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Cognitive-behavioral self-help for binge eating disorder: a controlled effectiveness study

J C Carter1, C G Fairburn

  • 1University of Oxford, United Kingdom.

Journal of Consulting and Clinical Psychology
|September 15, 1998
PubMed
Summary
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Cognitive-behavioral self-help programs significantly reduced binge eating disorder in women. Both pure self-help and guided self-help approaches proved effective, offering a valuable treatment option.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Binge eating disorder (BED) is a significant mental health concern.
  • Effective and accessible treatment options for BED are needed.
  • Self-help interventions offer a promising avenue for treatment delivery.

Purpose of the Study:

  • To evaluate the effectiveness of two self-help delivery methods for BED.
  • To compare pure self-help (PSH) and guided self-help (GSH) interventions.
  • To assess the long-term impact of these interventions.

Main Methods:

  • Seventy-two women diagnosed with BED were randomized into three groups: PSH, GSH, or a waiting list (WL) control.
  • Interventions lasted 12 weeks, followed by a 6-month follow-up period.

Related Experiment Videos

  • WL participants received PSH or GSH after the initial 12 weeks.
  • Main Results:

    • Both PSH and GSH groups showed substantial and sustained reductions in binge eating.
    • Approximately half of the participants in the PSH and GSH conditions ceased binge eating.
    • The WL control group exhibited minimal changes during the initial waiting period.

    Conclusions:

    • Cognitive-behavioral self-help is an effective treatment for binge eating disorder.
    • Both pure and guided self-help formats demonstrate significant clinical utility.
    • Self-help interventions can serve as both initial treatment and secondary prevention for BED.