A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder
Abstract
We performed a randomized controlled study to test the relative efficacy of guided self-help (gsh) cognitive-behavioral therapy (CBTgsh) and behavioral weight loss treatment (BWLgsh) treatments for binge eating disorder (BED). To provide an additional partial control for non-specific influences of attention, a third control (CON) treatment condition was included. We tested the treatments using a guided self-help approach given the promising results from initial studies using minimal therapist guidance. Ninety consecutive overweight patients (19 males, 71 females) with BED were randomly assigned (5:5:2 ratio) to one of three treatments: CBTgsh (N=37), BWLgsh (N=38), or CON (N=15). The three 12-week treatment conditions were administered individually following guided self-help protocols. Overall, 70 (78%) completed treatments; CBTgsh (87%) and CON (87%) had significantly higher completion rates than BWLgsh (67%). Intent-to-treat analyses revealed that CBTgsh had significantly higher remission rates (46%) than either BWLgsh (18%) or CON (13%). Weight loss was minimal and differed little across treatments. The findings suggest that CBT, administered via guided self-help, demonstrates efficacy for BED, but not for obesity. The findings support CBT administered via guided self-help as a first step in the treatment of BED and provide evidence for its specific effects.
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CBT guided self-help treatment shows better remission rates compared to behavioral weight loss treatment and control conditions.
“CBT guided self-help treatment showed better remission rates compared to behavioral weight loss treatment and control conditions [20].”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [20]
The 45% abstinence rate is comparable to the percentage of abstinence observed with guided self-help books for BED with the less stringent criterion of no binge eating episodes for the last 28 days.
“This percentage is comparable to the percentage of abstinence observed with guided self-help books for BED with the less stringent criterion of no binge eating episodes for the last 28 days [19, 20].”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [20]
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O'Malley, S. S., Sinha, R., Grilo, C. M., Capone, C., Farren, C. K., McKee, S. A., Rounsaville, B. J., & Wu, R. (2007) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2007.00347.x · Cited by 85 · see citing works
Overview of the treatment of binge eating disorder
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Masheb, R. M., & Grilo, C. M. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.01.004 · Cited by 76 · see citing works
Self-citationGrilo, C. M., White, M. A., Masheb, R. M., Ivezaj, V., MORGAN, P. T., & Gueorguieva, R. V. (2020) · American Psychologist · doi:10.1037/amp0000534 · Cited by 75 · see citing works
Self-citationTreatment of Binge Eating Disorder
Wilson, G. T. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.08.011 · Cited by 74 · see citing works
Masheb, R. M., Grilo, C. M., & Rolls, B. J. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.09.006 · Cited by 73 · see citing works
Self-citationExamination of predictors and moderators for self-help treatments of binge-eating disorder.
Masheb, R. M., & Grilo, C. M. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0012917 · Cited by 70 · see citing works
Self-citationThompson‐Brenner, H., Franko, D. L., Thompson, D. R., Grilo, C. M., Boisseau, C. L., Roehrig, J. P., Richards, L. K., Bryson, S. W., Bulik, C. M., Crow, S. J., et al. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0032946 · Cited by 70 · see citing works
Self-citationGrilo, C. M., Masheb, R. M., White, M. A., Gueorguieva, R. V., Barnes, R. D., Walsh, B. T., McKenzie, K. C., Genao, I., & Garcia, R. L. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.04.002 · Cited by 69 · see citing works
Self-citationLinardon, J. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1427785 · Cited by 69 · see citing works
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An examination of eating patterns in community women with bulimia nervosa and binge eating disorder
Masheb, R. M., Grilo, C. M., & White, M. A. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20853 · Cited by 68 · see citing works
Self-citationEating patterns and breakfast consumption in obese patients with binge eating disorder
Masheb, R. M., & Grilo, C. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.10.013 · Cited by 68 · see citing works
Self-citationHeterogeneity moderates treatment response among patients with binge eating disorder.
Sysko, R., Hildebrandt, T., Wilson, G. T., Wilfley, D. E., & Agras, W. S. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0019735 · Cited by 69 · see citing works
Ghaderi, A., Odeberg, J., Gustafsson, S., Råstam, M., Brolund, A., Pettersson, A., & Parling, T. (2018) · PeerJ · doi:10.7717/peerj.5113 · Cited by 79 · see citing works
Binge Eating Disorder in Patients with Type 2 Diabetes: Diagnostic and Management Challenges
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Recognizing Binge-Eating Disorder in the Clinical Setting
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Grilo, C. M., White, M. A., Gueorguieva, R., Barnes, R. D., & Masheb, R. M. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.10.002 · Cited by 59 · see citing works
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Memantine in the treatment of binge eating disorder: An open‐label, prospective trial
Brennan, B. P., Roberts, J. L., Fogarty, K. V., Reynolds, K. A., Jonas, J. M., & Hudson, J. I. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20541 · Cited by 63 · see citing works
Grilo, C. M., White, M. A., Wilson, G. T., Gueorguieva, R. V., & Masheb, R. M. (2011) · Psychological Medicine · doi:10.1017/s0033291711001875 · Cited by 63 · see citing works
Self-citationRapid response predicts treatment outcomes in binge eating disorder: Implications for stepped care.
Masheb, R. M., & Grilo, C. M. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.4.639 · Cited by 62 · see citing works
Self-citationCurrent and Emerging Directions in the Treatment of Eating Disorders
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Dialectical behavior therapy self‐help for binge‐eating disorder: A randomized controlled study
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Lydecker, J. A., & Grilo, C. M. (2021) · Psychological Medicine · doi:10.1017/s0033291721001045 · Cited by 51 · see citing works
Self-citationTreatment of Eating Disorders in Adults Versus Adolescents: Similarities and Differences
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A Systematic Review of Physical Activity Interventions in Individuals with Binge Eating Disorders
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The effects of cognitive‐behavioral therapy for eating disorders on quality of life: A meta‐analysis
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Guided self-help for disordered eating: A randomised control trial.
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Psychological Co-morbidities of Physical Illness
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Treatment of Eating Disorders: Current Status, Challenges, and Future Directions
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A brief screening measure for binge eating in primary care
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Self-citationEffectiveness of a Web-Based Cognitive Behavioral Self-Help Intervention for Binge Eating Disorder
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Self-citationGuided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension
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Binge Eating Behavior and Weight Loss Maintenance over a 2-Year Period
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Lydecker, J. A., Gueorguieva, R. V., Masheb, R. M., White, M. A., & Grilo, C. M. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000404 · Cited by 27 · see citing works
Self-citation
- Authors
- Grilo, C. M., & Masheb, R. M.
- Affiliations
- Yale University (US)
- Corresponding author
- Grilo, Carlos M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 43
- Issue
- 11
- Pages
- 1509-1525
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2070229588
- Cited by
- 199
- References
- 55
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 16 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 9 · 2019: 6 · 2018: 11 · 2017: 14 · 2016: 8 · 2015: 7 · 2014: 12 · 2013: 13 · 2012: 11
- FWCI
- 11.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Patrick and Catherine Weldon Donaghue Medical Research Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating disorder, guided self-help, cognitive behavioral therapy, behavioral weight loss, obesity, treatment completion, remission, weight loss, non-specific treatment effects
- MeSH terms
- Adult, Analysis of Variance, Behavior Therapy, Double-Blind Method, Female, Humans, Hyperphagia, Male, Middle Aged, Psychotherapy, Group, Self-Help Groups, Weight Loss, Cognitive Behavioral Therapy, Case-Control Studies
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