Individual research recommendation details

Recommendation ID

NG69/1

Question

Psychological treatments for binge eating disorder: - Compare the clinical and cost effectiveness of individual eating-disorder-focused cognitive behavioural therapy (CBT-ED) with guided self-help and group CBT-ED for adults with binge eating disorder. Compare the clinical and cost effectiveness of individual eating-disorder-focused CBT-ED with guided self-help and group CBT-ED for children and young people with binge eating disorder

Any explanatory notes
(if applicable)

Why this is important:- There is little evidence on psychological treatments for people with binge eating disorder. The studies that have been published have not always provided remission outcomes or adequate definitions of remission. While there is some evidence for guided self-help and individual CBT-ED, only one study was identified for individual CBT-ED and no remission data were available. It is also unclear if individual CBT-ED is more effective than guided self-help or group CBT-ED (especially for people that find these treatments ineffective).
There is also no evidence on treatments for children and very little for young people. One study was found on individual CBT-ED for young people, but only 26 participants were included in the data for remission. Randomised controlled trials should be carried out to compare the clinical and cost effectiveness of psychological treatments for adults, children and young people with binge eating disorder. In adults, the treatment should focus on the effectiveness of individual CBT-ED
compared with guided self-help and group CBT-ED. For children and young people, the efficacy of eating disorder-focused family therapy could also be compared with individual CBT-ED and different kinds of self-help (such as internet self-help or guided self-help). Primary outcome measures could include:
- remission
- binge eating
- compensatory behaviours.

There should be at least a 1-year follow up. Qualitative data could also be collected on the service user's and (if appropriate) their family members' or carers' experience of the treatment. Mediating and moderating factors that have an effect on treatment effectiveness should also be measured, so that treatment barriers can be addressed and positive factors can be promoted.

Source guidance details

Comes from guidance

Eating disorders: recognition and treatment

Number

NG69

Date issued

May 2017

Other details