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Randomized Controlled Trial
. 2012;7(10):e46047.
doi: 10.1371/journal.pone.0046047. Epub 2012 Oct 31.

Emotional and social mind training: a randomised controlled trial of a new group-based treatment for bulimia nervosa

Anna Lavender  1 , Helen Startup, Ulrike Naumann, Nelum Samarawickrema, Hannah Dejong, Martha Kenyon, Frederique van den Eynde, Ulrike Schmidt
Affiliations
Randomized Controlled Trial

Emotional and social mind training: a randomised controlled trial of a new group-based treatment for bulimia nervosa

Anna Lavender et al. PLoS One. 2012.

Abstract

Objective: There is a need to improve treatment for individuals with bulimic disorders. It was hypothesised that a focus in treatment on broader emotional and social/interpersonal issues underlying eating disorders would increase treatment efficacy. This study tested a novel treatment based on the above hypothesis, an Emotional and Social Mind Training Group (ESM), against a Cognitive Behavioural Therapy Group (CBT) treatment.

Method: 74 participants were randomised to either ESM or CBT Group treatment programmes. All participants were offered 13 group and 4 individual sessions. The primary outcome measure was the Eating Disorder Examination (EDE) Global score. Assessments were carried out at baseline, end of treatment (four months) and follow-up (six months).

Results: There were no differences in outcome between the two treatments. No moderators of treatment outcome were identified. Adherence rates were higher for participants in the ESM group.

Discussion: This suggests that ESM may be a viable alternative to CBT for some individuals. Further research will be required to identify and preferentially allocate suitable individuals accordingly.

Trial registration: ISRCTN61115988.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Consort diagram.
See this image and copyright information in PMC

References

    1. Currin L, Schmidt U, Treasure J, Jick H (2005) Time trends in eating disorder incidence. BrJ Psychiatry 186: 132–135. - PubMed
    1. DeJong H (Submitted) Quality of Life in Bulimia Nervosa.
    1. Perkins S, Winn S, Murray J, Murphy R, Schmidt U (2004) A qualitative study of the experience of caring for a person with bulimia nervosa. Part 1: The emotional impact of caring 36: 256–268. - PubMed
    1. Simon J, Schmidt U, Pilling S (2005) The health service use and cost of eating disorders. 35: 1543–1551. - PubMed
    1. Winn S, Perkins S, Murray J, Murphy R, Schmidt U (2004) A qualitative study of the experience of caring for a person with bulimia nervosa. Part 2: Carers' needs and experiences of services and other support 36: 269–279. - PubMed

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