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Personality as predictor of outcome in internet-based treatment of bulimic eating disorders
Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Center for Eating Disorders Innovation, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Center for Eating Disorders Innovation, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Institute for Eating Disorders, Kruses gate 8, Oslo, Norway.
Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
2020 (English)In: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 36, article id 101360Article in journal (Refereed) Published
Abstract [en]

Internet-based cognitive behavioral therapy (ICBT) for bulimic eating disorders has demonstrated clinical utility and cost efficiency, but is associated with low patient preference, low credibility, sizeable dropout and only moderate symptom reduction. To improve outcome it is imperative to learn more about who might benefit from internet-based interventions. To do this, the current study investigated the Five Factor Model of personality as predictor of outcome in patients with full or sub-threshold bulimia nervosa (n = 109). Patients in a randomized controlled trial of ICBT were assessed prior to and at the end of treatment. Patients showed significant symptom reduction over time (Cohen's d = 1.0, p < .001). Remission as well as overall symptom reduction was positively predicted by Openness to Experience and Conscientiousness. Binge eating cessation specifically, was positively predicted by Extraversion. The study supports the use of personality assessment for patient selection and outcome optimization in internet-based treatment of bulimic eating disorders.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 36, article id 101360
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-204871DOI: 10.1016/j.eatbeh.2019.101360ISI: 000517806600008PubMedID: 31887560Scopus ID: 2-s2.0-85076915915OAI: oai:DiVA.org:umu-204871DiVA, id: diva2:1736905
Funder
Region Stockholm, 20150440Region Stockholm, 20160443Available from: 2023-02-15 Created: 2023-02-15 Last updated: 2023-02-16Bibliographically approved

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Levallius, Johanna

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