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Guided self-help as the first step for bulimic symptoms: Implementation of a stepped-care model within specialized psychiatry†

  1. Mia Ramklint MD, PhD1,*,
  2. Mats Jeansson MS2,
  3. Sven Holmgren MS2,
  4. Ata Ghaderi PhD3

Article first published online: 4 APR 2011

DOI: 10.1002/eat.20921

Issue

International Journal of Eating Disorders

International Journal of Eating Disorders

Volume 45, Issue 1, pages 70–78, January 2012

Additional Information

How to Cite

Ramklint, M., Jeansson, M., Holmgren, S. and Ghaderi, A. (2012), Guided self-help as the first step for bulimic symptoms: Implementation of a stepped-care model within specialized psychiatry. Int. J. Eat. Disord., 45: 70–78. doi: 10.1002/eat.20921

Author Information

  1. 1

    Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden

  2. 2

    Department of Psychiatry, Uppsala University Hospital, Uppsala, Sweden

  3. 3

    Department of Psychology, Uppsala University, Uppsala, Sweden

*Departments of Neuroscience, Psychiatry, Uppsala University Hospital, Entrance 15, Uppsala 751 85, Sweden

  1. †

    supported by 421-2004-2614 from Swedish Research Council and by the Söderström-Königska foundation and the Märta and Nicke Nasvell Foundation.

Publication History

  1. Issue published online: 14 DEC 2011
  2. Article first published online: 4 APR 2011
  3. Manuscript Accepted: 21 DEC 2010

Funded by

  • Swedish Research Council. Grant Number: 421-2004-2614
  • Söderström-Königska Foundation
  • Märta
  • Nicke Nasvell Foundation

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References

  • 1
    Fairburn CG, Harrison PJ. Eating disorders. Lancet 2003; 361: 407–416.
  • 2
    Hay PJ, Bacaltchuk J, Stefano S. Psychotherapy for bulimia nervosa and binging. Cochrane Database Syst Rev 2004; 3: CD000562.
  • 3
    Cooper PJ, Coker S, Fleming C. Self-help for bulimia nervosa: A preliminary report. Int J Eat Disord 1994; 16: 401–404.
    Direct Link:
  • 4
    Fairburn CG. Overcoming Binge Eating. Guilford Press, 1995.
  • 5
    Loeb KL, Wilson GT, Gilbert JS, Labouvie E. Guided and unguided self-help for binge eating. Behav Res Ther 2000; 38: 259–272.
  • 6
    Carter JC, Olmsted MP, Kaplan AS, McCabe RE, Mills JS, Aime A. Self-help for bulimia nervosa: A randomized controlled trial. Am J Psychiatry 2003; 160: 973–978.
  • 7
    Ljotsson B, Lundin C, Mitsell K, Carlbring P, Ramklint M, Ghaderi A. Remote treatment of bulimia nervosa and binge eating disorder: A randomized trial of Internet-assisted cognitive behavioural therapy. Behav Res Ther 2007; 45: 649–661.
  • 8
    Perkins SJ, Murphy R, Schmidt U, Williams C. Self-help and guided self-help for eating disorders. Cochrane Database Syst Rev 2006; 3: CD004191.
  • 9
    Sysko R, Walsh BT. A critical evaluation of the efficacy of self-help interventions for the treatment of bulimia nervosa and binge-eating disorder. Int J Eat Disord 2008; 41: 97–112.
    Direct Link:
  • 10
    Stefano SC, Bacaltchuk J, Blay S, Hay P. Self-help treatments for disorders of recurrent binge eating: A systematic review. Acta Psychiatr Scand 2006; 113: 452–459.
    Direct Link:
  • 11
    Fairburn CG, Peveler RC. Bulimia nervosa and a stepped care approach to management. Gut 1990; 31: 1220–1222.
  • 12
    Treasure J, Schmidt U, Troop N, Tiller J, Todd G, Keilen M, et al. First step in managing bulimia nervosa: Controlled trial of therapeutic manual. BMJ 1994; 308: 686–689.
  • 13
    Zimmerman M, McGlinchey JB, Chelminski I, Young D. Diagnostic co-morbidity in 2300 psychiatric out-patients presenting for treatment evaluated with a semi-structured diagnostic interview. Psychol Med 2008; 38: 199–210.
  • 14
    Milos GF, Spindler AM, Buddeberg C, Crameri A. Axes I and II comorbidity and treatment experiences in eating disorder subjects. Psychother Psychosom 2003; 72: 276–285.
  • 15
    Carter JC, Fairburn CG. Cognitive-behavioral self-help for binge eating disorder: A controlled effectiveness study. J Consult Clin Psychol 1998; 66: 616–623.
  • 16
    Walsh BT, Fairburn CG, Mickley D, Sysko R, Parides MK. Treatment of bulimia nervosa in a primary care setting. Am J Psychiatry 2004; 161: 556–561.
  • 17
    Dalle Grave R. Guided self-help of bulimia nervosa in a specialist setting: A pilot study. Eat Weight Disord 1997; 2: 169–172.
  • 18
    Palmer RL, Birchall H, McGrain L, Sullivan V. Self-help for bulimic disorders: A randomised controlled trial comparing minimal guidance with face-to-face or telephone guidance. Br J Psychiatry 2002; 181: 230–235.
  • 19
    Fairburn CG. Guided Self-Help for Bulimia Nervosa. Therapist's Manual for Use in Conjunction with Overcoming Binge Eating (Fairburn 1995). UK: Department of Psychiatry, University of Oxford, 1998.
  • 20
    Bacaltchuk J, Hay P. Antidepressants versus placebo for people with bulimia nervosa. Cochrane Database Syst Rev 2003; 4: CD003391.
  • 21
    Ghaderi A, Scott B. Pure and guided self-help for full and sub-threshold bulimia nervosa and binge eating disorder. Br J Clin Psychol 2003; 42 (Part 3): 257-269.
    Direct Link:
  • 22
    Spitzer RL, Williams JB, Gibbon M, First MB. The structured clinical interview for DSM-III-R (SCID). I. History, rationale and description. Arch Gen Psychiatry 1992; 49: 624–629.
  • 23
    APA. Diagnostic and Statistical manual of Mental Disorders, 4th ed. DSM-IV. Washington, DC: American Psychiatric Association, 1994.
  • 24
    Fairburn CG, Beglin SJ. Assessment of eating disorders: Interview or self-report questionnaire? Int J Eat Disord 1994; 16: 363–370.
  • 25
    Luce KH, Crowther JH. The reliability of the eating disorder examination-self-report questionnaire version (EDE-Q). Int J Eat Disord 1999; 25: 349–351.
    Direct Link:
  • 26
    Binford RB, Le Grange D, Jellar CC. Eating disorders examination versus eating disorders examination-questionnaire in adolescents with full and partial-syndrome bulimia nervosa and anorexia nervosa. Int J Eat Disord 2005; 37: 44–49.
    Direct Link:
  • 27
    Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJ. Validity of the eating disorder examination questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther 2004; 42: 551–567.
  • 28
    Cooper PJ, Taylor MJ, Cooper Z, Fairburn CG. The development and validation of the body shape questionnaire. Int J Eat Disord 1987; 16: 401–404.
    Direct Link:
  • 29
    Ghaderi A, Scott B. The reliability and validity of the Swedish version of the body shape questionnaire. Scand J Psychol 2004; 45: 319–324.
    Direct Link:
  • 30
    Frisch MB, Cornell J, Villanueva M, Retzlaff P. Clinical validation of the quality of life inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychol Assess 1992; 4: 92–101.
  • 31
    Kernis MH, Grannemann BD, Barclay LC. Stability and level of self-esteem as predictors of anger arousal and hostility. J Pers Soc Psychol 1989; 56: 1013–1022.
  • 32
    Rosenberg M. Conceiving the Self. New York: Basic Book Inc, 1979.
  • 33
    Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134: 382–389.
  • 34
    Osman A, Kopper BA, Barrios F, Gutierrez PM, Bagge CL. Reliability and validity of the Beck depression inventory-II with adolescent psychiatric inpatients. Psychol Assess 2004; 16: 120–132.
  • 35
    Svanborg P, Asberg M. A comparison between the Beck Depression Inventory (BDI) and the self-rating version of the Montgomery Asberg Depression Rating Scale (MADRS). J Affect Disord 2001; 64: 203–216.
  • 36
    Salvi G, Leese M, Slade M. Routine use of mental health outcome assessments: choosing the measure. Br J Psychiatry 2005; 186: 146–152.
  • 37
    Startup M, Jackson MC, Bendix S. The concurrent validity of the global assessment of functioning (GAF). Br J Clin Psychol 2002; 41(Part 4): 417-422.
    Direct Link:
  • 38
    Ramirez A.Ekselius L, Ramklint M. Axis V—Global assessment of functioning scale (GAF), further evaluation of the self-report version. Eur Psychiatry 2008; 23: 575–579.
  • 39
    Shrout PE. Measurement reliability and agreement in psychiatry. Stat Methods Med Res 1998; 7: 301–317.
  • 40
    Cohen J. Statistical Power Analysis for the Behavioral Sciences, 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates, 1988.
  • 41
    Mazumdar S, Liu KS, Houck PR, Reynolds CF. Intent-to-treat analysis for longitudinal clinical trials: Coping with the challenge of missing values. J Psychiatr Res 1999; 33: 87–95.
  • 42
    Ghaderi A. Attrition and outcome in self-help treatment for bulimia nervosa and binge eating disorder: A constructive replication. Eat Behav 2006; 7: 300–308.
  • 43
    Thiels C, Schmidt U, Treasure J, Garthe R, Troop N. Guided self-change for bulimia nervosa incorporating use of a self-care manual. Am J Psychiatry 1998; 155: 947–953.
  • 44
    Bailer U, de Zwaan M, Leisch F, Strnad A, Lennkh-Wolfsberg C, El-Giamal N, et al. Guided self-help versus cognitive-behavioral group therapy in the treatment of bulimia nervosa. Int J Eat Disord 2004; 35: 522–537.
    Direct Link:
  • 45
    Steiner JL, Tebes JK, Sledge WH, Walker ML. A comparison of the structured clinical interview for DSM-III-R and clinical diagnoses. J Nerv Ment Dis 1995; 183: 365–369.
  • 46
    Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F. Implementation Research: A Synthesis of the Literature. Tampa, Florida: University of South Florida, Louise de la Parte Florida Mental Health Institute, The National Implementation Research Network, 2005
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