Evidence map›Paper›PMID 39614775›Full record

ArticleThe International journal of eating disorders2025

Programme-Led and Focused Interventions for Recent Onset Binge/Purge Eating Disorders: Use and Outcomes in the First Episode Rapid Early Intervention for Eating Disorders (FREED) Network.

Karina L Allen, Laura Courtney, Philippa Croft, Lucy Hyam, Regan Mills, Katie Richards, Muhammad Ahmed, Ulrike Schmidt

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Bulimia nervosa.Nature reviews. Disease primers · 2026
    Review
  2. Article
  3. Review
  4. When Is the Right Time to End Family Therapy for Anorexia Nervosa (FT-AN)?: A Qualitative Study of Young People's Experiences.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

8 authors.

Karina L AllenEating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0003-2896-6459
Laura CourtneyEating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0003-2317-4452
Philippa CroftEating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK.ORCID 0009-0001-5008-990X
Lucy HyamCentre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-1857-2106
Regan MillsCentre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-4320-1094
Katie RichardsCentre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-3826-6317
Muhammad AhmedEating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0002-9260-8958
Ulrike SchmidtEating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0003-1335-1937

Funding

Medical Research Council MR/W002418/1Medical Research Council MR/X030539/1National Institute for Health and Care ResearchNHS England
6 · The paper itself

Abstract

objectiveWe aimed to compare use of, and outcomes from, programme-led and focused interventions (guided self-help and 10 session cognitive behavioral therapy for eating disorders [CBT-T]) relative to other psychological therapies (including group and individual CBT for eating disorders [CBT-ED]) in a national sample of emerging adults receiving early intervention for a non-underweight binge/purge eating disorder.

methodData were drawn from 54 English eating disorder services using the First Episode Rapid Early Intervention for Eating Disorders (FREED) model. Participants (N = 1097) had a mean age of 18.95 years (SD 2.42) and diagnoses of bulimia nervosa (n = 506; 45%), binge eating disorder (n = 121; 11%), another specified feeding or eating disorder (n = 460; 42%), or an eating disorder, unspecified (n = 10, 1%). Linear mixed models were used to assess for effects of time and treatment on binge eating and purging, eating disorder psychopathology, depression/anxiety, and body mass index.

results11% (n = 117) of patients received guided self-help and 24% (n = 268) received CBT-T. Baseline eating disorder psychopathology and depressive/anxiety symptoms did not differ significantly across the guided self-help, CBT-T, group CBT-ED, and individual CBT-ED conditions. All treatments were associated with significant reductions in symptoms over time. GSH and CBT-T performed comparably to longer CBT-ED. DISCUSSION: We provide additional evidence for the effectiveness of GSH and CBT-T in the treatment of non-underweight binge/purge eating disorders. Programme-led and focused interventions may be under-utilized and future research should explore when they are offered, and when not, both within and outside of early intervention settings.

Indexed as

Binge-Eating DisorderCognitive Behavioral TherapyEarly Medical InterventionFeeding and Eating DisordersAdolescentAdultFemaleHumansMaleTreatment OutcomeYoung Adultbinge eating disorderbulimia nervosacognitive behavioral therapyearly interventioneating disordersfocused interventionsguided self‐helplow‐intensity interventions

Identifiers

PMID39614775
PMCPMC11861885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.