A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder

About this resource

We performed a randomized controlled study to test the relative efficacy of guided self-help (gsh) cognitive-behavioral therapy (CBTgsh) and behavioral weight loss treatment (BWLgsh) treatments for binge eating disorder (BED). To provide an additional partial control for non-specific influences of attention, a third control (CON) treatment condition was included. We tested the treatments using a guided self-help approach given the promising results from initial studies using minimal therapist guidance. Ninety consecutive overweight patients (19 males, 71 females) with BED were randomly assigned (5:5:2 ratio) to one of three treatments: CBTgsh (N=37), BWLgsh (N=38), or CON (N=15). The three 12-week treatment conditions were administered individually following guided self-help protocols. Overall, 70 (78 % ) completed treatments; CBTgsh (87 % ) and CON (87 % ) had significantly higher completion rates than BWLgsh (67 % ). Intent-to-treat analyses revealed that CBTgsh had significantly higher remission rates (46 % ) than either BWLgsh (18 % ) or CON (13 % ). Weight loss was minimal and differed little across treatments. The findings suggest that CBT, administered via guided self-help, demonstrates efficacy for BED, but not for obesity. The findings support CBT administered via guided self-help as a first step in the treatment of BED and provide evidence for its specific effects.

AuthorGrilo, Carlos M. & Masheb, Robin M.
JournalBehaviour Research and Therapy
Volume43(11):1509-1525
Year2005

See also

Issue 2 | Journal of Eating Disorders

NEDC e-Bulletin Issue Two | August 2012 Contents 1.

Read more

Lisdexamfetamine dimesylate in binge eating disorder: A placebo controlled trial

OBJECTIVE: To evaluate lisdexamfetamine dimesylate (LDX) in the treatment of binge eating disorder (BED).

Read more

Psychological treatments for bulimia nervosa and binging

BACKGROUND: A specific manual-based form of cognitive behavioural therapy (CBT) has been developed for the treatment of bulimia nervosa (CBT-BN) and other common related syndromes such as binge eating disorder.

Read more

Adapted group-based dialectical behaviour therapy for binge eating in a practicing clinic: Clinical outcomes and attrition

Research evidence has been accumulating for the efficacy of dialectical behaviour therapy (DBT) for binge eating.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2020 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback