Study shows that web-based cognitive behavioral self-help interventions effectively reduce binge eating episodes and improve overall well-being in individuals with binge eating disorder (BED).
By Dr. Priyom Bose, Ph.D.May 19 2024Reviewed by Benedette Cuffari, M.Sc. A recent JAMA Network Open study assesses the effectiveness of web-based self-help interventions in alleviating binge eating disorder .
Previous studies have demonstrated that cognitive behavioral therapy is an effective BED intervention, as this treatment can effectively manage various psychiatric conditions, including bulimia nervosa and anorexia nervosa. Nevertheless, several barriers, such as clinician unawareness, treatment costs, and sociocultural stigma, prevent many patients from seeking in-person psychotherapy.
About the study In the current study, researchers discuss the results of a randomized clinical trial evaluating the effectiveness of a web-based cognitive behavioral self-help intervention for BED. The team assessed changes in eating disorder symptoms, well-being, comorbid psychopathology, eating disorder symptoms, self-esteem, emotion regulation, and clinical impairment. Weekly symptom monitoring and ecological momentary assessment were used to identify real-time changes in binge eating.
The core curriculum included six mandatory modules involving psychoeducation, self-monitoring of binge eating, emotion regulation videos, audio, texts, and interactive exercises. The intervention used a sequential module-access strategy to engage the participants in a more personalized manner, in which a new module became accessible after completing the preceding module.
The intervention's efficacy exceeded or was similar to previously documented digital interventions, as well as in-person guided and unguided self-help interventions for BED. Notably, the levels of improvement observed in the intervention group were consistent with or surpassed those associated with in-person CBT interventions, thus confirming the clinical applicability of web-based cognitive behavioral self-help interventions.
Eating Disorder Anorexia Anorexia Nervosa Bulimia Nervosa Chronic Cognitive Behavioral Therapy Diabetes Obesity Psychotherapy Type 2 Diabetes
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