Objective: Body dissatisfaction and depression have consistently demonstrat
ed a positive association in women. This study sought to determine the inde
pendence of this association from bulimic symptomatology among women diagno
sed with bulimia nervosa. Method: Participants were 101 women who completed
a controlled treatment study of bulimia nervosa and participated in follow
-up assessments 10 years later Results: Findings indicated that baseline le
vels of depression were independent of and superior to bulimic symptoms in
prospectively predicting body dissatisfaction at follow-up assessment. Disc
ussion: Findings suggest that depression may be a better prognostic indicat
or of body dissatisfaction than bulimic symptoms in women diagnosed with bu
limia nervosa. A model in which depression represents a contributing factor
for the maintenance of body dissatisfaction is discussed (C) 2001 by John
Wiley & Sons, Inc.