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Maintenance treatment and 6-month outcome for bulimic patients who respond to initial treatment

1990; American Psychiatric Association; Volume: 147; Issue: 7 Linguagem: Inglês

10.1176/ajp.147.7.871

1535-7228

Richard L. Pyle, James E. Mitchell, Elke D. Eckert, Dorothy K. Hatsukami, Claire Pomeroy, Robert S. Zimmerman,

Eating Disorders and Behaviors

Bulimic subjects who responded to intensive group psychotherapy plus imipramine or placebo or to imipramine alone (N = 68) were assigned to 4-month maintenance with weekly support groups and/or medication (placebo or imipramine) and were evaluated 6 months after initial treatment (N = 61). Thirty percent of the subjects relapsed during the 6 months. Initial treatment with group psychotherapy plus placebo or imipramine was associated with a lower relapse rate than initial treatment with imipramine alone. Neither attendance at the maintenance group sessions nor imipramine maintenance was associated with better outcome.