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 journalArticlepeer-review

17 Scopus citations


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 languageEnglish (US)
Pages (from-to)39-42
Number of pages4
JournalEating Behaviors
StatePublished - Jan 1 2016

Bibliographical note

Publisher Copyright:
© 2015 Elsevier Ltd.


  • Bulimia nervosa
  • Meal patterning
  • Treatment


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