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Nocturnal Eating Association With: Binge Eating, Obesity, And Psychological Distress.Pdf, Ruth Striegel Weissman Dec 2009

Nocturnal Eating Association With: Binge Eating, Obesity, And Psychological Distress.Pdf, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective To examine clinical correlates of nocturnal eating, a core behavioral symptom of night eating syndrome. Method Data from 285 women who had participated in a two-stage screening for binge eating were utilized. Women (n = 41) who reported one or more nocturnal eating episodes in the past 28 days on the eating disorder examination and women who did not report nocturnal eating (n = 244) were compared on eating disorder symptomatology, body mass index (BMI), and on measures of psychosocial adjustment. Results Nocturnal eaters were significantly more likely to report binge eating and differed significantly from non-nocturnal eaters (with …


Cost-Effectiveness Of Guided Self-Help Treatment For Recurrent Binge Eating, R H. Striegel, F L. Lynch, J F. Dickerson, N Perrin, L Debar, G T. Wilson, H C. Kraemer Dec 2009

Cost-Effectiveness Of Guided Self-Help Treatment For Recurrent Binge Eating, R H. Striegel, F L. Lynch, J F. Dickerson, N Perrin, L Debar, G T. Wilson, H C. Kraemer

Ruth Striegel Weissman

Objective

Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU).

Method

Participants were 123 adult members of an HMO (mean age = 37.2, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (EDE, Fairburn & Cooper, 1993). Participants were randomized either to treatment as usual (TAU) …


Cognitive-Behavioral Guided Self-Help For The Treatment Of Recurrent Binge Eating, Ruth Striegel Weissman Dec 2009

Cognitive-Behavioral Guided Self-Help For The Treatment Of Recurrent Binge Eating, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: Despite proven efficacy of cognitive behavioral therapy (CBT) for treating eating disorders with binge eating as the core symptom, few patients receive CBT in clinical practice. Our blended efficacy–effectiveness study sought to evaluate whether a manual-based guided self-help form of CBT (CBT-GSH), delivered in 8 sessions in a health maintenance organization setting over a 12-week period by master's-level interventionists, is more effective than treatment as usual (TAU). Method: In all, 123 individuals (mean age = 37.2; 91.9% female, 96.7% non-Hispanic White) were randomized, including 10.6% with bulimia nervosa (BN), 48% with binge eating disorder (BED), and 41.4% with recurrent …


A Qualitative Study Of Perceived Social Barriers To Care For Eating Disorders: Perspectives From Ethnically Diverse Health Care Consumers, R H. Striegel, A E. Becker, A H. Arrindell, A Perloe, K Fay Dec 2009

A Qualitative Study Of Perceived Social Barriers To Care For Eating Disorders: Perspectives From Ethnically Diverse Health Care Consumers, R H. Striegel, A E. Becker, A H. Arrindell, A Perloe, K Fay

Ruth Striegel Weissman

Objective:

The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.

Method:

We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers—including stigma and social stereotypes—on perceived impact on care.

Results:

The majority of respondents (78%) endorsed …