{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:47:52Z","timestamp":1791362872122,"version":"4.3.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This paper aims to examine the efficacy of virtual reality (VR)\u2010enhanced cognitive behavioural therapy (CBT) in the treatment of binge\u2010purging type eating disorders compared to CBT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Four electronic literature databases were searched to retrieve eligible randomised controlled trials (RCTs). The Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses was used to select eligible studies. Meta\u2010analyses of extracted data were then conducted by RevMan 5.3 software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six RCTs totalling 297 participants were included. Results showed significantly larger decreases in the frequency of binges in participants who underwent VR\u2010enhanced CBT compared to CBT. However, there was no statistically significant difference in the change in body mass index or frequency of purges. Additionally, there were significantly larger decreases in situation\u2010induced body dissatisfaction in participants who underwent VR\u2010enhanced CBT compared to CBT, but no significant difference in improvement of overall body satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>VR\u2010enhanced CBT shows greater efficacy than CBT in reducing situation\u2010induced body dissatisfaction and frequency of binges. Our results highlight the potential of VR in helping patients develop coping strategies to food\/situational triggers. Future RCTs may benefit from recruiting more participants to reduce the impact of drop\u2010outs on outcome data and blinding post\u2010intervention assessors to reduce risk of bias.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2804","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T17:53:47Z","timestamp":1605203627000},"page":"52-59","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["The efficacy of virtual reality in the treatment of binge\u2010purging eating disorders: A meta\u2010analysis"],"prefix":"10.1002","volume":"29","author":[{"given":"Tian Ling","family":"Low","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-4493","authenticated-orcid":false,"given":"Roger","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"},{"name":"Institute of Health Innovation and Technology (iHealthtech) National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine National University Health System  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson","family":"Tam","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.10.014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2441"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7898"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs7030043"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.07.086"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2538"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2017.0675"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171700040X"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-012-9476-1"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2013.02.023"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2013.0383"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2007.04.006"},{"key":"e_1_2_8_16_1","first-page":"121","article-title":"The use of VR in the treatment of eating disorders","volume":"99","author":"Riva G.","year":"2004","journal-title":"Studies in Health Technology and Informatics"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/cpb.2006.9.457"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412984997.n6"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2257"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.3389\/fpsyg.2019.01758","article-title":"Inferiority or even Superiority of virtual reality exposure therapy in phobias? \u2010 A systematic review and quantitative meta\u2010analysis on randomized controlled trials specifically comparing the efficacy of virtual reality exposure to gold standard in vivo exposure in Agoraphobia, specific phobia, and social phobia","volume":"10","author":"Wechsler T. 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