title: Allegiance Bias and Therapist Effects: Results of a Randomized Controlled Trial of Binge Eating Disorder.
abstract: "Allegiance bias" has been hypothesized to compromise the findings of randomized controlled trials (RCTs). In contrast, our multi-site RCT involving the collaboration of investigators with different allegiances regarding interpersonal psychotherapy (IPT), guided self-help cognitive behavior therapy (CBTgsh), and behavioral weight loss therapy (BWL) for binge eating disorder showed no evidence of any differential site × treatment effects. The findings indicate that "allegiance bias" does not necessarily occur in well-controlled RCTS with appropriate therapist training. We also examined the role of individual therapist differences that have been alleged to be more important than treatment effects. No individual therapist effects emerged on any measure in either IPT or CBTgsh, both of which were significantly more effective than BWL at two-year follow-up.
authors.affiliation: Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ.
authors.forename: G Terence
authors.initials: GT
authors.lastname: Wilson
authors.affiliation: Departments of Psychiatry, Medicine, Pediatrics, and Psychology, Washington University School of Medicine, St. Louis, MO.
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
authors.affiliation: Department of Psychiatry, Stanford University School of Medicine, Stanford, CA.
authors.forename: W Stewart
authors.initials: WS
authors.lastname: Agras
authors.affiliation: Department of Psychiatry, Stanford University School of Medicine, Stanford, CA.
authors.forename: Susan W
authors.initials: SW
authors.lastname: Bryson
keywords: Binge Eating Disorder; allegiance bias; interpersonal psychotherapy; randomized controlled trial; therapist effects
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