Meal patterning in the treatment of bulimia nervosa

Jo M. Ellison; Heather K. Simonich; Stephen A. Wonderlich; Ross D. Crosby; Li Cao; James E. Mitchell; Tracey L. Smith; Marjorie H. Klein; Scott J. Crow; Carol B. Peterson

doi:10.1016/j.eatbeh.2015.11.008

Meal patterning in the treatment of bulimia nervosa

Jo M. Ellison, Heather K. Simonich, Stephen A. Wonderlich, Ross D. Crosby, Li Cao, James E. Mitchell, Tracey L. Smith, Marjorie H. Klein, Scott J. Crow, Carol B. Peterson

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Objective: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Method: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Results: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. Conclusions: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.

Original language	English (US)
Pages (from-to)	39-42
Number of pages	4
Journal	Eating Behaviors
Volume	20
DOIs	https://doi.org/10.1016/j.eatbeh.2015.11.008
State	Published - Jan 1 2016

Bibliographical note

Funding Information:
The study was funded by the National Institute of Mental Health Grant 5R34MH077571 . NIMH had no role in the present study's analysis or interpretation of data, nor in the writing or submission of the manuscript.

Publisher Copyright:
© 2015 Elsevier Ltd.

Keywords

Bulimia nervosa
Meal patterning
Treatment

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.eatbeh.2015.11.008

http://europepmc.org/articles/pmc4701380

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title = "Meal patterning in the treatment of bulimia nervosa",

abstract = "Objective: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Method: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Results: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. Conclusions: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.",

keywords = "Bulimia nervosa, Meal patterning, Treatment",

author = "Ellison, {Jo M.} and Simonich, {Heather K.} and Wonderlich, {Stephen A.} and Crosby, {Ross D.} and Li Cao and Mitchell, {James E.} and Smith, {Tracey L.} and Klein, {Marjorie H.} and Crow, {Scott J.} and Peterson, {Carol B.}",

note = "Funding Information: The study was funded by the National Institute of Mental Health Grant 5R34MH077571 . NIMH had no role in the present study's analysis or interpretation of data, nor in the writing or submission of the manuscript. Publisher Copyright: {\textcopyright} 2015 Elsevier Ltd.",

year = "2016",

month = jan,

day = "1",

doi = "10.1016/j.eatbeh.2015.11.008",

language = "English (US)",

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T1 - Meal patterning in the treatment of bulimia nervosa

AU - Ellison, Jo M.

AU - Simonich, Heather K.

AU - Wonderlich, Stephen A.

AU - Crosby, Ross D.

AU - Cao, Li

AU - Mitchell, James E.

AU - Smith, Tracey L.

AU - Klein, Marjorie H.

AU - Crow, Scott J.

AU - Peterson, Carol B.

N1 - Funding Information: The study was funded by the National Institute of Mental Health Grant 5R34MH077571 . NIMH had no role in the present study's analysis or interpretation of data, nor in the writing or submission of the manuscript. Publisher Copyright: © 2015 Elsevier Ltd.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Objective: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Method: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Results: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. Conclusions: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.

AB - Objective: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Method: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Results: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. Conclusions: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.

KW - Bulimia nervosa

KW - Meal patterning

KW - Treatment

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Meal patterning in the treatment of bulimia nervosa

Abstract

Bibliographical note

Keywords

UN SDGs

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