{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T02:47:03Z","timestamp":1785466023272,"version":"3.56.0"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The present study aims to examine predictors of dropout, treatment outcome, and relapse of web\u2010based guided self\u2010help cognitive behavior therapy\u2010enhanced (CBT\u2010E) for binge\u2010eating disorder. Data were collected as part of a randomized controlled trial examining the efficacy of guided self\u2010help CBT\u2010E.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Logistic regression analyses were performed to predict dropout and relapse. Dropout was defined as premature termination of treatment and relapses as an increase in Eating Disorder Examination\u2010Questionnaire (EDE\u2010Q) global score \u2265\u20091 SD between end of treatment and follow\u2010up. A multiple regression analysis was conducted to predict treatment outcome using residual change scores of the EDE\u2010Q global score between baseline, end of treatment, and between baseline and 12\u2010week follow\u2010up. Evaluated predictors for dropout were demographics and the presence of comorbid psychopathology; for treatment outcome and relapse, EDE frequency of binge eating, and the shape and weight concern subscales, and the presence of comorbid psychopathology. Predictors were measured at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 190 patients (90.3% female, age\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200939\u2009years, SD\u2009=\u200913.3) completed the end\u2010of\u2010treatment assessments and 181 at follow\u2010up. Dropout was predicted by non\u2010Dutch ethnicity, male sex, and a lower education level. Comorbid psychopathology predicted poorer treatment outcomes at the end of treatment, but not at follow\u2010up. No predictors of relapse were identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Comorbid psychopathology predicted less immediate benefit from treatment, but these patients show further improvement in the 12\u2009weeks after treatment. Future research may show if culturally sensitive and tailored interventions reduce dropout rates among individuals from non\u2010Dutch ethnicity, males, and lower\u2010educated patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24562","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:30:53Z","timestamp":1758875453000},"page":"70-80","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Predictors of Dropout, Outcome, and Relapse in Web\u2010Based Guided Self\u2010Help Cognitive Behavioral Therapy\u2010Enhanced Among Patients With Binge\u2010Eating Disorder"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2636-5262","authenticated-orcid":false,"given":"Bernou","family":"Melisse","sequence":"first","affiliation":[{"name":"Co\u2010Eur  Utrecht the Netherlands"},{"name":"Department of Clinical Psychology Utrecht University  Utrecht the Netherlands"},{"name":"American Center for Psychiatry and Neurology  Abu Dhabi UAE"},{"name":"Department of Medical and Clinical Psychology Tilburg University  Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-1119","authenticated-orcid":false,"given":"Margo","family":"de Jonge","sequence":"additional","affiliation":[{"name":"Novarum Center for Eating Disorders &amp; Obesity  Amstelveen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3889-9897","authenticated-orcid":false,"given":"Elske","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Novarum Center for Eating Disorders &amp; Obesity  Amstelveen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Dekker","sequence":"additional","affiliation":[{"name":"Arkin Mental Health Institute Research Department  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3832-8477","authenticated-orcid":false,"given":"Edwin","family":"de Beurs","sequence":"additional","affiliation":[{"name":"Arkin Mental Health Institute Research Department  Amsterdam the Netherlands"},{"name":"Leiden University Section Clinical Psychology  Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2012.09.002"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001198\u2010x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2959"},{"key":"e_1_2_12_5_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders Fifth Edition: DSM\u2010 5","author":"APA","year":"2013"},{"key":"e_1_2_12_6_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u20105\u2010TR","author":"APA","year":"2022"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20368"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.01.003"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20948"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010080921\u2010074125"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20681"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025266"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.03.003"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1525\/ae.2004.31.4.475"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.07.002"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108X(198701)6:1<1::AID\u2010EAT2260060102>3.0.CO;2\u20109"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0029382"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2025.2495950"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327738"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24454"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2981"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363461505055625"},{"key":"e_1_2_12_24_1","volume-title":"Overcoming Binge Eating","author":"Fairburn C. 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