Robyn Sysko1, B Timothy Walsh. 1. Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, New York, USA. syskor@childpsych.columbia.edu
Abstract
OBJECTIVE: Cognitive behavioral therapy (CBT) is efficacious for the treatment of bulimia nervosa (BN) and binge-eating disorder (BED). As a number of factors limit the availability of CBT, self-help manuals have been developed to make the treatment more widely available. METHOD: Published studies evaluating the efficacy of self-help programs in the treatment of BN and BED were reviewed. RESULTS: Controlled studies of self-help programs for BN and BED have often employed a waiting list control group, and indicate that self-help provides more benefit than remaining on a waiting list. However, fewer studies have utilized a more active control group, and these studies have not been as positive. CONCLUSION: In general, open and wait-list trials indicate that self-help is helpful in treating BN and BED, but there is little evidence for the specific efficacy of self-help in comparison to other treatments. Additional studies of self-help are needed to determine the specific utility of self-help interventions for BN and BED.
OBJECTIVE: Cognitive behavioral therapy (CBT) is efficacious for the treatment of bulimia nervosa (BN) and binge-eating disorder (BED). As a number of factors limit the availability of CBT, self-help manuals have been developed to make the treatment more widely available. METHOD: Published studies evaluating the efficacy of self-help programs in the treatment of BN and BED were reviewed. RESULTS: Controlled studies of self-help programs for BN and BED have often employed a waiting list control group, and indicate that self-help provides more benefit than remaining on a waiting list. However, fewer studies have utilized a more active control group, and these studies have not been as positive. CONCLUSION: In general, open and wait-list trials indicate that self-help is helpful in treating BN and BED, but there is little evidence for the specific efficacy of self-help in comparison to other treatments. Additional studies of self-help are needed to determine the specific utility of self-help interventions for BN and BED.
Authors: Carlos M Grilo; Robin M Masheb; Marney A White; Ralitza Gueorguieva; Rachel D Barnes; B Timothy Walsh; Katherine C McKenzie; Inginia Genao; Rina Garcia Journal: Behav Res Ther Date: 2014-05-02
Authors: Carol B Peterson; James E Mitchell; Scott J Crow; Ross D Crosby; Stephen A Wonderlich Journal: Am J Psychiatry Date: 2009-11-02 Impact factor: 18.112
Authors: Fary M Cachelin; Munyi Shea; Phoutdavone Phimphasone; G Terence Wilson; Douglas R Thompson; Ruth H Striegel Journal: Cultur Divers Ethnic Minor Psychol Date: 2014-07
Authors: James E Mitchell; Stewart Agras; Scott Crow; Katherine Halmi; Christopher G Fairburn; Susan Bryson; Helena Kraemer Journal: Br J Psychiatry Date: 2011-03-17 Impact factor: 9.319