Guided Self‐help for Eating Disorders: A Systematic Review and Metaregression

Traviss‐Turner, Gemma; West, Robert; Hill, Andrew J.

doi:10.1002/erv.2507

Cited by 70 publications

(88 citation statements)

References 46 publications

(60 reference statements)

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“…Our findings add to growing evidence that self‐help, whether guided or unguided, may be a helpful way of disseminating evidence‐based treatments to people with BED (Beintner, Jacobi, & Schmidt, ; Traviss‐Turner, West, & Hill, ). While drop‐out was highest and remission rates were lowest in the active control, the difference in binge eating outcome between the DBT self‐help conditions and SE‐USH was not statistically significant, likely reflecting low statistical power.…”

Section: Discussionsupporting

confidence: 61%

Dialectical behavior therapy self‐help for binge‐eating disorder: A randomized controlled study

Carter

Kenny

Singleton

et al. 2019

Intl J Eating Disorders

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Objective The objective of this study was to compare the relative effectiveness of dialectical behavior therapy guided self‐help (DBT‐GSH) and DBT unguided self‐help (DBT‐USH) with an unguided self‐help control condition in the treatment of binge‐eating disorder (BED). Method Seventy‐one participants who met diagnostic criteria for BED based on Eating Disorder Examination (EDE) interview were randomly assigned to DBT‐GSH, DBT‐USH or active control USH for 12 weeks. Assessments took place at baseline, 12 weeks and 3‐month follow‐up. Outcome measures included the EDE to assess binge frequency, the EDE‐Questionnaire (EDE‐Q), the Brief Symptom Inventory, and the Short Form 6D. Results The overall completion rate was 65% at post‐treatment and 63% at 3‐month follow‐up. Intention to treat analyses showed that participants in all three conditions reported significant reductions in binge frequency with large effect sizes. A similar pattern emerged for secondary outcome variables including eating disorder psychopathology, general psychological distress, and health‐related quality of life. Discussion Self‐help may be an effective way to disseminate DBT for BED. However, future research should evaluate DBT self‐help using a larger sample size, possibly in a multisite design.

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Section: Discussionsupporting

confidence: 61%

Dialectical behavior therapy self‐help for binge‐eating disorder: A randomized controlled study

Carter

Kenny

Singleton

et al. 2019

Intl J Eating Disorders

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“…Second, to ensure computer‐based self‐help interventions were included in the synthesis, we conducted another specific search including search terms related to technology‐based interventions. Table A1 lists the search terms, which were informed by those used in previous meta‐syntheses (Khan et al, ; Knowles et al, ) and a recent systematic review (Traviss‐Turner et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…There is evidence which supports the efficacy and effectiveness of online guided self-help interventions for EDs (for review see Schlegl, Burger, Schmidt, Herbst, and Voderholzer (2015)), but the impact of these interventions on ED psychopathology and behaviors is highly variable (see Beintner, Jacobi, and Schmidt (2014) ;Loucas et al (2014); Traviss-Turner, West, and Hill (2017)). A key issue which affects clinical outcomes is that treatment uptake and completion rates vary widely across trials, and are often suboptimal (e.g., drop-out rates range from 1 to 88% [Beintner et al, 2014]).…”

Section: Introductionmentioning

confidence: 99%

Experiences of computer‐based and conventional self‐help interventions for eating disorders: A systematic review and meta‐synthesis of qualitative research

Yim

Schmidt

2019

Intl J Eating Disorders

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Objective Self‐help interventions have been demonstrated to be effective in treating bulimic‐type eating disorders (EDs). In particular, computer‐based interventions have received increasing attention due to their potential to reach a wider population. This systematic review aimed to synthesize findings from qualitative studies on users' experiences of self‐help interventions for EDs and to develop an exploratory framework. Method A systematic review and meta‐synthesis on seven peer‐reviewed qualitative studies on structured computer and book‐based self‐help interventions for EDs was conducted using Noblit and Hare's (1988) 7‐phase meta‐ethnography. Four of the selected studies investigated computer‐based self‐help programs, and three of the studies investigated book‐based guided self‐help programs. Results Six concepts were synthesized. They included intervention‐related factors (anonymity and privacy; accessibility and flexibility; guidance) and user‐related factors (agency/autonomy; self‐motivation; and expectations/attitudes). The study revealed the “machine‐like” and relational properties of the computer; the expansion of treatment time and space in psychological interventions, the changing role of the medical health professional from a “therapist” to a “guide,” and a change from understanding interventions as a conclusive treatment plan to a starting point or stepping stone toward recovery. Discussion Computer‐based self‐help interventions should take advantage of the “machine‐like” properties of a computer (neutrality, availability, etc.) as well as its ability to facilitate human interactions. Users should also be facilitated to have a realistic understanding of the purpose of self‐help interventions and the place of self‐help interventions in their broader treatment plans to moderate expectations and attitudes.

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“…A 2006 review49 found no significant differences between pure or guided self-help and other psychological therapies on variables of bingeing and purging, other eating disorder symptoms, interpersonal functioning, depression or treatment dropout—a significant finding given the perennial lack of funding and length of waiting lists for more conventional treatments 50. A meta-analysis of guided self-help versus waitlist control for binge eating51 found an effect on global eating disorder psychopathology and binge abstinence.…”

Section: Existing Empirical Evidence For Self-help and Creative Biblimentioning

confidence: 99%

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

Troscianko

2018

Med Humanities

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Compared with self-help bibliotherapy, little is known about the efficacy of creative bibliotherapy or the mechanisms of its possible efficacy for eating disorders or any other mental health condition. It is clear, however, that fiction is widely used informally as a therapeutic or antitherapeutic tool and that it has considerable potential in both directions, with a possibly significant distinction between the effects of reading fiction about eating disorders (which may-contrary to theoretical predictions-be broadly negative in effect) or one's preferred genre of other fiction (which may be broadly positive). Research on creative bibliotherapy, especially systematic experimental research, is lacking and requires a medical humanities approach, drawing on knowledge and methods from psychology and cognitive literary studies as well as clinical disciplines to expand our understanding of how the dynamic processes of interpretation mediate between textual structures and characteristics of mental health and illness.

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Guided Self‐help for Eating Disorders: A Systematic Review and Metaregression

Cited by 70 publications

References 46 publications

Dialectical behavior therapy self‐help for binge‐eating disorder: A randomized controlled study

Dialectical behavior therapy self‐help for binge‐eating disorder: A randomized controlled study

Experiences of computer‐based and conventional self‐help interventions for eating disorders: A systematic review and meta‐synthesis of qualitative research

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

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