Randomised controlled trial of a guided self-help treatment on the Internet for binge eating disorder

Binge eating; Cognitive behavioural therapy; Eating disorder; Internet; Self-help treatment; Adolescent; Adult; Binge-Eating Disorder; Body Image; Cognitive Therapy; Female; Humans; Middle Aged; Personal Satisfaction; Remote Consultation; Self Care; Self Concept; Treatment Outcome

Abstract :

[en] Binge eating disorder (BED) is a common and under-treated condition with major health implications. Cognitive behavioural therapy (CBT) self-help manuals have proved to be efficient in BED treatment. Increasing evidence also support the use of new technology to improve treatment access and dissemination. This is the first randomised controlled study to evaluate the efficacy of an Internet guided self-help treatment programme, based on CBT, for adults with threshold and subthreshold BED. Seventy-four women were randomised into two groups. The first group received the six-month online programme with a six-month follow-up. The second group was placed in a six-month waiting list before participating in the six-month intervention. Guidance consisted of a regular e-mail contact with a coach during the whole intervention. Binge eating behaviour, drive for thinness, body dissatisfaction and interoceptive awareness significantly improved after the Internet self-help treatment intervention. The number of objective binge episodes, overall eating disorder symptoms score and perceived hunger also decreased. Improvements were maintained at six-month follow-up. Dropouts exhibited more shape concern and a higher drive for thinness. Overall, a transfer of CBT-based self-help techniques to the Internet was well accepted by patients, and showed positive results for eating disorders psychopathology. © 2011 Elsevier Ltd.

Disciplines :

Neurosciences & behavior

Author, co-author :

Carrard, Isabelle; Service of Therapeutic Education for Chronic Diseases, University Hospitals of Geneva, Geneva, Switzerland

Crépin, Christelle; Service of Therapeutic Education for Chronic Diseases, University Hospitals of Geneva, Geneva, Switzerland

Rouget, Patrick C.; Service of Liaison psychiatry, University Hospitals of Geneva, Geneva, Switzerland

Lam, Tony; Netunion, Lausanne, Switzerland

Golay, Alain; Service of Therapeutic Education for Chronic Diseases, University Hospitals of Geneva, Geneva, Switzerland

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Language :

English

Title :

Randomised controlled trial of a guided self-help treatment on the Internet for binge eating disorder

Publication date :

2011

Journal title :

Behaviour Research and Therapy

ISSN :

0005-7967

eISSN :

1873-622X

Publisher :

Elsevier, United Kingdom

Volume :

Issue :

Pages :

482-491

Peer reviewed :

Peer Reviewed verified by ORBi

Funders :

Fondation Hans Wilsdorf [CH]

Available on ORBi :

since 27 December 2019

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Scopus citations^®

124

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117

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112

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