title: A randomized wait-list controlled pilot study of dialectical behaviour therapy guided self-help for binge eating disorder.
abstract: This study examined the efficacy of guided self-help based on dialectical behaviour therapy (DBTgsh) for binge eating disorder (BED). Individuals (88.3% female; mean 42.8 years) were randomized to DBTgsh (n=30) or wait-list (WL; n=30). DBTgsh participants received an orientation, DBT manual, and six 20-min support calls over 13 weeks. All participants were assessed pre- and post-treatment using interview and self-report; also, DBTgsh participants were re-assessed six months post-treatment. At treatment end, DBTgsh participants reported significantly fewer past-month binge eating episodes than WL participants (6.0 versus 14.4) and significantly greater rates of abstinence from binge eating (40.0% versus 3.3%). At six-month follow-up, DBTgsh participants reported significantly improved quality of life and reduced ED psychopathology compared to baseline scores. In addition, most improvements in the DBTgsh group were maintained, although binge eating abstinence rates decreased to 30%. These preliminary positive findings indicate that DBTgsh may offer an effective, low-intensity treatment option for BED.
authors.affiliation: Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4, Canada. Electronic address: pmasson@gmail.com.
authors.forename: Philip C
authors.initials: PC
authors.lastname: Masson
authors.forename: Kristin M
authors.initials: KM
authors.lastname: von Ranson
authors.forename: Laurel M
authors.initials: LM
authors.lastname: Wallace
authors.forename: Debra L
authors.initials: DL
authors.lastname: Safer
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D056912:Binge-Eating Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D014850:Waiting Lists
keywords: Binge eating disorder; Dialectical behaviour therapy; Guided self-help; Randomized controlled trial; Self-help