Guided Self-Change for Bulimia Nervosa Incorporating Use of a Self-Care Manual

Thiels, Cornelia; Schmidt, Ulrike; Treasure, Janet; Garthe, Rolf; Troop, N

doi:10.1176/ajp.155.7.947

Cited by 92 publications

(68 citation statements)

References 26 publications

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“…Therefore, fortnightly sessions were also employed where necessary. It would be interesting to find out whether behaviors would have continued to improve over a longer follow-up period as has been demonstrated by other GSH studies (Thiels et al, 1998), especially as our results indicate that attitudes continue to improve at the 3-month follow-up.…”

Section: Discussionsupporting

confidence: 61%

“…Table 1 presents the clinical features for the 20 participants at initial interview. This cohort appears to be typical of patients with BN who have been treated in other studies (e.g., Thiels et al, 1998). The male participant had a higher current BMI (37.81) and a higher lowest BMI (24.07) than the group, but was otherwise unremarkable.…”

Section: Participant Characteristicsmentioning

confidence: 65%

“…After treatment in two open trials delivering cognitive-behavior therapy (CBT) through GSH, Fleming (1994, 1996) reported that a significant number of patients had ceased bulimic episodes and self-induced vomiting and that most of the others had significantly improved. Thiels, Schmidt, Treasure, Garthe, and Troop (1998) compared GSH conducted over eight fortnightly sessions using CBT with 16 weekly sessions of CBT. At the end of treatment, the pure CBT condition was found to be superior to the GSH condition.…”

Section: Introductionmentioning

confidence: 99%

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A case series evaluation of guided self‐help for bulimia nervosa using a cognitive manual

Pritchard

Bergin

Wade

2004

Intl J Eating Disorders

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Section: Discussionsupporting

confidence: 61%

Section: Participant Characteristicsmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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A case series evaluation of guided self‐help for bulimia nervosa using a cognitive manual

Pritchard

Bergin

Wade

2004

Intl J Eating Disorders

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“…A number of investigations have demonstrated the efficacy of self-help and mininal intervention approaches with BN, including the use of a self-help manual along with supportive phone calls (Huon, 1985) or brief supervision sessions (Cooper et al, 1994;Cooper, Coker, & Fleming, 1996). In controlled trials of BN, self-help manuals used with brief supervisory sessions have been found to be as efficacious as standard cognitive-behavioral therapy (CBT; Thiels, Schmidt, Treasure, Garthe, & Troop, 1998;Treasure et al, 1994Treasure et al, , 1996. A self-help manual has also been shown to produce improvement in symptoms comparable to fluoxetine (Mitchell et al, in press).…”

Section: Introductionmentioning

confidence: 99%

Self‐help versus therapist‐led group cognitive‐behavioral treatment of binge eating disorder at follow‐up

Peterson

Mitchell

Engbloom

et al. 2001

Intl J Eating Disorders

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“…These results are equivalent to those obtained by using individual CBT. This study was replicated in Germany with a sample of 62 who were followed up for 6 months to 2 years (Thiels et al, 1998). Both groups achieved significant improvement in a range of measures.…”

mentioning

confidence: 93%

An evaluation of a supervised self‐help programme for bulimic disorders

Bell

Hodder

2001

Clin Psychology and Psychoth

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Portsmouth HealthCare NHS Trust, Eating Disorders Team, Havant, Hants, UK Self-help programmes are recommended as cost-effective initial interventions for the treatment of bulimic disorders. This is a report of the effectiveness of such a programme in routine clinical practice. Twenty-one patients completed the programme and both pre-and post-measures. Patients were treated in a secondary mental health setting over an 11-month period from July 1998 to June 1999. Outcome was assessed using standardized measures and records of symptom levels and drop-out rates. Significant improvements in depression, bulimic symptom and severity were observed. Multi-impulsive clients (as indicated by clinically significant scores on bingeing and two other areas of impulsivity) had similar levels of bulimia but higher depression scores pre-treatment. They made significant gains in most areas but, despite reduction in depression scores, remained significantly depressed. They also made less improvement in disordered attitudes than non-impulsive clients. A global measure of motivation did not predict drop-out or outcome though numbers were small. Patients who used Getting Better Bit(e) by Bit(e) and received motivational enhancement sessions made a greater reduction in fasting behaviour and were less likely to drop out than those who used a more standard CBT programme, but these results could be due to other factors. Copyright  2001 John Wiley & Sons, Ltd. INTRODUCTIONA sequential treatment approach to bulimic disorders including such a programme is recommended by specialists in the field (Fairburn and Peveler, 1990;Tiller et al., 1993). A supervised selfhelp programme for people with bulimic disorders was established in 1995 as part of a co-ordinated Trust-wide Eating Disorder service serving a population of 540 000. The programme consists of 30-minute weekly sessions provided by an assistant psychologist using a published treatment manual which the patient normally purchases. The manual is based in a cognitive-behavioural approach which aims to normalize attitudes to weight and eating as well as eating behaviour. The programme is audited annually as part of a cycle of evaluation, standard setting and re-evaluation (Thompson et al., 1999). This report analyses the data of 55 patients who were referred to the programme during an 11-month period, July 1998 and June 1999 and used the 'Bit(e) by Bit(e)' manual . This manual integrates principles of motivational enhancement and CBT. Previous ResearchA series of trials demonstrate the value of selfhelp manuals in the treatment of patients with bulimia nervosa (BN). The first trial by Huon (1985) Copyright  Bulimic 253randomly allocated 90 people with BN to three conditions-a postal self-help programme plus optional support from a cured bulimic, the selfhelp programme plus support from an improved bulimic or the programme without additional support. These were compared to a waiting-list control. Results of an end-of-programme assessment, 3-month and 6-month follow-ups found significant re...

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Guided Self-Change for Bulimia Nervosa Incorporating Use of a Self-Care Manual

Abstract: Guided self-change incorporating use of a self-care manual offers an approach that can be as effective as standard cognitive behavior therapy in the long term and can considerably reduce the amount of therapist contact required.

Cited by 92 publications

References 26 publications

A case series evaluation of guided self‐help for bulimia nervosa using a cognitive manual

A case series evaluation of guided self‐help for bulimia nervosa using a cognitive manual

Self‐help versus therapist‐led group cognitive‐behavioral treatment of binge eating disorder at follow‐up

An evaluation of a supervised self‐help programme for bulimic disorders

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