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The efficacy of 6 weeks of twice-weekly, cognitive-behavioral group therapy (n = 15) was compared with a waiting list control (n = 15) in 30 women with bulimia by DSM-III. Relaxation techniques and group discussions to alter dysfunctional attitudes regarding eating and appearance was used. A significant decrease in both binge and purge frequency was found in the treated compared with the wait-listed group. Treated subjects who decreased their binging and purging maintained improvement 4 months after treatment termination. However, overall absolute clinical efficacy was limited, as only four treated subjects showed a full remission of binge episodes. Longer treatment with more specifically tailored cognitive- behavioral techniques may be warranted in the search for more efficacious results for bulimia.
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