Psychoeducation in Binge Eating Disorder and EDNOS: A Pilot Study on the Efficacy of a 10-Week and a 1-Year Continuation Treatment.

Psychoeducation in Binge Eating Disorder and EDNOS: a pilot study on the efficacy of a 10-week and a 1-year continuation treatment.

Eat Weight Disord. 2013 Mar; 18(1): 45-51
Balestrieri M, Isola M, Baiano M, Ciano R

The goals of the present study were (a) to analyse the efficacy of short-term (10 weeks) psychoeducation group treatment in patients with binge eating disorder (BED) and eating disorders not otherwise specified (EDNOS), and (b) to analyse the determinants of the success of psychoeducation on single outcome measures.The sample included all patients seeking help for their binge behaviour at the Psychiatric Clinic of the Teaching Hospital of Udine. They all met the inclusion DSM-IV TR criteria for a diagnosis of EDNOS or BED. Eating attitudes were measured with the Eating Disorder Inventory (EDI-2), which includes three scales: bulimia (EDI-BU), body dissatisfaction (EDI-BD) and drive to thinness (EDI-DT). Other psychometric instruments were the Hospital Anxiety and Depression Scale and the Toronto Alexithymia Scale (TAS-20). Psychoeducation group treatment was carried out in an outpatient setting. It consisted in 10 weekly sessions of group therapy. At the end of this period, patients who maintained an eating disorder (ED) were asked to participate to an extension protocol, which included two fortnightly sessions followed by further monthly sessions for a period of 8 months.98 patients were originally included in the protocol. Of these, 54 met the criteria for BED and 44 for EDNOS. At the end of the treatment, 30 patients (30.6 %) no longer suffered from an ED. All patients showed significant improvements on several other outcome measures (frequency of binges, BMI, bulimic traits, body dissatisfaction, anxiety, depression and alexithymia). The probability to recover from an ED was greater in subjects with higher scores of both BMI (p = 0.009) and EDI-BU (p = 0.002), together with lower TAS-20 scores at t0 (p = 0.003); the probability to reduce the frequency of binges was greater in subjects with higher frequency of binges at t0 (p < 0.0001); the improvement in the EDI-BD scores was negatively associated (p = 0.005) with BMI at t0, and positively associated with scores at t0 of EDI-BD (p < 0.0001); the improvement in the EDI-BU scores at t1 was associated with the EDI-BU scores at t0 (p < 0.0001). 53 patients accepted to participate to the continuation phase; of these, 32 were assessed at the end of the period. About 41 % of the latter obtained a recovery from an ED, with a further reduction of the episodes of binges and an improvement of BMI scores.This study may demonstrate the efficacy of psychoeducation group treatment for BED and EDNOS patients. HubMed – eating


How effective is bibliotherapy-based self-help cognitive behavioral therapy with Internet support in clinical settings? Results from a pilot study.

Eat Weight Disord. 2013 Mar; 18(1): 37-44
Högdahl L, Birgegård A, Björck C

Cognitive behavioral therapy-based guided self-help (CBT-GSH) via the Internet has been shown to be effective in the treatment of bulimia nervosa (BN) and similar eating disorders (EDs), but it is rarely offered, and little is known about the effects, in clinical settings. The present study investigated the effects of a bibliotherapy-based CBT-GSH with Internet support in a clinical setting. Participants were 48 adult outpatients who were recruited without randomization from a specialized ED clinic, diagnosed with BN or similar eating disorder. Forty-eight patients in an intensive day patient program (DPP) were used as comparison group. The Eating Disorder Examination Questionnaire (EDE-Q) and the Eating Disorder Inventory 2 measured pre- and post treatment symptoms. Results showed that both groups attained significant improvements in core- as well as related ED symptoms in both instruments. As expected, treatment effects were larger in the more intensive DPP. Nonetheless, bibliotherapy CBT-GSH appears to be a cost-effective treatment that represents a new way to provide more CBT in clinical settings. HubMed – eating


Eating Disorders Examination Questionnaire (EDE-Q): norms for US college students.

Eat Weight Disord. 2013 Mar; 18(1): 29-35
Quick VM, Byrd-Bredbenner C

To present normative data for the Eating Disorders Examination Questionnaire, 6th edition (EDE-Q) from a large (n = 2,448), diverse (56 % White) sample of college students.Participants completed the EDE-Q online. Mean scores and percentile ranks for global and subscale (restraint and eating, weight, and shape concerns) scores and binge eating and inappropriate compensatory behavior (dietary restraint, self-induced vomiting, medicine misuse, excessive exercise) frequencies were computed.Women had higher global and subscale scores and tended to engage in inappropriate compensatory behaviors more often than men. Women with clinically significant restraint, and eating, shape, and weight concerns scores equaled 5.4, 2.0, 18.6, and 13.0 %, respectively, and, for men, equaled 3.0, 0.3, 6.0, and 2.0 %. Compared with less diverse samples, women in this study had significantly higher shape concern and lower restraint and eating concern scores and men had lower shape and weight concern scores.Normative data from this diverse sample can help healthcare professionals and researchers better interpret EDE-Q scores. HubMed – eating


The Eating Disorders Well Being Questionnaire (EDwell): a new measure of quality of life in eating disorders.

Eat Weight Disord. 2013 Mar; 18(1): 11-22
Castellini G, Fioravanti G, Ravaldi C, Masetti S, Vannacci A, Mannucci E, Faravelli C, Ricca V

Eating disorders (EDs) are an important cause of physical morbidity and psychosocial impairment, and eating disordered patients have a worse quality of life than peers. The aim of this study was to develop and validate a new self-report instrument, the Eating Disorders Well Being Questionnaire (EDwell), a measure of eating disorders-related quality of life, which takes into consideration not only the intensity, but also the subjective relevance of physical and psychosocial distress.The questionnaire was administered to 120 eating disordered patients and 60 healthy controls. Patients underwent a psychopathological and clinical evaluation. Test-retest reliability, internal consistency, and psychopathological correlates were evaluated. All patients were also administered the Eating Disorder Examination (EDE12.0D) and the Short Form 36 Health Survey (SF36). A factor analysis was performed to verify the distribution of items into subscales.EDwell showed good test-retest reliability and internal consistency. EDwell scores significantly correlated with EDE12.0D total and subscale scores. A significant correlation was also found between several EDwell and SF36 scores. Factor analysis identified three factors: Perfectionism/Control, Loneliness/Avoidance, Social Functioning.The EDwell questionnaire is a feasible and reliable measure of the specific impact of Eating Disorders psychopathology on quality of life. HubMed – eating