Long-term impact of treatment in women diagnosed with bulimia nervosa

Pamela K. Keel, James E. Mitchell, Traci L. Davis, Scott J. Crow

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Objective: Both cognitive-behavioral therapy (CBT) and antidepressant medication have demonstrated efficacy in the treatment of bulimia nervosa. However, data concerning the long-term impact of such treatments have been limited. This study sought to determine if treatment with CBT and antidepressant medication was associated with better long-term outcome among women diagnosed with bulimia nervosa. Method: Women (N = 101) who completed a controlled treatment study of bulimia nervosa participated in follow-up assessments approximately 10 years later. Results: Women who received treatment with CBT or antidepressant medication or both reported improved social adjustment at long-term follow-up compared with women randomized to the placebo condition. Discussion: Treatments with demonstrated efficacy for short-term outcome appear to improve psychosocial function at long-term follow-up among women initially diagnosed with bulimia nervosa.

Original languageEnglish (US)
Pages (from-to)151-158
Number of pages8
JournalInternational Journal of Eating Disorders
Issue number2
StatePublished - 2002


  • Antidepressants
  • Bulimia nervosa
  • Cognitive-behavioral therapy

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