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Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.

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Title: Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.
Authors: Harris, Anastasia L. (AUTHOR), Nunes, Abraham (AUTHOR), Dixon, Laura (AUTHOR), Ali, Sarrah I. (AUTHOR), Town, Joel (AUTHOR), Lacroix, Emilie (AUTHOR), Gamberg, Susan (AUTHOR), Keshen, Aaron (AUTHOR)
Source: Eating Disorders. Jul/Aug2026, Vol. 34 Issue 4, p414-432. 19p.
Subjects: Bulimia treatment, Health self-care, Repeated measures design, Research funding, Evaluation of human services programs, Statistical sampling, Questionnaires, Multiple regression analysis, Group psychotherapy, Randomized controlled trials, Descriptive statistics, Confidence, Disease remission, Virtual reality, Visualization, Odds ratio, Analysis of variance, Comparative studies, Confidence intervals, Data analysis software, Psychosocial functioning, Adults
Geographic Terms: Canada
Abstract: Binge Focused Therapy (BFT) is a 3-session, group-based, guided self-help treatment for binge-eating disorder (BED). In this parallel-group randomized controlled trial (RCT), adults with BED were randomized to virtual BFT or a traditional unguided self-help approach (Overcoming Binge Eating; Fairburn, 2013). Self-report measures were collected at baseline, week 6, week 10 (posttreatment), 6- and 12-month follow-up. We hypothesized BFT (n = 82) would lead to better BED outcomes and lower dropout than unguided self-help (n = 82). Our intention-to-treat analysis demonstrated a significant effect of treatment group on BED symptomatology (primary outcome; β= − 5.04, p <.001, 95% CI [ − 7.57, − 2.52]), binge frequency (β= − 3.24, p =.001, 95% CI [ − 5.22, − 1.26]), general ED symptomatology (β= − 0.91, p <.001, 95% CI [ − 1.17, − 0.65]), clinical impairment (β= − 6.27, p <.001, 95% CI [ − 8.78, − 3.77]), confidence to change binge eating (β = 1.22, p <.001, 95% CI [0.56, 1.89]), BED remission (OR = 4.98, p =.003, 95% CI [1.72, 14.40]), and treatment attrition (β = 0.456, p <.001), with the BFT group reporting greater improvements and lower dropout. We did not find evidence of a significant effect of group on binge-eating abstinence (OR = 2.01, p =.103, 95% CI [0.87, 4.64]). BFT may be an effective BED treatment that could overcome common barriers to treatment implementation and accessibility. [ABSTRACT FROM AUTHOR]
Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.
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  Data: Binge Focused Therapy (BFT) is a 3-session, group-based, guided self-help treatment for binge-eating disorder (BED). In this parallel-group randomized controlled trial (RCT), adults with BED were randomized to virtual BFT or a traditional unguided self-help approach (Overcoming Binge Eating; Fairburn, 2013). Self-report measures were collected at baseline, week 6, week 10 (posttreatment), 6- and 12-month follow-up. We hypothesized BFT (n = 82) would lead to better BED outcomes and lower dropout than unguided self-help (n = 82). Our intention-to-treat analysis demonstrated a significant effect of treatment group on BED symptomatology (primary outcome; β= − 5.04, p &lt;.001, 95% CI [ − 7.57, − 2.52]), binge frequency (β= − 3.24, p =.001, 95% CI [ − 5.22, − 1.26]), general ED symptomatology (β= − 0.91, p &lt;.001, 95% CI [ − 1.17, − 0.65]), clinical impairment (β= − 6.27, p &lt;.001, 95% CI [ − 8.78, − 3.77]), confidence to change binge eating (β = 1.22, p &lt;.001, 95% CI [0.56, 1.89]), BED remission (OR = 4.98, p =.003, 95% CI [1.72, 14.40]), and treatment attrition (β = 0.456, p &lt;.001), with the BFT group reporting greater improvements and lower dropout. We did not find evidence of a significant effect of group on binge-eating abstinence (OR = 2.01, p =.103, 95% CI [0.87, 4.64]). BFT may be an effective BED treatment that could overcome common barriers to treatment implementation and accessibility. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Eating Disorders is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194842791
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      – Type: doi
        Value: 10.1080/10640266.2025.2497665
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        Text: English
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        Type: general
      – SubjectFull: Health self-care
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      – SubjectFull: Repeated measures design
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      – SubjectFull: Research funding
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Group psychotherapy
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Confidence
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      – SubjectFull: Canada
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      – TitleFull: Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.
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              Text: Jul/Aug2026
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