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Who benefits most from guided self-help for binge eating? An investigation into the clinical features of completers and non-completers.
MedLine Citation:
PMID:  22365800     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Guided self-help (GSH) is a recommended first step in treatment for bulimia nervosa (BN) and binge eating disorder (BED) (NICE, 2004). It remains unclear what makes some individuals more likely to respond to this form of treatment than others. Forty-eight patients participated in this study using a GSH programme for binge eating. Profiles of treatment completers and non-completers are compared, and reasons for non-completion explored. Completion of treatment was associated with significant improvements in mood, general functioning and on measures of dietary restraint, frequency of objective binge eating (OBE), laxative misuse, self-induced vomiting (SIV) and driven exercise. Improvements were maintained at follow-up. Treatment non-completers reported significantly higher pre-treatment levels of depression and weight concern, and lower levels of general health and vitality. Reasons for discontinuing treatment were related to perceptions of the GSH programme; practicalities of the programme; and readiness to change. Whilst GSH can be effective for a sub-group of patients, factors such as pre-morbid level of depression, degree of weight concern, perceptions of the programme, and readiness to change may increase the likelihood of non-completion.
Authors:
C Jones; R Bryant-Waugh; H M Turner; C Gamble; L Melhuish; P E Jenkins
Publication Detail:
Type:  Journal Article     Date:  2011-11-30
Journal Detail:
Title:  Eating behaviors     Volume:  13     ISSN:  1873-7358     ISO Abbreviation:  Eat Behav     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-02-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101090048     Medline TA:  Eat Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Hampshire Partnership NHS Foundation Trust Eating Disorder Service, Southampton, Unit 3, Eastleigh Community Enterprise Centre, Barton Park, Eastleigh, SO50 6RR, UK.
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