Getting better byte by byte: a pilot randomised controlled trial of email therapy for bulimia nervosa and binge eating disorder

2008 ◽  
Vol 16 (2) ◽  
pp. 84-93 ◽  
Author(s):  
Paul Robinson ◽  
Marc Serfaty
Keyword(s):  
Eating Disorder ◽  
Randomised Controlled Trial ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Controlled Trial ◽  
Pilot Randomised Controlled Trial ◽  
Randomised Controlled

scholarly journals Self-help for bulimic disorders: A randomised controlled trial comparing minimal guidance with face-to-face or telephone guidance

2002 ◽  
Vol 181 (3) ◽  
pp. 230-235 ◽  
Author(s):  
Robert L. Palmer ◽  
Helen Birchall ◽  
Lesley Mcgrain ◽  
Victoria Sullivan
Keyword(s):  
Eating Disorder ◽  
Randomised Controlled Trial ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Controlled Trial ◽  
Stepped Care ◽  
Face To Face ◽  
Self Help ◽  
Randomised Controlled

BackgroundThere is great potential demand for treatment of bulimia nervosa and binge eating disorder. Skilled therapists are in short supply. Self-help and guided self-help based upon books have shown some promise as an economical alternative to full therapy in some cases.AimsTo investigate the efficacy and effectiveness of self-help with and without guidance in a specialist secondary service.MethodA randomised controlled trial comparing three forms of self-help over 4 months with a waiting-list comparison group and measurement of service consumption over the subsequent 8 months.ResultsSelf-help delivered with four sessions of face-to-face guidance led to improved outcome over 4 months. There is also some evidence to support the use of telephone guidance. A minority of participants achieved lasting remission of their disorder in relation to self-help, but there was no significant difference in final outcome between the groups after they had progressed through the stepped care programme. Patients initially offered guided self-help had a lower long-term drop-out rate.ConclusionsGuided self-help is a worthwhile initial response to bulimia nervosa and binge eating disorder. It is a treatment that could be delivered in primary care and in other non-specialist settings.

scholarly journals Personality Traits and Night Eating Syndrome in Women With Bulimia Nervosa and Binge Eating Disorder

2021 ◽  
Author(s):  
Natasha D Melunsky ◽  
Francesca Solmi ◽  
Zoë Haime ◽  
Sarah Rowe ◽  
Virginia VW McIntosh ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Personality Traits ◽  
Binge Eating Disorder ◽  
Controlled Trial ◽  
Harm Avoidance ◽  
Outpatient Psychotherapy ◽  
Night Eating Syndrome ◽  
Night Eating

Abstract Purpose Evidence suggests that the harm avoidance personality type is more common among individuals with night eating syndrome (NES) than in the general population. Evidence of associations with other personality traits is limited. The current study investigated the association between a range of personality traits and NES.Methods Cross-sectional data were used from women with bulimia nervosa or binge eating disorder referred for treatment in an outpatient psychotherapy trial. Regression analyses were used to test associations between personality traits (measured with the Temperament and Character Inventory-Revised) and NES symptoms (measured with the Night Eating Questionnaire), adjusting for potential confounding variables.Results The sample included 111 women. Low cooperativeness scores were associated with greater NES symptoms in the multivariable model (mean difference: -.10, 95% confidence intervals: -.20 to -.01, p = 0.033). There was weak evidence of associations between both high harm avoidance and low self-directedness personality traits and greater NES symptoms.Conclusions The finding that low cooperativeness was associated with greater NES symptoms is novel. Further research is needed to validate its presence in those with and without comorbid eating disorders and to examine the relative change in NES, eating disorder symptoms and personality scores in treatments focusing on cooperativeness.Level of evidence Level I (randomised controlled trial, CTB/04/08/139)

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