This study investigated the global and specific cognitive style associ
ated with bulimia nervosa. Three groups of women (women with bulimia n
ervosa, women with major depression, and controls) completed measures
of eating disorder severity, depression, dysfunctional cognitions and
irrational beliefs. The control group was found to report significantl
y lower levels of cognitive distortions and irrational beliefs overall
than both women with bulimia nervosa and women with depression. Howev
er, no difference was found between the latter two groups. Furthermore
, the pattern of individual cognitions and beliefs was exactly the sam
e. When depression was statistically controlled, cognitive style no lo
nger differentiated between the control group and two clinical groups.
These results have implications for improving the effectiveness of co
gnitive behaviour therapy for bulimia nervosa. (C) 1997 Elsevier Scien
ce Ltd.