Self-help versus therapist-led group cognitive-behavioral treatment of binge eating disorder.
There was a therapist-led condition, where the psychologist provided psycho-educational information for the first half hour and led a group discussion for the second half hour of each session; there was a partial self-help condition, where participants viewed a 30-min psycho-educational videotape, followed by a therapist-led discussion; and finally, there was a structured self-help condition, where participants watched a psycho-educational videotape and led their own discussion.
The investigators found reductions in binge eating episodes as well as in associated symptoms with all three treatments at post, 1-month, 6-month, and 1-year follow-up, with no significant differences among the three conditions. These findings suggest that cognitive behavioral therapy for binge eating disorders can be delivered successfully using videotape and a structured self-help group format, and that improvements in binge eating are maintained up to 1 year follow-up.
Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award