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Related Experiment Videos

Guided and unguided self-help for binge eating.

K L Loeb1, G T Wilson, J S Gilbert

  • 1Department of Psychology, Rutgers University, Piscataway, NJ 08854, USA.

Behaviour Research and Therapy
|February 9, 2000
PubMed
Summary
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Both guided and unguided cognitive behavioral self-help manuals effectively treat binge eating disorder. Therapist guidance showed superior results in reducing binge eating episodes and associated symptoms.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Eating Disorders

Background:

  • Binge eating disorder is a significant concern with various treatment options.
  • Cognitive behavioral therapy (CBT) is a recognized approach for eating disorders.

Purpose of the Study:

  • To compare the short- and longer-term effectiveness of therapist-guided versus unguided self-help CBT for binge eating.
  • To evaluate the impact on binge eating, compensatory behaviors, and psychological functioning.

Main Methods:

  • Forty women, primarily with binge eating disorder, were randomly assigned to either guided or unguided self-help treatment.
  • The study assessed eating behaviors, psychopathology, and general psychological functioning.

Main Results:

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  • Both treatment groups showed significant improvements in eating behaviors and reduced psychopathology.
  • The guided self-help group demonstrated superior outcomes in reducing binge eating frequency and associated symptoms.
  • Higher general psychopathology predicted poorer outcomes.

Conclusions:

  • Therapist-guided and unguided self-help CBT are viable treatments for binge eating.
  • Guided self-help offers enhanced benefits for reducing binge eating and related distress.
  • Findings support a stepped-care model for treating binge eating disorder.