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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
- Source :
- European Eating Disorders Review. 25:479-490
- Publication Year :
- 2017
- Publisher :
- Wiley, 2017.
-
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.
- Subjects :
- 050103 clinical psychology
medicine.medical_specialty
media_common.quotation_subject
behavioral disciplines and activities
03 medical and health sciences
0302 clinical medicine
Binge-eating disorder
mental disorders
medicine
0501 psychology and cognitive sciences
Association (psychology)
Psychiatry
media_common
Binge eating
Bulimia nervosa
business.industry
05 social sciences
Abstinence
medicine.disease
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Eating disorders
Food craving
Anxiety
medicine.symptom
business
Clinical psychology
Subjects
Details
- ISSN :
- 10724133
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- European Eating Disorders Review
- Accession number :
- edsair.doi...........c683b9997896041687d894ac69f06d8e