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Online cognitive behavioral therapy enhanced for binge eating disorder: study protocol for a randomized controlled
Elske van den Berg1, Bernou Melisse2, Jitske Koenders1
1Novarum Center for Eating Disorders & Obesity, Jacob Obrechtstraat 92, 1071, KR, Amsterdam, the Netherlands.
BMC Psychiatry
|May 1, 2020
Summary
This study tested an online Cognitive Behavioral Therapy-Enhanced guided self-help program for binge eating disorder. The online intervention effectively reduced eating disorder pathology and increased binge-free days compared to a waiting list control.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Binge eating disorder (BED) involves recurrent episodes of binge eating with a loss of control.
- Cognitive Behavioral Therapy-Enhanced (CBT-E) and guided self-help are recommended treatments for BED.
- Online interventions offer advantages for accessibility and scalability in treating eating disorders.
Purpose of the Study:
- To evaluate the efficacy of a newly developed online CBT-Enhanced guided self-help intervention for BED.
- To compare the intervention's effectiveness against an untreated waiting list control group.
- To assess reductions in eating disorder pathology and increases in binge-free days.
Main Methods:
- A randomized controlled trial (RCT) was conducted with adults diagnosed with BED or other specified feeding or eating disorder-BED.
- Participants (N=180) were randomized 1:1 to either the online intervention (n=90) or a waiting list control (n=90).
- Assessments of eating disorder pathology, clinical impairment, and quality of life were administered at baseline, mid-treatment, end-of-treatment, and 12/24-week follow-ups.
Main Results:
- The online CBT-Enhanced intervention is hypothesized to be superior to the waiting list condition in reducing eating disorder pathology.
- Primary outcome: reduction in the number of days with binge eating.
- Secondary outcomes: improvements in other eating disorder symptoms, clinical impairment, and quality of life.
Conclusions:
- The online CBT-Enhanced guided self-help intervention shows promise for treating binge eating disorder.
- This approach may offer a scalable and accessible treatment option for individuals with BED.
- Further analysis will explore moderators of treatment effects and cost-effectiveness.
Keywords:
Binge eating disorderCognitive behavioral therapy-enhancedGuided self-helpRandomized controlled trialWaiting listMore Related Videos
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