A Randomised Controlled Comparison of Second‐Level Treatment Approaches for Treatment‐Resistant Adults with Bulimia Nervosa and Binge Eating Disorder: Assessing the Benefits of Virtual Reality Cue Exposure Therapy
Citations Over TimeTop 1% of 2017 papers
Abstract
A question that arises from the literature on therapy is whether second-level treatment is effective for patients with recurrent binge eating who fail first-level treatment. It has been shown that subjects who do not stop binge eating after an initial structured cognitive-behavioural treatment (CBT) programme benefit from additional CBT (A-CBT) sessions; however, it has been suggested that these resistant patients would benefit even more from cue exposure therapy (CET) targeting features associated with poor response (e.g. urge to binge in response to a cue and anxiety experienced in the presence of binge-related cues). We assessed the effectiveness of virtual reality-CET as a second-level treatment strategy for 64 patients with bulimia nervosa and binge eating disorder who had been treated with limited results after using a structured CBT programme, in comparison with A-CBT. The significant differences observed between the two groups at post-treatment in dimensional (behavioural and attitudinal features, anxiety, food craving) and categorical (abstinence rates) outcomes highlighted the superiority of virtual reality-CET over A-CBT. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
Related Papers
- → Frequency of binge eating episodes in bulimia nervosa and binge eating disorder: Diagnostic considerations(2009)127 cited
- → Current pharmacotherapy options for bulimia nervosa and binge eating disorder(2012)43 cited
- → Binge eating disorder and bulimia nervosa: Differences in the quality and quantity of binge eating episodes(2000)38 cited
- → Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service(2011)13 cited
- → Binge eating disorder and bulimia nervosa: Differences in the quality and quantity of binge eating episodes(2000)4 cited