Antidepressants versus psychotherapy for bulimia nervosa: a systematic review

Detalhes bibliográficos
Autor(a) principal: Bacaltchuk, J.
Data de Publicação: 1999
Outros Autores: Trefiglio, R. P., Oliveira, I. R. de, Lima, M. S., Mari, J. J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/8015
Resumo: Texto completo: acesso restrito. p.23–31
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spelling Bacaltchuk, J.Trefiglio, R. P.Oliveira, I. R. deLima, M. S.Mari, J. J.Bacaltchuk, J.Trefiglio, R. P.Oliveira, I. R. deLima, M. S.Mari, J. J.2013-01-22T11:55:31Z19990269-4727http://www.repositorio.ufba.br/ri/handle/ri/8015v. 24, n. 1Texto completo: acesso restrito. p.23–31Objective: To assess the efficacy and acceptability of antidepressants compared to psychotherapy as single approaches for the treatment of bulimia nervosa. Method: Dichotomous outcomes were analysed by calculating relative risks and continuous outcomes by calculating effect sizes. The number needed to treat (or harm) was calculated. Methodological quality of trials and heterogeneity in the results were evaluated. Results:A meta-analysis including five randomized controlled trials showed a non-significant difference in short-term remission of bulimic symptoms favouring psychotherapy. Remission rates were 20% for antidepressants and 39% for psychotherapy (P=0·07). Dropout rates were higher(P=0·027) for antidepressants (40%) than for psychotherapy (18%). The number needed to harm (NNH) was 4. Discussion: Psychotherapy was superior to antidepressants, but using a more conservative statistical approach this difference, although clinically relevant, was not significant. The number of trials might be insufficient to show the significance of a 20% absolute risk reduction in efficacy. Psychotherapy was a better accepted treatment.Submitted by Suelen Reis (suelen_suzane@hotmail.com) on 2013-01-22T11:55:31Z No. of bitstreams: 1 Bacaltchuk.pdf: 334193 bytes, checksum: cec650392747bf0a1f32d18ce770a15e (MD5)Made available in DSpace on 2013-01-22T11:55:31Z (GMT). No. of bitstreams: 1 Bacaltchuk.pdf: 334193 bytes, checksum: cec650392747bf0a1f32d18ce770a15e (MD5) Previous issue date: 1999http://dx.doi.org/10.1046/j.1365-2710.1999.00192.xreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAntidepressants versus psychotherapy for bulimia nervosa: a systematic reviewJournal of Clinical Pharmacy and Therapeuticsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINALBacaltchuk.pdfBacaltchuk.pdfapplication/pdf334193https://repositorio.ufba.br/bitstream/ri/8015/1/Bacaltchuk.pdfcec650392747bf0a1f32d18ce770a15eMD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/8015/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTBacaltchuk.pdf.txtBacaltchuk.pdf.txtExtracted texttext/plain0https://repositorio.ufba.br/bitstream/ri/8015/3/Bacaltchuk.pdf.txtd41d8cd98f00b204e9800998ecf8427eMD53ri/80152022-08-08 13:17:34.885oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:34Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
dc.title.alternative.pt_BR.fl_str_mv Journal of Clinical Pharmacy and Therapeutics
title Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
spellingShingle Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
Bacaltchuk, J.
title_short Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
title_full Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
title_fullStr Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
title_full_unstemmed Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
title_sort Antidepressants versus psychotherapy for bulimia nervosa: a systematic review
author Bacaltchuk, J.
author_facet Bacaltchuk, J.
Trefiglio, R. P.
Oliveira, I. R. de
Lima, M. S.
Mari, J. J.
author_role author
author2 Trefiglio, R. P.
Oliveira, I. R. de
Lima, M. S.
Mari, J. J.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bacaltchuk, J.
Trefiglio, R. P.
Oliveira, I. R. de
Lima, M. S.
Mari, J. J.
Bacaltchuk, J.
Trefiglio, R. P.
Oliveira, I. R. de
Lima, M. S.
Mari, J. J.
description Texto completo: acesso restrito. p.23–31
publishDate 1999
dc.date.issued.fl_str_mv 1999
dc.date.accessioned.fl_str_mv 2013-01-22T11:55:31Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/8015
dc.identifier.issn.none.fl_str_mv 0269-4727
dc.identifier.number.pt_BR.fl_str_mv v. 24, n. 1
identifier_str_mv 0269-4727
v. 24, n. 1
url http://www.repositorio.ufba.br/ri/handle/ri/8015
dc.language.iso.fl_str_mv eng
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