Agras BN

CBT vs IPT for Bulimia Nervosa (Multicentre)

Patient / Population Intervention / Exposure Comparison Outcome

In 220 women with bulimia nervosa, 19 sessions of CBT achieved higher end-of-treatment recovery than interpersonal psychotherapy, with the gap closing by 12-month follow-up.

N
220
Design
Multicentre RCT, USA
Endpoint
Recovery (no binge or purge in past month)
Relevance
2
ResultEnd of treatment: CBT 29% vs IPT 6% (p<0.001); at 1-year follow-up groups converged.
Agras WS, et al. Arch Gen Psychiatry. 2000;57(5):459-466. 10.1001/archpsyc.57.5.459
Discussion & critique

Cemented CBT as first-line for bulimia and as the faster-acting option.