Experimental Test of the Affect-regulation Theory of Bulimic Symptoms and Substance Use: a Randomized Trial

Overview

Journal Int J Eat Disord

Publisher Wiley

Specialty Social Sciences

Date 2006 Sep 8

PMID 16958129

Citations 23

Authors

Emily Burton

Eric Stice

Sarah Kate Bearman

Paul Rohde

Affiliations

Soon will be listed here.

Abstract

Objective: Conduct a randomized trial to test whether a cognitive behavioral intervention designed to decrease depressive symptoms produces subsequent decreases in bulimic and substance use symptoms.

Method: Female participants (N = 145) with elevated depressive symptoms were randomly assigned to a 4-session depression intervention or a measurement-only condition and assessed through 6-month follow-up.

Results: Relative to control participants, intervention participants showed decreases in depressive symptoms. Intervention participants also showed significantly greater reductions in bulimic symptoms, but not substance use, and change in depressive symptoms mediated this effect for bulimic symptoms.

Conclusion: The results provide experimental support for the theory that affect disturbances contribute to bulimic pathology, but do not support the affect regulation theory of substance use.

Citing Articles

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Is a dissonance-based group intervention targeting thin-ideal internalization a successful potential add-on for specialized eating disorder care? A randomized feasibility and acceptability pilot study.

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