Participation and outcome in manualized self-help for bulimia nervosa and binge eating disorder — A systematic review and metaregression analysis

2014 ◽  
Vol 34 (2) ◽  
pp. 158-176 ◽  
Author(s):  
Ina Beintner ◽  
Corinna Jacobi ◽  
Ulrike H. Schmidt
Keyword(s):  
Systematic Review ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Self Help

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 Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 11 (9) ◽  
pp. 931
Author(s):  
Natalia Rozakou-Soumalia ◽  
Ştefana Dârvariu ◽  
Jan Magnus Sjögren
Keyword(s):  
Systematic Review ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Emotion Dysregulation ◽  
Meta Analysis ◽  
Control Group ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy

Emotion dysregulation is a transdiagnostic phenomenon in Eating Disorders (ED), and Dialectical Behaviour Therapy (DBT) (which was developed for reducing dysregulated emotions in personality disorders) has been employed in patients with ED. This systematic review and meta-analysis investigated whether the effect of DBT was stronger on emotion dysregulation, general psychopathology, and Body Mass Index (BMI) in participants with ED, when compared to a control group (active therapy and waitlist). Eleven studies were identified in a systematic search in accordance with PRISMA guidelines. Most studies included participants with Binge Eating Disorder (BED) (n = 8), some with Bulimia Nervosa (BN) (n = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = −0.69, p = 0.01), depressive symptoms (g = −0.33, p < 0.00001), ED psychopathology (MD = −0.90, p = 0.005), Objective Binge Episodes (OBE) (MD = −0.27, p = 0.003), and BMI (MD = −1.93, p = 0.01) compared to the control group. No improvement was detected in eating ER following DBT (p = 0.41). DBT demonstrated greater efficacy compared with the control group in improving emotion dysregulation, ED psychopathology, and BMI in ED. The limitations included the small number of studies and high variability.

scholarly journals Neuroimaging in bulimia nervosa and binge eating disorder: a systematic review

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Brooke Donnelly ◽  
Stephen Touyz ◽  
Phillipa Hay ◽  
Amy Burton ◽  
Janice Russell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder
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