{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T13:09:09Z","timestamp":1786799349475,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T00:00:00Z","timestamp":1732924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W002418\/1"],"award-info":[{"award-number":["MR\/W002418\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/X030539\/1"],"award-info":[{"award-number":["MR\/X030539\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to compare use of, and outcomes from, programme\u2010led and focused interventions (guided self\u2010help and 10 session cognitive behavioral therapy for eating disorders [CBT\u2010T]) relative to other psychological therapies (including group and individual CBT for eating disorders [CBT\u2010ED]) in a national sample of emerging adults receiving early intervention for a non\u2010underweight binge\/purge eating disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data were drawn from 54 English eating disorder services using the First Episode Rapid Early Intervention for Eating Disorders (FREED) model. Participants (<jats:italic>N<\/jats:italic>\u2009=\u20091097) had a mean age of 18.95\u2009years (SD 2.42) and diagnoses of bulimia nervosa (<jats:italic>n<\/jats:italic>\u2009=\u2009506; 45%), binge eating disorder (<jats:italic>n<\/jats:italic>\u2009=\u2009121; 11%), another specified feeding or eating disorder (<jats:italic>n<\/jats:italic>\u2009=\u2009460; 42%), or an eating disorder, unspecified (<jats:italic>n<\/jats:italic>\u2009=\u200910, 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>11% (<jats:italic>n<\/jats:italic>\u2009=\u2009117) of patients received guided self\u2010help and 24% (<jats:italic>n<\/jats:italic>\u2009=\u2009268) received CBT\u2010T. Baseline eating disorder psychopathology and depressive\/anxiety symptoms did not differ significantly across the guided self\u2010help, CBT\u2010T, group CBT\u2010ED, and individual CBT\u2010ED conditions. All treatments were associated with significant reductions in symptoms over time. GSH and CBT\u2010T performed comparably to longer CBT\u2010ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>We provide additional evidence for the effectiveness of GSH and CBT\u2010T in the treatment of non\u2010underweight binge\/purge eating disorders. Programme\u2010led and focused interventions may be under\u2010utilized and future research should explore when they are offered, and when not, both within and outside of early intervention settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24343","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T12:44:53Z","timestamp":1732970693000},"page":"389-399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Programme\u2010Led and Focused Interventions for Recent Onset Binge\/Purge Eating Disorders: Use and Outcomes in the First Episode Rapid Early Intervention for Eating Disorders (<scp>FREED<\/scp>) Network"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2896-6459","authenticated-orcid":false,"given":"Karina L.","family":"Allen","sequence":"first","affiliation":[{"name":"Eating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust  London UK"},{"name":"Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2317-4452","authenticated-orcid":false,"given":"Laura","family":"Courtney","sequence":"additional","affiliation":[{"name":"Eating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5008-990X","authenticated-orcid":false,"given":"Philippa","family":"Croft","sequence":"additional","affiliation":[{"name":"Eating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1857-2106","authenticated-orcid":false,"given":"Lucy","family":"Hyam","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4320-1094","authenticated-orcid":false,"given":"Regan","family":"Mills","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"},{"name":"Department of Clinical Education and Health Psychology, University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3826-6317","authenticated-orcid":false,"given":"Katie","family":"Richards","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"},{"name":"Centre of Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9260-8958","authenticated-orcid":false,"given":"Muhammad","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Eating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1335-1937","authenticated-orcid":false,"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Eating Disorders Service, Maudsley Hospital, South London and Maudsley NHS Foundation Trust  London UK"},{"name":"Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12941"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14733145.2012.729069"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.03.003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465823000607"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2981"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23704"},{"key":"e_1_2_9_9_1","volume-title":"Overcoming Binge Eating: The Proven Program to Learn Why You Binge and How You Can Stop","author":"Fairburn C. 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