Effectiveness of internet-based guided self-help for binge-eating disorder and characteristics of completers versus noncompleters

Int J Eat Disord. 2020 Dec;53(12):2026-2031. doi: 10.1002/eat.23384. Epub 2020 Sep 12.

Abstract

Objective: Binge-eating disorder (BED) is characterized by recurrent episodes of binge eating, accompanied by a lack of control and feelings of shame. Online intervention is a promising, accessible treatment approach for BED. In the current study, we compared completers with noncompleters in a 10-session guided internet-based treatment program (iBED) based on cognitive behavioral therapy.

Methods: Adults (N = 75) with mild to moderate BED participated in iBED with weekly written support from psychologists. Participants were compared on the Eating Disorder Examination Questionnaire (EDE-Q), diagnostic criteria for BED (BED-Q), major depression inventory (MDI), quality of life (EQ-5D-5L), body mass index (BMI) and sociodemographic variables.

Results: Minor differences were observed between completers and noncompleters on depression. No differences were found in BED-symptoms, BMI, and sociodemographic variables. Participants who completed treatment showed large reductions in eating disorder pathology.

Discussion: More research is needed to determine risk factors for attrition or treatment outcome in internet-based interventions for BED. It is suggested that iBED is an efficient intervention for BED. However, more studies of internet-interventions are needed.

Keywords: binge-eating disorder; cognitive behavioral therapy; effectiveness; internet-based intervention; patient dropouts.

MeSH terms

  • Adult
  • Binge-Eating Disorder / psychology
  • Binge-Eating Disorder / therapy*
  • Female
  • Humans
  • Internet-Based Intervention / trends*
  • Male
  • Quality of Life / psychology*
  • Self-Help Devices / psychology*
  • Treatment Outcome