Source: isrctn - Le promoteur: VAKJP / Association of psychoanalytic child- and adolescent-psychotherapists in Germany

Treating bulimia nervosa in female adolescents with either cognitive-behavioral therapy (CBT) or psychodynamic therapy (PDT) Background and study aims Bulimia nervosa is an eating disorder, where a person overeats (binges) and then tries to remove the food quickly by vomiting or using laxatives (purges). Bulimia is considered a mental health condition and is linked to low self-esteem, obsession with weight and food, depression and self-harm. Bulimia can affect anyone but it is more common in women and especially in teenage girls. The common way of treating bulimia nervosa is through cognitive behavioral therapy (CBT) a type of talking therapy which works on changing thoughts and behavior. However other treatments such as psychodynamic therapy (PDT), a type of talking therapy focusing on the emotional state, feelings and perceptions, could help treat the bulimia just as well or even better. However, there are no studies showing how well these treatments work with teenagers and young adults. The aim of this study is to compare these two treatments to see how well they help teenage girls reduce eating disorder symptoms and improve their mental health. Who can participate? Females aged 14-20 years old who are diagnosed with bulimia nervosa. What does the study involve? Participants are randomly allocated to one of two groups to receive 60 sessions of treatment over 12 months. Those in the first group receive CBT. This involves five phases that explore reasons for the disorder, educate about mental health, promote healthy behaviors and relationships, discuss fears about weight, eating and body shape, trains on social skills, problem solving and preventing relapsing. Those in the second group receive PDT. This involves three phases that helps participants understand the disorder affects their mind and emotional state, increasing awareness of emotional and social meanings of the symptoms, and helps apply strategies learned in the program to difficult situations. Participants are followed up 6 and 12 months after the intervention to assess their symptoms and overall mental health. What are the possible benefits and risks of participating? Participants may benefit from a reduction in eating disorder symptoms. There are no direct risks of participating. Where is the study run from? Department of Psychiatry University Hospital of Heidelberg (Germany) When is the study starting and how long is it expected to run for? May 2006 to July 2013 Who is funding the study? Association of psychoanalytic child- and adolescent-psychotherapists (Germany) Who is the main contact? Dr Annette Stefini [email protected]

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