TY - JOUR
T1 - A Randomised Controlled Comparison of Second-Level Treatment Approaches for Treatment-Resistant Adults with Bulimia Nervosa and Binge Eating Disorder
T2 - Assessing the Benefits of Virtual Reality Cue Exposure Therapy
AU - Ferrer-García, Marta
AU - Gutiérrez-Maldonado, José
AU - Pla-Sanjuanelo, Joana
AU - Vilalta-Abella, Ferran
AU - Riva, Giuseppe
AU - Clerici, Massimo
AU - Ribas-Sabaté, Joan
AU - Andreu-Gracia, Alexis
AU - Fernandez-Aranda, Fernando
AU - Forcano, Laura
AU - Riesco, Nadine
AU - Sánchez, Isabel
AU - Escandón-Nagel, Neli
AU - Gomez-Tricio, Osane
AU - Tena, Virginia
AU - Dakanalis, Antonios
PY - 2017/11/1
Y1 - 2017/11/1
N2 - A question that arises from the literature on therapy is whether second-level treatment is effective for patients with recurrent binge eating who fail first-level treatment. It has been shown that subjects who do not stop binge eating after an initial structured cognitive-behavioural treatment (CBT) programme benefit from additional CBT (A-CBT) sessions; however, it has been suggested that these resistant patients would benefit even more from cue exposure therapy (CET) targeting features associated with poor response (e.g. urge to binge in response to a cue and anxiety experienced in the presence of binge-related cues). We assessed the effectiveness of virtual reality-CET as a second-level treatment strategy for 64 patients with bulimia nervosa and binge eating disorder who had been treated with limited results after using a structured CBT programme, in comparison with A-CBT. The significant differences observed between the two groups at post-treatment in dimensional (behavioural and attitudinal features, anxiety, food craving) and categorical (abstinence rates) outcomes highlighted the superiority of virtual reality-CET over A-CBT.
AB - A question that arises from the literature on therapy is whether second-level treatment is effective for patients with recurrent binge eating who fail first-level treatment. It has been shown that subjects who do not stop binge eating after an initial structured cognitive-behavioural treatment (CBT) programme benefit from additional CBT (A-CBT) sessions; however, it has been suggested that these resistant patients would benefit even more from cue exposure therapy (CET) targeting features associated with poor response (e.g. urge to binge in response to a cue and anxiety experienced in the presence of binge-related cues). We assessed the effectiveness of virtual reality-CET as a second-level treatment strategy for 64 patients with bulimia nervosa and binge eating disorder who had been treated with limited results after using a structured CBT programme, in comparison with A-CBT. The significant differences observed between the two groups at post-treatment in dimensional (behavioural and attitudinal features, anxiety, food craving) and categorical (abstinence rates) outcomes highlighted the superiority of virtual reality-CET over A-CBT.
KW - binge eating disorders
KW - bulimia nervosa
KW - cue exposure
KW - treatment
KW - virtual reality
UR - http://www.scopus.com/inward/record.url?scp=85032870464&partnerID=8YFLogxK
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U2 - 10.1002/erv.2538
DO - 10.1002/erv.2538
M3 - Article
AN - SCOPUS:85032870464
VL - 25
SP - 479
EP - 490
JO - European Eating Disorders Review
JF - European Eating Disorders Review
SN - 1072-4133
IS - 6
ER -