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Guided Self-Help Treatment for Binge Eating Disorder (BEST)

This study has been completed.
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Kaiser Permanente Identifier:
First received: September 7, 2005
Last updated: November 4, 2011
Last verified: November 2011
This study will determine the effectiveness of guided self-help treatment in treating individuals with binge eating disorder (BED).

Condition Intervention
Eating Disorders
Behavioral: Guided self-help cognitive behavioral therapy (CBT)
Behavioral: Usual clinical care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Binge Eating Self-Guided Treatment (BEST)

Resource links provided by NLM:

Further study details as provided by Kaiser Permanente:

Primary Outcome Measures:
  • Frequency of binge eating [ Time Frame: Measured at post-treatment, Week 12, Month 6, and Year 1 ]

Secondary Outcome Measures:
  • Frequency of inappropriate compensatory behaviors, dietary restraint, over-valuation of weight/shape, functional impairment, self-esteem, and social impairment [ Time Frame: Measured at post-treatment, Week 12, Month 6, and Year 1 ]
  • Body weight [ Time Frame: Measured at post-treatmentand Year 1 ]

Enrollment: 284
Study Start Date: August 2004
Study Completion Date: July 2008
Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Participants will receive guided self-help cognitive behavioral therapy
Behavioral: Guided self-help cognitive behavioral therapy (CBT)
Participants receive eight sessions of guided self-help CBT.
Active Comparator: 2
Participants will receive treatment as usual
Behavioral: Usual clinical care
Control group participants receive treatment as usual.

Detailed Description:

Binge eating disorder (BED) is a serious condition characterized by compulsive overeating and feelings of powerlessness. The condition often has a negative impact on both physical and emotional health. This study will examine ways to help people determine whether they have BED and will test whether guided self-help (GSH) treatment is effective in treating BED.

Participants will be randomly assigned to receive either GSH treatment or usual clinical care (which may include general support and talk therapy) for 3 months. The GSH treatment is a cognitive behavioral therapy-based program that will be administered over 8 sessions. Participants receiving GSH will be given a book that focuses on dealing with BED; they will also meet with a therapist regularly to have their progress monitored. The Eating Disorders Examination (EDE), self-reports, questionnaires, and surveys will be used to assess participants. Assessments will be conducted at study entry, at Weeks 2 and 4 of the treatment, at the end of the treatment, and at 6 and 12 months post-treatment.


Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of binge eating disorder (BED) bulimia nervosa (BN), or spectrum BN, defined as recurrent binge eating at least once a week for 3 months
  • Body mass index (BMI) between 18 and 45
  • Continuous membership in the Kaiser Permanente Northwest Division for at least 12 months prior to study entry

Exclusion Criteria:

  • Diagnosis of anorexia nervosa or psychotic disorder
  • Significant organic brain syndromes, retardation, pervasive developmental disorder, or autism
  • At risk for suicide
  • Pregnancy
  Contacts and Locations
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Please refer to this study by its identifier: NCT00158340

United States, Connecticut
Wesleyan University Department of Psychology
Middletown, Connecticut, United States, 06459
United States, Oregon
Kaiser Permanente Center for Health Research
Portland, Oregon, United States, 97227
Sponsors and Collaborators
Kaiser Permanente
National Institute of Mental Health (NIMH)
Principal Investigator: Ruth H. Striegel-Moore, PhD Wesleyan University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Kaiser Permanente Identifier: NCT00158340     History of Changes
Other Study ID Numbers: R01MH066966 ( US NIH Grant/Contract Award Number )
Study First Received: September 7, 2005
Last Updated: November 4, 2011

Keywords provided by Kaiser Permanente:
Binge Eating
Compulsive Eating

Additional relevant MeSH terms:
Feeding and Eating Disorders
Binge-Eating Disorder
Mental Disorders
Signs and Symptoms, Digestive
Signs and Symptoms processed this record on April 28, 2017