Guided self-help for binge eating/purging anorexia nervosa before inpatient treatment.
The goal of this study was to develop a cognitive-behavioral self-help manual for anorexia nervosa. Patients diagnosed with anorexia nervosa (N=102), binge eating/purging type (AN-B/P), were consecutively assigned to one of two conditions: 6-week manualized guided self-help or a wait-list control. All patients thereafter received inpatient treatment in a hospital for behavioral medicine. The primary outcome variable was the number of days in inpatient treatment. Secondary outcome variables were measures of psychopathology. Results showed that duration of inpatient treatment was significantly shorter (by 5.2 days) among participants receiving guided self-help. Body image, slimness ideal, general psychopathology, and some bulimic symptoms improved significantly during self-help. The authors conclude that, to increase effects of therapist-guided self-help in AN-B/P, additional variants of a self-help manual should be tried in different therapeutic settings.
Fichter
Manfred
M
Klinik Roseneck, Hospital for Behavioral Medicine, Prine, Germany. MFichter@schoen-kliniken.de
Cebulla
Marian
M
Quadflieg
Nobert
N
Naab
Silke
S
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D003376:Counseling; D004644:Emotions; D005260:Female; D006801:Humans; D007902:Length of Stay; D008370:Manuals as Topic; D010343:Patient Admission; D010352:Patient Dropouts; D017060:Patient Satisfaction; D010552:Personality Assessment; D012648:Self Care / Q000523:psychology*; D013689:Telephone; D013851:Thinness / Q000523:psychology; D055815:Young Adult