Self-help versus therapist-led group cognitive-behavioral treatment of binge eating disorder at follow-up

Carol B. Peterson, James E. Mitchell, Sara Engbloom, Sean Nugent, Melissa Pederson Mussell, Scott J. Crow, Paul Thuras

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


Objective: The purpose of this study was to evaluate the longer-term outcome of three group cognitive-behavioral therapy (CBT) delivery models for the treatment of binge eating disorder (BED). Method: Fifty-one participants were assigned to one of three conditions. In the therapist-led condition (TL; n = 16), a psychologist provided psychoeducational information for the first half hour and led a group discussion for the second half hour of each session. In the partial self-help condition (PSH; n = 19), participants viewed a 30-min psychoeducational videotape, followed by a therapist-led discussion. In the structured self-help condition (SSH; n = 16), participants watched a psychoeducational videotape and led their own discussion. Results: Reductions in binge eating episodes and associated symptoms were observed for all three treatments at post, 1-month, 6-month, and 1-year follow-up, with no significant differences among the three conditions. Discussion: These findings suggest that CBT for BED can be delivered successfully using videotape and a structured self-help group format and that improvements in binge eating are maintained up to 1 year follow-up.

Original languageEnglish (US)
Pages (from-to)363-374
Number of pages12
JournalInternational Journal of Eating Disorders
Issue number4
StatePublished - Nov 24 2001


  • Binge eating disorders
  • Cognitive-behavioral therapy
  • Psychoeducation


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