Evidence map›Paper›PMID 24189569›Full record

Trial reportBehaviour research and therapy2013

Self-help for binge eating disorder in primary care: a randomized controlled trial with ethnically and racially diverse obese patients.

Carlos M Grilo, Marney A White, Ralitza Gueorguieva, Rachel D Barnes, Robin M Masheb

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  14. Loss of control in binge-eating disorder: Fear and resignation.The International journal of eating disorders · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Carlos M GriloDepartment of Psychiatry, Yale University School of Medicine, USA. Electronic address: carlos.grilo@yale.edu.
Marney A White
Ralitza Gueorguieva
Rachel D Barnes
Robin M Masheb
Yale University · US

Funding

Treatment of Binge Eating in Obese Patients in Primary CareR01DK073542 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2007 to 2011
$1.7M
Mid-Career Investigator Award in Eating and WeightK24DK070052 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2005 to 2015
$1.4M
Examining Innovative Obesity Treatment and Related Novel ConstructsK23DK092279 · NIDDK · YALE UNIVERSITY · PI BARNES, RACHEL D · 2011 to 2015
$780k
NIDDK NIH HHS K23 DK092279NIDDK NIH HHS K24 DK070052NIDDK NIH HHS R01 DK073542
6 · The paper itself

Abstract

objectiveThe objective was to examine the effectiveness of a self-help treatment as a first line primary care intervention for binge eating disorder (BED) in obese patients. This study compared the effectiveness of a usual care plus self-help version of cognitive behavioral therapy (shCBT) to usual care (UC) only in ethnically/racially diverse obese patients with BED in primary care settings in an urban center.

method48 obese patients with BED were randomly assigned to either shCBT (N = 24) or UC (N = 24) for four months. Independent assessments were performed monthly throughout treatment and at post-treatment.

resultsBinge-eating remission rates did not differ significantly between shCBT (25%) and UC (8.3%) at post-treatment. Mixed models of binge eating frequency determined using the Eating Disorder Examination (EDE) revealed significant decreases for both conditions but that shCBT and UC did not differ. Mixed models of binge eating frequency from repeated monthly EDE-questionnaire assessments revealed a significant treatment-by-time interaction indicating that shCBT had significant reductions whereas UC did not during the four-month treatments. Mixed models revealed no differences between groups on associated eating disorder psychopathology or depression. No weight loss was observed in either condition.

conclusionsOur findings suggest that pure self-help CBT did not show effectiveness relative to usual care for treating BED in obese patients in primary care. Thus, self-help CBT may not have utility as a front-line intervention for BED for obese patients in primary care and future studies should test guided-self-help methods for delivering CBT in primary care generalist settings.

Indexed as

Binge-Eating DisorderBody Mass IndexCognitive Behavioral TherapyCombined Modality TherapyDepressionFemaleHumansMaleMiddle AgedObesityPrimary Health CareSelf CareTreatment OutcomeBinge eatingEating disordersObesityPrimary careTreatment

Identifiers

PMID24189569
PMCPMC3863907
OpenAlexW2062027452

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.