title: Culturally adapted cognitive behavioral guided self-help for binge eating: a feasibility study with Mexican Americans.
abstract: Objective was to test feasibility and preliminary efficacy of a culturally adapted cognitive-behavioral self-help program to treat binge eating and related problems in Mexican Americans. Participants were 31 women recruited from the Los Angeles area and diagnosed with binge eating disorder, recurrent binge eating, or bulimia nervosa. Participants completed a culturally adapted version of a CBT-based self-help program with 8 guidance sessions over a 3-month period. Treatment efficacy was evaluated in terms of binge eating, psychological functioning, and weight loss. Intent-to-treat analyses revealed 35.5% abstinence from binge eating at posttreatment and 38.7% diagnostic remission. Results indicated significant pretreatment to posttreatment improvement on distress level, BMI, eating disorder psychopathology, and self-esteem. Satisfaction with the program was high. Findings demonstrate that the program is acceptable, feasible, and efficacious in reducing binge eating and associated symptoms for Mexican American women. Study provides "proof of concept" for implementation of culturally adapted forms of evidence-based programs.
authors.affiliation: Department of Psychology, University of North Carolina at Charlotte.
authors.forename: Fary M
authors.initials: FM
authors.lastname: Cachelin
authors.affiliation: Department of Psychology, California State University.
authors.forename: Munyi
authors.initials: M
authors.lastname: Shea
authors.affiliation: Department of Psychology, University of North Carolina at Charlotte.
authors.forename: Phoutdavone
authors.initials: P
authors.lastname: Phimphasone
authors.affiliation: Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey.
authors.forename: G Terence
authors.initials: GT
authors.lastname: Wilson
authors.affiliation: Thompson Research Consulting LLC.
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Thompson
authors.affiliation: Department of Psychology, Wesleyan University.
authors.forename: Ruth H
authors.initials: RH
authors.lastname: Striegel
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D056912:Binge-Eating Disorder / Q000523:psychology / Q000628:therapy*; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D054521:Cultural Competency; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015141:Los Angeles; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D012648:Self Care / Q000379:methods*; D016896:Treatment Outcome