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

Abstract
Objective: The purpose of this study was to evaluate the longer‐term outcome of three group cognitive‐behavioral therapy (CBT) delivery models for the treatment of binge eating disorder (BED).Method: Fifty‐one participants were assigned to one of three conditions. In the therapist‐led condition (TL; n = 16), a psychologist provided psychoeducational information for the first half hour and led a group discussion for the second half hour of each session. In the partial self‐help condition (PSH; n = 19), participants viewed a 30‐min psychoeducational videotape, followed by a therapist‐led discussion. In the structured self‐help condition (SSH; n = 16), participants watched a psychoeducational videotape and led their own discussion.Results: Reductions in binge eating episodes and associated symptoms were observed for all three treatments at post, 1‐month, 6‐month, and 1‐year follow‐up, with no significant differences among the three conditions.Discussion: These findings suggest that CBT for BED can be delivered successfully using videotape and a structured self‐help group format and that improvements in binge eating are maintained up to 1 year follow‐up. © 2001 by John Wiley & Sons, Inc. Int J Eat Disord 30: 363–374, 2001.