Guided self-help as the first step for bulimic symptoms: Implementation of a stepped-care model within specialized psychiatry
2012 (English)In: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 45, no 1, 70-78 p.Article in journal (Refereed) Published
Objective: This study describes the implementation and effectiveness of the first step, guided self-help (GSH), in a clinical setting, of a stepped-care model of cognitive behavior therapy for patients with bulimic symptoms.
Method: Eighty-nine patients participated.
Results: In the intent to-treat analyses, the effect sizes were small to moderate (0.25-0.66). However, the effect sizes were substantially larger (0.44-1.66) for the patients who completed all the GSH sessions (45%). The majority of non-completers stayed within psychiatric services. Supplementary treatments were mostly directed towards comorbid conditions, especially depression. Those discontinuing treatment in advance where characterized by more lifetime diagnoses and higher ratings on the restraint subscale of the EDE-Q.
Discussion: GSH within specialized psychiatry might be effective for about 30% of the patients. There is no indication of patients losing their confidence in psychiatric services by being offered GSH as the first treatment.
Place, publisher, year, edition, pages
2012. Vol. 45, no 1, 70-78 p.
CBT, guided self-help, bulimia nervosa, effectiveness, implementation, stepped-care
IdentifiersURN: urn:nbn:se:uu:diva-167911DOI: 10.1002/eat.20921ISI: 000298063600009OAI: oai:DiVA.org:uu-167911DiVA: diva2:489698