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Brief Psychotherapy in the Treatment of Anorexia Nervosa

Outcome at One Year

Published online by Cambridge University Press:  02 January 2018

A. Hall*
Affiliation:
St George's Hospital Medical School, London, (The London Hospital)
A. H. Crisp
Affiliation:
St George's Hospital Medical School, London
*
The Emanuel Miller Centre for Families and Children, The Health Centre, Gill Street, London E14 SHQ

Extract

Thirty out-patients with severe anorexia nervosa were randomly allocated to either 12 sessions of dietary advice or 12 sessions of combined individual and family psychotherapy. At one-year follow-up both groups showed significant overall improvement, and the dietary advice group showed significant weight gain. A similar mean weight gain for the psychotherapy patients did not reach statistical significance, but this group made significant improvements in sexual and social adjustment.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Bergin, A. E. & Strupp, H. H. (1972) Changing Frontiers in the Science of Psychotherapy. Chicago: Aldine.Google Scholar
Brodaty, H. & Andrews, G. (1983) Brief psychotherapy in family practice. A controlled prospective intervention trial. British Journal of Psychiatry. 143, 1119.Google Scholar
Bruch, H. (1974) Eating Disorders. London: Routledge and Regan Paul.Google Scholar
Conte, H. R. & Karasu, T. B. (1981) Psychotherapy for medically ill patients: review and critique of controlled studies. Psychosomatics. 22, 285290.CrossRefGoogle ScholarPubMed
Crisp, A. H. (1980) Anorexia Nervosa: Let Me Be. London: Academic Press.Google Scholar
Crisp, A. H., Kalucy, R. S., Lacey, J. H. & Harding, B. (1977) The long-term prognosis in anorexia nervosa: some factors predictive of outcome. In Anorexia Nervosa (ed. Vigersky, R. A.). New York: Raven Press.Google Scholar
Crisp, A. H., Gaynor Jones, M. & Slater, P. (1978) The Middlesex Hospital Questionnaire: a validity study. British Journal of Medical Psychology. 51, 269280.Google Scholar
Crisp, A. H., Hsu, L. K. G. & Stonehill, E. (1979) Personality, body weight and ultimate outcome in anorexia nervosa. Journal of Clinical Psychiatry, 40, 332335.Google Scholar
Crisp, A. H., Hsu, L. K. G., Harding, B. & Hartshorn, J. (1980) Clinical features of anorexia nervosa. A study of a consecutive series of 102 female patients. Journal of Psychosomatic Research. 24, 179191.Google Scholar
Crown, S. & Crisp, A. H. (1979) Manual of the Crown-Crisp Experiential Index. London: Hodder and Stoughton.Google Scholar
Dimascio, A., Klerman, G. L., Weissman, M. M., Prussoff, B. A. Neu, C. & Moore, P. (1979) A control group for psychotherapy research in acute depression: one solution to ethical and methodological issues. Journal of Psychiatric Research. 15, 189197.CrossRefGoogle Scholar
Frank, J. D. (1971) Therapeutic factors in psychotherapy. American Journal of Psychotherapy, 25, 350361.Google Scholar
Garfinkel, P. E. & Garner, D. M. (1982) Anorexia Nervosa: a multi-dimensional perspective. New York: Brunner-Mazel.Google Scholar
Hsu, L. K. G. (1980) Outcome of anorexia nervosa-a review of the literature (1954–1978). Archives of General Psychiatry. 37, 10411045.Google Scholar
Hsu, L. K. G. Crisp, A. H., & Harding, B. (1979) Outcome of anorexia nervosa. The Lancet, i, 6165.CrossRefGoogle Scholar
Lacey, J. H. (1983) Bulimia nervosa, binge eating, and psychogenic vomiting: controlled treatment study and long-term outcome. British Medical Journal. 286, 16091613.Google Scholar
Luborsky, L., Singer, B. & Luborsky, L. (1975) Comparative studies of psychotherapies. Archives of General Psychiatry, 32, 995.Google Scholar
Malan, D. H. (1976) Toward the validation of dynamic psychotherapy-a replication. New York: Plenum.Google Scholar
Malan, D. H. Heath, S., Bacal, H. A. & Balfour, F. H. G. (1975) Psychodynamic changes in untreated neurotic patients. II: Apparently genuine improvements. Archives of General Psychiatry, 32, 110126.CrossRefGoogle ScholarPubMed
Minuchin, S., Rosman, B. & Baker, L. (1978) Psychosomatic Families: Anorexia Nervosa in Context. Cambridge, Mass: Harvard University Press.CrossRefGoogle Scholar
Morgan, H. G. & Russell, G. F. M. (1975) Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four year follow-up study of 41 patients. Psychological Medicine, 5, 335371.Google Scholar
Office Of Population Censuses And Surveys (1985) Birth Statistics. FMI No. 12. London: HMSO.Google Scholar
Palazzoli, S. M. (1978) Self-starvation-From Individual to Family Therapy in the Treatment of Anorexia Nervosa (2nd ed). New York: Jason Aronson.Google Scholar
Schlesinger, H. J., Mumpord, E. & Glass, G. V. (1980) Mental health services and medical utilisation. In Psychotherapy: Practice, Research, Policy (ed. Vandenbos, G. R.). Beverley Hills: Sage.Google Scholar
Sloane, R. B., Staplie, F. R., Cristol, A. H., Yorkston, N. J. & Whipple, K. (1975) Short-term analytically orientated psychotherapy versus behaviour therapy. American Journal of Psychiatry. 132, 373377.Google Scholar
Strupp, H. H. & Hadley, S. W. (1979) Specific versus non-specific factors in psychotherapy. A controlled study of outcome. Archives of General Psychiatry, 36, 11251136.Google Scholar
Szmukler, G. I. (1983) A study of family therapy in anorexia nervosa: some methodological issues. In Anorexia Nervosa: Recent Developments in Research (eds Darby, P. L. et al). New York: Liss.Google Scholar
Theander, S. (1983) Long-term prognosis of anorexia nervosa: a preliminary report. In Anorexia Nervosa: Recent Developments in Research (eds Darby, P. L. et al). New York: Liss.Google Scholar
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