Guided and unguided self-help for binge eating

This study compared the relative short- and longer-term efficacy of therapist-guided and unguided use of a cognitive behavioral self-help manual for binge eating [Fairburn, C. G. (1995). Overcome binge eating. New York: The Guilford Press.] Forty women (82.5% with binge eating disorder) were randomi...

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Bibliographic Details
Published in:Behaviour research and therapy 2000-03, Vol.38 (3), p.259-272
Main Authors: Loeb, Katharine L, Wilson, G.Terence, Gilbert, Jacqueline S, Labouvie, Erich
Format: Article
Language:English
Subjects:
Adult
Behavior therapy. Cognitive therapy
Binge eating
Biological and medical sciences
Bulimia
Bulimia - diagnosis
Bulimia - therapy
Bulimia nervosa
Cognitive Behavioral Therapy - methods
Cognitive behavioral treatment
Compulsive Behavior - psychology
Female
Humans
Medical sciences
Predictive Value of Tests
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Care
Self help
Surveys and Questionnaires
Therapy
Treatment Outcome
Treatments
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Summary:This study compared the relative short- and longer-term efficacy of therapist-guided and unguided use of a cognitive behavioral self-help manual for binge eating [Fairburn, C. G. (1995). Overcome binge eating. New York: The Guilford Press.] Forty women (82.5% with binge eating disorder) were randomized to one of the two treatment levels. Results indicate that both conditions represent viable means of treating binge eating. Overall, patients improved their eating behavior, eliminated any inappropriate compensatory behaviors, reduced their shape concern, weight concern, and other symptoms of eating-related psychopathology, and improved their general psychological functioning. The guided self-help condition was notably superior in reducing the occurrence of binge eating and its associated symptomatology, as well as lowering interpersonal sensitivity. A high degree of general psychopathology was a negative prognostic indicator. The implications for a stepped-care approach to treating binge eating are discussed.
ISSN:0005-7967
1873-622X
DOI:10.1016/S0005-7967(99)00041-8