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Self-help versus therapist-led group cognitive-behavioral treatment of binge eating disorder.

15 Aug
Researchers from the Eating Disorders Research Program at the University of Minnesota examined long-term outcomes of cognitive behavioral therapy, delivered 3 different ways to 51 people suffering from a 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 51 subjects were randomly assigned to the 3 types of groups: there were 16 participants in the therapist-led condition; 19 in the partial self-help condition; and 16 in the structured self-help condition.

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.

Citation: Peterson CB, Mitchell JE, Engbloom S, Nugent S, Pederson Mussell M, Crow SJ, Thuras P. Self-help versus therapist-led group cognitive-behavioral treatment of binge eating disorder at follow-up. International Journal of Eating Disorders 2001 Dec;30(4):363-74. This email address is being protected from spambots. You need JavaScript enabled to view it.
Belleruth Naparstek

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