OBJECTIVE: The authors examined the effectiveness of unguided self-help as a first step in the treatment of @entity1279 . METHOD: A total of 85 @entity1 with @entity1279 who were on a waiting list for treatment at a hospital-based clinic participated. The @entity1 were randomly assigned to receive one of two self-help manuals or to a waiting list control condition for 8 weeks. One of the self-help manuals addressed the specific symptoms of @entity1279 (cognitive behavior self-help), while the other focused on self-assertion skills (nonspecific self-help). RESULTS: Twenty @entity1 (23.5%) dropped out of the study. The data were analyzed with intention-to-treat analysis. Although the group-by-time interaction for binge eating and purging was not statistically significant, simple effects showed that there was a significant reduction in symptom frequency in both self-help conditions at posttreatment but not in the waiting list condition. There were no statistically significant changes in levels of dietary restraint, eating concerns, concerns about shape and weight, or general psychopathology. A greater proportion of @entity1 in the cognitive behavior self-help (53.6%) and nonspecific self-help (50.0%) conditions reported at least a 50% reduction in binge eating or purging at posttreatment, compared with the waiting list condition (31.0%). A lower baseline knowledge about @entity1277 , more problems with intimacy, and higher compulsivity scores predicted a better response. CONCLUSIONS: The findings suggest that a subgroup of @entity1 with @entity1279 may benefit from unguided self-help as a first step in their treatment. Cognitive behavior self-help and nonspecific self-help had equivalent effects.

Self-help for XXXX : a randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['patients', 'women'] @entity1277 :: ('MESH:D001068', 'Disease') :: ['eating disorders'] @entity1279 :: ('MESH:D052018', 'Disease') :: ['bulimia nervosa']
@entity1279 :: (MESH:D052018,Disease) :: ['bulimia nervosa']
