Guided self-help for eating disorders: a systematic review and metaregression
Abstract
BACKGROUND: Evidence-based self-help is a recommended first stage of treatment for mild-moderate eating disorders. The provision of guidance enhances outcome. The literature evaluating exclusively 'guided' self-help (GSH) has not been systematically reviewed. METHODS: The aim was to establish the effectiveness of GSH for reducing global eating disorder psychopathology and abstinence from binge eating, compared with controls. Results were pooled using random effects meta-analysis and heterogeneity explored using metaregression. RESULTS: Thirty randomised controlled trials met the inclusion criteria. Results showed an overall effect of GSH on global eating disorder psychopathology (-0.46) and binge abstinence (-0.20). There was strong evidence for an association between diagnosis of binge eating disorder and binge abstinence. DISCUSSION: Current interventions need to be adapted to address features other than binge eating. Further research is required to help us understand the effectiveness of GSH in children and young people, invariably high dropout rates and how technology can enhance interventions. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
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Guided self-help programs are promising lower-intensity alternatives to face-to-face treatment delivery.
“Guided self-help programs have emerged as promising lower-intensity alternatives to face-to-face treatment delivery (19).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [19]
The BACKGROUND describes guided self-help as a lower-intensity option within stepped care for eating disorders, supporting its promise as an alternative to higher-intensity therapy. But the Intervention section says guidance was most commonly delivered face-to-face (20 studies), so the paper does not support presenting guided self-help generally as an alternative to face-to-face delivery. (LLM, conf=0.87)
Experimental — accuracy not yet measuredSystematic reviews demonstrate the effectiveness of eHealth as a complementary therapeutic tool in the treatment of eating disorders.
“Systematic reviews of the literature demonstrate the effectiveness of eHealth as a complementary therapeutic tool in the treatment of EDs [11–16].”
From Cost-effectiveness of the mobile application TCApp combined with face-to-face CBT treatment compared to face-to-face CBT treatment alone for patients with an eating disorder: Study protocol of a multi-centre randomised controlled trial (2018) · cites this paper as [16]
The Conclusions report that guided self-help is effective for eating disorders, and the Intervention section says some included studies delivered it online. But the review does not establish the effectiveness of eHealth as a complementary therapeutic tool; the Conclusions call for further research on incorporating eHealth into guided self-help. The cited passages have section labels but no page numbers. (LLM, conf=0.87)
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- Authors
- Traviss‐Turner, G. D., West, R. M., & Hill, A. J.
- Affiliations
- University of Leeds (GB)
- Corresponding author
- Traviss‐Turner, Gemma D.
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2017-03-09
- Volume
- 25
- Issue
- 3
- Pages
- 148-164
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2591729171
- Cited by
- 98
- References
- 51
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 23 · 2023: 12 · 2022: 14 · 2021: 5 · 2020: 9 · 2019: 6 · 2018: 7 · 2017: 4
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- guided self-help, eating disorders, binge eating, eating disorder psychopathology, treatment effectiveness, binge eating disorder
- MeSH terms
- Feeding and Eating Disorders, Humans, Regression Analysis, Self Care, Randomized Controlled Trials as Topic, Treatment Outcome
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