compare the effectiveness of two types of CBT, focused and broad, in treating adult women with the dysregulated subtype of BN.

Participants in this single-blind study will be randomly assigned to receive 20 sessions of either broad (enhanced) or focused CBT. Participants will meet with a therapist once or twice weekly until 20 sessions have occurred. Broad CBT will address symptoms of BN, as well as those of the personality disorder. Focused CBT will concentrate only on BN symptoms. Before treatment begins, participants will complete a set of questionnaires pertaining to their experiences with BN, depression, anxiety, and interpersonal relationships. The questionnaires will be used throughout the study to assess participants' progress. Participants will also attend a clinical interview lasting approximately 3.5 hours. Questions will concern BN, other eating disorder symptoms, depression, anxiety, and interpersonal relationships. Blood samples and vital signs will also be taken at the time of the clinical interview and as needed later in the treatment process.

Phase II
Interventional
Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Eating Disorders
  • Behavioral: Cognitive behavioral therapy - focused (CBT-EF)
  • Behavioral: Cognitive behavioral therapy - broad (EB)
  • Active Comparator: Participants will receive cognitive behavioral therapy - focused
  • Experimental: Participants will receive cognitive behavioral therapy - broad
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
74
May 2011
May 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Diagnosis of bulimia nervosa
  • Presence of borderline personality disorder features
  • History of one mood or anxiety episode within 2 years prior to study entry
  • If taking psychiatric medication, dose has been stable for at least 6 weeks at time of study entry

Exclusion Criteria:

  • Substance dependence
  • Diagnosis of bipolar I disorder
  • Psychosis
  • Mental retardation
  • Receiving psychosocial treatment
Female
18 Years to 65 Years
No
Contact: Heather Thompson-Brenner, PhD 617-353-9610 ht141@hotmail.com
Contact: Dana Satir, MA 617-353-9610 dana.satir@gmail.com
United States
 
 
NCT00494858
Heather Thompson-Brenner, Center for Anxiety and Related Disorders
DATR AK-TNAI2
National Institute of Mental Health (NIMH)
 
Principal Investigator: Heather Thompson-Brenner, PhD Center for Anxiety and Related Disorders, Boston University
National Institute of Mental Health (NIMH)
April 2009

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.