CPG for Eating Disorders

differences were observed in other types of costs. CBT-GSH is slightly superior to FTin reducing binge-eating more quickly, being less costly and presenting betteracceptability for adolescents with BN and/or EDNOS.An RCT (Munsch, 2007; Switzerland) 253 in 80 participants (88.85% women, age 18-70years) diagnosed with BED compared CBT (N=44) to behavioural weight losstreatment (BWLT) (N=36) in 16 weekly sessions with 12-month follow-up. CBT wassignificantly more effective at reducing BMI (p27 kg/m 2 ) and regular access to a computer were included,group CBT (N=22; 90-minute sessions in groups of 5 to 10 people) was compared to CBT-CD(N=22; CBT using CD-ROM for treatment of obesity and eating behaviour that affects health)and to waiting list (N=22). Treatment duration was 10 weeks.Treatment acceptability was measured using debilitation of individuals who had beenoriginally assigned to the waiting list group after changing from one treatment toanother. The majority of patients on waiting list preferred to receive the CD-ROM thangroup CBT when their waiting time ended. There is a significant difference in bothgroups compared to the control group in reducing the number of daily binge-eatingepisodes.RCT1++Summary of the EvidenceSRSE 311++SRSE 311++SRSE 311++CBT is more effective at reducing the frequency of binge-eating episodes andincreasing their remission. Both individual and group CBT, when compared toother interventions carried out in the control group, obtain better results inachieving abstinence and its maintenance over the 4 months followingtreatment (Hilbert, 2004 252 ; Gorin, 2003 251 ). CBT is not associated with weightloss.CBT also improved psychological aspects (disinhibition, etc.) (Hilbert, 2004 252 ;Gorin, 2003 251 ).The efficacy of CBT in reducing body weight in BED patients is not adequatelydocumented (Hilbert, 2004 254 ; Gorin, 2003 251 ).Recommendations(See also recommendations 9.GP.14. and 9.GP.17.)110CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS