Specificity of psychological treatments for bulimia nervosa and binge eating disorder? A meta-analysis of direct comparisons

Spielmans, Glen I.; Benish, Steven G.; Marin, Catherine; Bowman, Wesley M.; Menster, Maria; Wheeler, Anthony J.

doi:10.1016/j.cpr.2013.01.008

Cited by 53Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNutrition, Health and Food Behavior

Specificity of psychological treatments for bulimia nervosa and binge eating disorder? A meta-analysis of direct comparisons

Spielmans, Glen I., Benish, Steven G., Marin, Catherine, Bowman, Wesley M., Menster, Maria, Wheeler, Anthony J.·2013·Clinical Psychology Review

DOI 10.1016/j.cpr.2013.01.008

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Abstract

Treatment guidelines state that cognitive-behavioral therapy (CBT) and interpersonal therapy are the best-supported psychotherapies for bulimia nervosa (BN) and that CBT is the preferred psychological treatment for binge eating disorder (BED). However, no meta-analysis which both examined direct comparisons between psychological treatments for BN and BED and considered the role of moderating variables, such as the degree to which psychotherapy was bona fide, has previously been conducted Thus, such an analysis was undertaken. We included 77 comparisons reported in 53 studies. The results indicated that: (a) bona fide therapies outperformed non-bona fide treatments, (b) bona fide CBT outperformed bona fide non-CBT interventions by a statistically significant margin (only approaching statistical significance for BN and BED when examined individually), but many of these trials had confounds which limited their internal validity, (c) full CBT treatments offered no benefit over their components, and (d) the distribution of effect size differences between bona fide CBT treatments was homogeneously distributed around zero. These findings provide little support for treatment specificity in psychotherapy for BN and BED.

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CBT is the standard of care for many psychiatric disorders including depression, anxiety disorders, eating disorders, addiction, chronic pain and sleeping disturbance (insomnia) across the spectrum of acuity.
“CBT is the standard of care for many psychiatric disorders including depression, anxiety disorders, eating disorders, addiction, chronic pain and sleeping disturbance (insomnia) across the spectrum of acuity.16–20”
From A study protocol for a non-randomised comparison trial evaluating the feasibility and effectiveness of a mobile cognitive-behavioural programme with integrated coaching for anxious adults in primary care (2018) · cites this paper as [20]

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Authors: Spielmans, G. I., Benish, S. G., Marin, C., Bowman, W. M., Menster, M., & Wheeler, A. J.
Affiliations: Metropolitan State University (US)
University of Wisconsin–Platteville (US)
Corresponding author: Spielmans, Glen I.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2013-04
Volume: 33
Issue: 3
Pages: 460-469
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2013.01.008
OpenAlex: W1964837140
Cited by: 53
References: 115
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 7 · 2020: 3 · 2019: 4 · 2018: 11 · 2017: 6 · 2016: 5 · 2015: 6 · 2014: 2 · 2013: 3
FWCI: 0.78
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
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: bulimia nervosa, binge eating disorder, cognitive behavioral therapy, interpersonal psychotherapy, treatment specificity, treatment comparison, treatment components, internal validity, eating disorders
MeSH terms: Humans, Psychotherapy, Bulimia Nervosa, Binge-Eating Disorder

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Specificity of psychological treatments for bulimia nervosa and binge eating disorder? A meta-analysis of direct comparisons

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