Guided Self-Help CBT Treatment for Bulimic Disorders: Effectiveness and Clinically Significant Change.

Guided self-help CBT treatment for bulimic disorders: Effectiveness and clinically significant change.

Psychother Res. 2013 May; 23(3): 324-332
Vaz AR, Conceição E, Machado PP

Abstract The aim of this study was to test the effectiveness of a cognitive-behavioral guided self-help treatment program for bulimia nervosa and similar disorders. Participants were assessed at the beginning and end of treatment, and at 6 months follow-up, using the Eating Disorder Examination Questionnaire (EDE-Q), the Outcome-Questionnaire-45 (OQ-45), and the Beck Depression Inventory (BDI). Forty-two participants from an eating disorders treatment service participated in this study. This study followed a one-group repeated measures naturalistic design with no control group. Results showed a significant reduction in EDE scores, OQ-45 and BDI. Clinically significant change occurred for the majority of participants. Cognitive-behavioral self-help treatment may be of value as an initial treatment for bulimia nervosa and similar disorders such as binge eating disorder. HubMed – eating


Eating disorder psychotherapy research – beyond the brand: Introduction to a Special Section.

Psychother Res. 2013 May; 23(3): 247-251
Tasca GA, Machado PP

Abstract Psychological interventions and research for eating disorders tend to be complex, and outcomes on average are modest. Given the frequency and severity of eating disorders, these levels of outcomes are disconcerting. Adding to the current state of research is evidence that practicing clinicians do not tend to use evidence-based psychotherapies consistently for eating disorders. This is a problem not only of dissemination and uptake of research, but also one of knowledge translation. More practice-based research, in which clinicians are equal partners in developing interventions and designing research, may be necessary in order to solve the problems of modest outcomes and low research uptake. The psychotherapy research of eating disorders in this special section presents examples of research that takes place in real-world clinical contexts with complex patients and that can be more easily translated into clinical practice. HubMed – eating