{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:24:21Z","timestamp":1780964661739,"version":"3.54.1"},"reference-count":23,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":5602,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is great potential demand for treatment of bulimia nervosa and binge eating disorder. Skilled therapists are in short supply. Self-help and guided self-help based upon books have shown some promise as an economical alternative to full therapy in some cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the efficacy and effectiveness of self-help with and without guidance in a specialist secondary service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A randomised controlled trial comparing three forms of self-help over 4 months with a waiting-list comparison group and measurement of service consumption over the subsequent 8 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Self-help delivered with four sessions of face-to-face guidance led to improved outcome over 4 months. There is also some evidence to support the use of telephone guidance. A minority of participants achieved lasting remission of their disorder in relation to self-help, but there was no significant difference in final outcome between the groups after they had progressed through the stepped care programme. Patients initially offered guided self-help had a lower long-term drop-out rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Guided self-help is a worthwhile initial response to bulimia nervosa and binge eating disorder. It is a treatment that could be delivered in primary care and in other non-specialist settings.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.181.3.230","type":"journal-article","created":{"date-parts":[[2002,8,30]],"date-time":"2002-08-30T21:42:12Z","timestamp":1030743732000},"page":"230-235","source":"Crossref","is-referenced-by-count":78,"title":["Self-help for bulimic disorders: A randomised controlled trial comparing minimal guidance with face-to-face or telephone guidance"],"prefix":"10.1192","volume":"181","author":[{"given":"Robert L.","family":"Palmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Birchall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Mcgrain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000027215_ref11","first-page":"361","volume-title":"Binge Eating: Nature, Assessment and Treatment","author":"Fairburn","year":"1993"},{"key":"S0007125000027215_ref3","volume-title":"Bulimia Nervosa and Binge Eating: a Guide to Recovery","author":"Cooper","year":"1995"},{"key":"S0007125000027215_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(1997)21:4<341::AID-EAT6>3.0.CO;2-O"},{"key":"S0007125000027215_ref20","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.168.1.94"},{"key":"S0007125000027215_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/gut.31.11.1220"},{"key":"S0007125000027215_ref2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.66.4.616"},{"key":"S0007125000027215_ref6","volume-title":"Overcoming Binge Eating","author":"Fairburn","year":"1995"},{"key":"S0007125000027215_ref15","first-page":"331","volume-title":"Neurobiology in the Treatment of Eating Disorders","author":"Schmidt","year":"1998"},{"key":"S0007125000027215_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/erv.411"},{"key":"S0007125000027215_ref21","volume-title":"You Can't Have Your Cake and Eat It Too: A Program for Controlling Bulimia","author":"Weiss","year":"1986"},{"key":"S0007125000027215_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6930.686"},{"key":"S0007125000027215_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1065"},{"key":"S0007125000027215_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"S0007125000027215_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<401::AID-EAT2260160409>3.0.CO;2-6"},{"key":"S0007125000027215_ref17","volume-title":"Clinician's Guide. 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