Randomised controlled trial of a guided self-help treatment on the internet for binge eating disorder
Open accessAbstract
Binge eating disorder (BED) is a common and under-treated condition with major health implications. Cognitive behavioural therapy (CBT) self-help manuals have proved to be efficient in BED treatment. Increasing evidence also support the use of new technology to improve treatment access and dissemination. This is the first randomised controlled study to evaluate the efficacy of an Internet guided self-help treatment programme, based on CBT, for adults with threshold and subthreshold BED. Seventy-four women were randomised into two groups. The first group received the six-month online programme with a six-month follow-up. The second group was placed in a six-month waiting list before participating in the six-month intervention. Guidance consisted of a regular e-mail contact with a coach during the whole intervention. Binge eating behaviour, drive for thinness, body dissatisfaction and interoceptive awareness significantly improved after the Internet self-help treatment intervention. The number of objective binge episodes, overall eating disorder symptoms score and perceived hunger also decreased. Improvements were maintained at six-month follow-up. Dropouts exhibited more shape concern and a higher drive for thinness. Overall, a transfer of CBT-based self-help techniques to the Internet was well accepted by patients, and showed positive results for eating disorders psychopathology.
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The present study had a treatment completion rate of 91.7%, which is high compared with completion rates of other studies (33.2%-82.6%).
“The present study had a treatment completion rate of 91.7%, which is high in comparison to completion rates of other studies.”
From Effectiveness of web-based guided self-help cognitive behavioral therapy-enhanced for binge-eating disorder: An implementation study (2024) · cites this paper as Carrard et al., 2011
A meta-analysis of BED eTherapy programs found moderate pooled reductions in objective binge episode frequency (d = −0.77) and ED psychopathology (d = −0.71) across three studies.
“A meta-analysis of BED eTherapy programs found moderate pooled reductions in objective binge episode frequency (d = −0.77) and ED psychopathology (d = −0.71) across three studies (28–30).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [28]
Two of the three included studies employed clinical psychologists in the support clinician role, with only one study utilising other health professionals.
“two employed clinical psychologists in the support clinician role (28, 29), with only one study utilising other health professionals (30).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [28]
All three included studies used superseded DSM-IV diagnostic criteria for BED diagnosis.
“All studies used superseded DSM-IV diagnostic criteria for BED diagnosis in their samples”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [28]
Support sessions with participants were primarily facilitated by trained research assistants, contrasting with previous studies that have employed clinical psychologists in this role.
“Support sessions with participants were primarily facilitated by trained research assistants, contrasting with previous studies that have employed clinical psychologists in this role (28, 29, 60).”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [28]
Eighteen studies state that encouraging adherence is a task for the counselor.
“it is remarkable that 18 state that encouraging adherence is a task for the counselor [45-62]”
From Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions (2012) · cites this paper as [48]
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- Authors
- Carrard, I., Crépin, C., Rouget, P., Lam, T., Golay, A., & Van der Linden, M.
- Affiliations
- University Hospital of Geneva (CH)
- NetUnion (Switzerland) (CH)
- Corresponding author
- Carrard, I.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 49
- Issue
- 8
- Pages
- 482-491
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2097804269
- Cited by
- 176
- References
- 53
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 14 · 2023: 20 · 2022: 9 · 2021: 7 · 2020: 12 · 2019: 7 · 2018: 14 · 2017: 16 · 2016: 10 · 2015: 14 · 2014: 12 · 2013: 13 · 2012: 13
- FWCI
- 13.45
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- ORBi (University of Liège) (submittedVersion)
- Funders
- Hans Wilsdorf Foundation
- Marie Curie Research Training Network INTACT
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating disorder, guided self-help, online intervention, cognitive behavioral therapy, drive for thinness, body dissatisfaction, interoceptive awareness, shape concern, women, treatment discontinuation
- MeSH terms
- Adolescent, Adult, Body Image, Female, Humans, Middle Aged, Personal Satisfaction, Self Care, Self Concept, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Internet, Binge-Eating Disorder
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