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

Grilo, Carlos M.; Masheb, Robin M.

doi:10.1016/j.brat.2004.11.010

Cited by 169 publications

(207 citation statements)

References 44 publications

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“…In addition, participants' weight was measured at each session. These sessions were manualized and closely followed the format of the manual created and utilized for Grilo and Masheb's (2005) study. At the beginning of the second session, participants completed questionnaires assessing motivation for treatment, including the TSRQ , PCS Williams et al, 1998), and Change Questionnaire (Wolk & Devlin, 2001).…”

Section: Methodsmentioning

confidence: 99%

“…Following this second longer session, participants attended three more sessions, which occurred every other week. Each of these sessions was again based on a protocol modeled after that used by Grilo and Masheb (2005).…”

Section: Methodsmentioning

confidence: 99%

“…One additional study (Grilo & Masheb, 2005) is notable for the development and implementation of a more structured GSH protocol to accompany the LEARN manual, for individuals with obesity and Binge Eating Disorder (BED). Participants in the treatment met for 6 brief (15-20 minute) sessions with psychologists.…”

Section: This Represents a Clinically Significant Weight Loss (Nhlbi mentioning

confidence: 99%

“…The six standard GSH sessions in the current study (sessions 2, 3, 4, 6, 7, and 8) were modeled after those created by Grilo and Masheb (2005) for their study of LEARN/GSH. At each session, therapists followed a series of steps, including: reviewing self-monitoring forms from the previous week/two weeks; discussing any problems participants may have encountered; going over set topics from the readings assigned at the previous session; and setting new reading assignments and homework tasks for the following session.…”

Section: Treatment Protocols Learnmentioning

confidence: 99%

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The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

et al. 2009

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This study assessed whether motivational interviewing (MI), applied as part of a standard guided self-help (GSH) behavioral weight loss treatment, reduced attrition rate and improved participant weight loss and other eating-related and general psychological measures. The study also included assessments based on two theories of motivated behavior, to assess whether these measures predicted treatment outcome and whether MI increased participant motivation. Thirty-nine overweight patients (7 males, 32 females) were randomized to receive either 6 sessions of traditional GSH and 2 traditional motivation-focused sessions (GSH); or 6 GSH sessions and 2 sessions utilizing an MI

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: This Represents a Clinically Significant Weight Loss (Nhlbi mentioning

confidence: 99%

Section: Treatment Protocols Learnmentioning

confidence: 99%

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The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

et al. 2009

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“…The latter interventions are well suited for use in everyday practice settings (16,17). Nevertheless, only a minority of individuals who might benefit from such interventions receive them (18,19) or any other mental health treatments specifically targeting eating disorders (13,20–22).…”

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confidence: 99%

Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

DeBar¹,

Striegel‐Moore²,

Wilson³

et al. 2011

Psychiatric Services

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Objective The aim of this study was to replicate and extend results of a previous blended efficacy and effectiveness trial of a low-intensity, manual-based guided self-help form of cognitive-behavioral therapy (CBT-GSH) for the treatment of binge eating disorders in a large health maintenance organization (HMO) and to compare them with usual care. Methods To extend earlier findings, the investigators modified earlier recruitment and assessment approaches and conducted a randomized clinical trial to better reflect procedures that may be reasonably carried out in real-world practices. The intervention was delivered by master’s-level interventionists to 160 female members of a health maintenance organization who met diagnostic criteria for recurrent binge eating. Data collected at baseline, immediately posttreatment, and at six- and 12-month follow-ups were used in intent-to-treat analyses. Results At the 12-month follow-up, CBT-GSH resulted in greater remission from binge eating (35%, N=26) than usual care (14%, N=10) (number needed to treat=5). The CBT-GSH group also demonstrated greater improvements in dietary restraint (d=.71) and eating, shape, and weight concerns (d=1.10, 1.24, and .98, respectively) but not weight change. Conclusions Replication of the pattern of previous findings suggests that CBT-GSH is a robust treatment for patients with recurrent binge eating. The magnitude of changes was significantly smaller than in the original study, however, suggesting that patients recruited and assessed with less intensive procedures may respond differently from their counterparts enrolled in trials requiring more comprehensive procedures.

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Psychological Treatments of Binge Eating Disorder

Wilson¹,

Wilfley²,

Agras³

et al. 2010

Arch Gen Psychiatry

406

456

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Context Interpersonal psychotherapy (IPT) is an effective specialty treatment for binge eating disorder (BED). Behavioral weight loss treatment (BWL) and guided self-help based on cognitive behavior therapy (CBTgsh) have both resulted in short-term reductions in binge eating in obese patients with BED. Objective To test whether patients with BED require specialty therapy beyond BWL and whether IPT is more effective than either BWL or CBTgsh in patients with a high negative affect during a 2-year follow-up. Design Randomized, active control efficacy trial. Setting University outpatient clinics. Participants Two hundred five women and men with a body mass index between 27 and 45 who met DSM-IV criteria for BED. Intervention Twenty sessions of IPT or BWL or 10 sessions of CBTgsh during 6 months. Main Outcome Measures Binge eating assessed by the Eating Disorder Examination. Results At 2-year follow-up, both IPT and CBTgsh resulted in greater remission from binge eating than BWL (P < .05; odds ratios: BWL vs CBTgsh, 2.3; BWL vs IPT, 2.6; and CBTgsh vs IPT, 1.2). Self-esteem (P < .05) and global Eating Disorder Examination (P < .05) scores were moderators of treatment outcome. The odds ratios for low and high global Eating Disorder Examination scores were 2.8 for BWL, 2.9 for CBTgsh, and 0.73 for IPT; for self-esteem, they were 2.4 for BWL, 1.9 for CBTgsh, and 0.9 for IPT. Conclusions Interpersonal psychotherapy and CBTgsh are significantly more effective than BWL in eliminating binge eating after 2 years. Guided self-help based on cognitive behavior therapy is a first-line treatment option for most patients with BED, with IPT (or full cognitive behavior therapy) used for patients with low self-esteem and high eating disorder psychopathology. Trial Registration clinicaltrials.gov Identifier: NCT00060762

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

Cited by 169 publications

References 44 publications

The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

Psychological Treatments of Binge Eating Disorder

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