Cost-effectiveness of guided self-help treatment for recurrent binge eating.

Lynch, Frances L.; Striegel‐Moore, Ruth H.; Dickerson, John F.; Perrin, Nancy; DeBar, Lynn; Wilson, G. Terence; Kraemer, Helena C.

doi:10.1037/a0018982

Cited by 94 publications

(95 citation statements)

References 73 publications

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“…In summary, this study replicated and extended the findings from our earlier study (23), which demonstrated that a CBT-GSH intervention could significantly improve clinical outcomes for binge eating in a highly cost-effective manner (39). The study reported here provides further evidence that effective care for binge eating is possible in real-world settings.…”

Section: Discussionsupporting

confidence: 83%

“…This study was a replication and extension trial of our original study examining the effectiveness and cost-effectiveness of a brief guided self-help treatment for binge eating disorders in a nonspecialty health care (HMO) setting (23,39). Despite several changes to recruitment, assessment, and target population to reflect how such a program might be utilized in everyday practice conditions, the results pattern was similar to what we found in the earlier study.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, consistent with other studies suggesting the infrequent use of care targeted to eating disorders (13,22,40), there was little indication that participants were treated specifically for an eating disorder outside the context of the intervention. When asked directly, participants in our earlier study cited receipt of some ancillary services associated with concerns about weight and eating disorders, which we then verified through targeted review of electronic medical records (23,39). This information suggests the importance of communicating directly with participants to accurately and comprehensively describe service utilization.…”

Section: Discussionmentioning

confidence: 99%

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Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

DeBar¹,

Striegel‐Moore²,

Wilson³

et al. 2011

Psychiatric Services

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Objective The aim of this study was to replicate and extend results of a previous blended efficacy and effectiveness trial of a low-intensity, manual-based guided self-help form of cognitive-behavioral therapy (CBT-GSH) for the treatment of binge eating disorders in a large health maintenance organization (HMO) and to compare them with usual care. Methods To extend earlier findings, the investigators modified earlier recruitment and assessment approaches and conducted a randomized clinical trial to better reflect procedures that may be reasonably carried out in real-world practices. The intervention was delivered by master’s-level interventionists to 160 female members of a health maintenance organization who met diagnostic criteria for recurrent binge eating. Data collected at baseline, immediately posttreatment, and at six- and 12-month follow-ups were used in intent-to-treat analyses. Results At the 12-month follow-up, CBT-GSH resulted in greater remission from binge eating (35%, N=26) than usual care (14%, N=10) (number needed to treat=5). The CBT-GSH group also demonstrated greater improvements in dietary restraint (d=.71) and eating, shape, and weight concerns (d=1.10, 1.24, and .98, respectively) but not weight change. Conclusions Replication of the pattern of previous findings suggests that CBT-GSH is a robust treatment for patients with recurrent binge eating. The magnitude of changes was significantly smaller than in the original study, however, suggesting that patients recruited and assessed with less intensive procedures may respond differently from their counterparts enrolled in trials requiring more comprehensive procedures.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

DeBar¹,

Striegel‐Moore²,

Wilson³

et al. 2011

Psychiatric Services

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show abstract

“…These findings corroborate prior findings from cost-effectiveness analyses of (guided) bibliotherapy for depression (Smit et al, 2006;Vos, Corry, Haby, Carter, & Andrews, 2005) and binge-eating disorder (Lynch et al, 2010), although these interventions were based on cognitive behavioral therapy (CBT). Economic evaluations of web-based self-help interventions (mostly CBT-based) for mental health are more abundant (Donker et al, 2015).…”

Section: Discussionsupporting

confidence: 81%

Enhancing flourishing mental health in the general population as a new strategy for the prevention of anxiety and depressive disorders

Schotanus-Dijkstra

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“…En distintos estudios la modalidad de autoayuda de la tcc no solo ha obtenido resultados similares a la tip y superiores a otros tratamientos -como la terapia de conducta de pérdida de peso-, sino que ha resultado ser más efectiva en costes que el tratamiento habitual, tal como demostraron Lynch et al (2010) empleando el método cea (Cost-Effective Analysis).…”

Section: Eficacia Comparativa De Los Distintos Tratamientos Para El Taunclassified

Tratamientos actuales del trastorno por atracón

González-Calderón

Ormaechea-Alegre

2016

Pensando Psicol.

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ResumenIntroducción: a pesar de que el trastorno por atracón (ta) constituye un importante problema de salud, menos de la mitad de quienes lo padecen reciben tratamiento. Objetivo: revisar la literatura reciente sobre las intervenciones llevadas a cabo en casos de ta. Método: con el fin de llevar a cabo la presente revisión narrativa, se han consultado las bases de datos Pubmed, Medline y Scielo. Solo se eligieron artí-culos en revistas indexadas en la Web of Science. La literatura revisada corresponde a los artículos más citados publicados en el período temporal que abarca desde el 2010 hasta el 2015. Resultados y conclusiones: los resultados muestran que las intervenciones más utilizadas son las de índole psicológica, entre las cuales se destacan la terapia cognitivo-conductual y la terapia interpersonal, recomendada esta última en pacientes con patología más severa. La terapia de conducta de pérdida de peso es menos eficaz al no reducir los atracones, por lo que no constituye el tratamiento de elección. Aunque algunos antidepresivos y antiepiléticos han mostrado cierta utilidad para reducir los atracones, el peso y patologías comórbidas, no hay evidencia de que la intervención farmacológica por sí sola sea más eficaz que la psicológica, ni de que mejore los resultados de la segunda cuando ambos se aplican conjuntamente. The results show that the most commonly used interventions are those of psychological nature, including cognitive behavioral therapy and interpersonal therapy, the latter recommended in patients with a more severe pathology. The behavioral therapy for weight loss is less effective by not reducing binge eating; therefore, it is not the treatment of choice. Although some antidepressant and antiepileptic drugs have shown some utility in reducing binge eating, weight and comorbidities, there is no evidence that pharmacological intervention alone is more effective than psychological intervention, or that it improves the results of the latter when both are applied together.

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Cost-effectiveness of guided self-help treatment for recurrent binge eating.

Cited by 94 publications

References 73 publications

Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

Guided Self-Help Treatment for Recurrent Binge Eating: Replication and Extension

Enhancing flourishing mental health in the general population as a new strategy for the prevention of anxiety and depressive disorders

Tratamientos actuales del trastorno por atracón

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