A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup

This article reviews the 6-month followup data of a randomized, multicenter, parallel-group study conducted at five clinical sites in three European cities, which compared two second-level treatments for bulimia nervosa (BN) and binge eating disorder (BED): virtual reality-based cue exposure therapy...

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Autores: Ferrer, Marta (Ferrer García), Pla Sanjuanelo, Joana, Dakanalis, Antonios, Vilalta-Abella, Ferran, Riva, Giuseppe, Fernández Aranda, Fernando, Forcano, Laura, Riesco, Nadine, Sánchez Zaplana, Isabel, Clerici, Massimo, Ribas Sabaté, Joan, Andreu Gracia, Alexis, Escandón-Nagel, Neli, Gómez-Tricio, Osane, Tena, Virginia, Gutiérrez Maldonado, José
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/154222
Acceso en línea:https://hdl.handle.net/2445/154222
Access Level:acceso abierto
Palabra clave:Bulímia
Teràpia d'exposició
Realitat virtual
Bulimia
Exposure therapy
Virtual reality
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repository_id_str
spelling A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month FollowupFerrer, Marta (Ferrer García)Pla Sanjuanelo, JoanaDakanalis, AntoniosVilalta-Abella, FerranRiva, GiuseppeFernández Aranda, FernandoForcano, LauraRiesco, NadineSánchez Zaplana, IsabelClerici, MassimoRibas Sabaté, JoanAndreu Gracia, AlexisEscandón-Nagel, NeliGómez-Tricio, OsaneTena, VirginiaGutiérrez Maldonado, JoséBulímiaTeràpia d'exposicióRealitat virtualBulimiaExposure therapyVirtual realityThis article reviews the 6-month followup data of a randomized, multicenter, parallel-group study conducted at five clinical sites in three European cities, which compared two second-level treatments for bulimia nervosa (BN) and binge eating disorder (BED): virtual reality-based cue exposure therapy (VR-CET) versus additional cognitive behavioral therapy (A-CBT). Post-treatment outcomes of this study were already published in Ferrer- Garcia et al. (2017) and details of its design can be found at clinicaltrials.gov (identifier: NCT02237300, https:// clinicaltrials.gov). This article focuses on the evolution of symptoms assessed after 6 months of followup in a subgroup of 58 patients from the original study. In this study (Ferrer-Garcia et al., 2017) 64 patients with eating disorders (EDs) (35 with BN and 29 with BED), who still showed active episodes of binge eating by the end of a structured CBT program (first-level treatment), were randomly assigned to one of two second-level treatments (A-CBT or VR-CET). Frequency of binge and purge episodes, and attitudinal features of binge-related EDs (bulimia, drive for thinness, and body dissatisfaction) were assessed before starting the second-level treatment (n = 64), at the end (n = 64), and at 6-month followup (n = 58). Mixed between-within subject analyses of variance were used to compare outcomes of both second-level treatments over time. Although both treatment conditions showed statistically significant improvements at the end and after 6-month followup, obtained reductions were greater after VR-CET, regarding binge and purge episodes, as well as the decrease of selfreported tendency to engage in overeating episodes. Accordingly, abstinence from binge episodes were higher in VR-CET than A-CBT at followup (70 percent vs. 26 percent, respectively; v2 = 11.711, p = 0.001). These results provide further support for the use of VR-CET as an effective second-level intervention for BN and BED treatment-resistant patients.Mary Ann Liebert2020202020192020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion9 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/154222Articles publicats en revistes (Psicologia Clínica i Psicobiologia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1089/cyber.2017.0675Cyberpsychology Behavior and Social Networking, 2019, vol. 22, num. 1, p. 60-68https://doi.org/10.1089/cyber.2017.0675(c) Mary Ann Liebert, 2019info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1542222026-05-29T05:05:01Z
dc.title.none.fl_str_mv A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
title A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
spellingShingle A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
Ferrer, Marta (Ferrer García)
Bulímia
Teràpia d'exposició
Realitat virtual
Bulimia
Exposure therapy
Virtual reality
title_short A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
title_full A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
title_fullStr A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
title_full_unstemmed A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
title_sort A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup
dc.creator.none.fl_str_mv Ferrer, Marta (Ferrer García)
Pla Sanjuanelo, Joana
Dakanalis, Antonios
Vilalta-Abella, Ferran
Riva, Giuseppe
Fernández Aranda, Fernando
Forcano, Laura
Riesco, Nadine
Sánchez Zaplana, Isabel
Clerici, Massimo
Ribas Sabaté, Joan
Andreu Gracia, Alexis
Escandón-Nagel, Neli
Gómez-Tricio, Osane
Tena, Virginia
Gutiérrez Maldonado, José
author Ferrer, Marta (Ferrer García)
author_facet Ferrer, Marta (Ferrer García)
Pla Sanjuanelo, Joana
Dakanalis, Antonios
Vilalta-Abella, Ferran
Riva, Giuseppe
Fernández Aranda, Fernando
Forcano, Laura
Riesco, Nadine
Sánchez Zaplana, Isabel
Clerici, Massimo
Ribas Sabaté, Joan
Andreu Gracia, Alexis
Escandón-Nagel, Neli
Gómez-Tricio, Osane
Tena, Virginia
Gutiérrez Maldonado, José
author_role author
author2 Pla Sanjuanelo, Joana
Dakanalis, Antonios
Vilalta-Abella, Ferran
Riva, Giuseppe
Fernández Aranda, Fernando
Forcano, Laura
Riesco, Nadine
Sánchez Zaplana, Isabel
Clerici, Massimo
Ribas Sabaté, Joan
Andreu Gracia, Alexis
Escandón-Nagel, Neli
Gómez-Tricio, Osane
Tena, Virginia
Gutiérrez Maldonado, José
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Bulímia
Teràpia d'exposició
Realitat virtual
Bulimia
Exposure therapy
Virtual reality
topic Bulímia
Teràpia d'exposició
Realitat virtual
Bulimia
Exposure therapy
Virtual reality
description This article reviews the 6-month followup data of a randomized, multicenter, parallel-group study conducted at five clinical sites in three European cities, which compared two second-level treatments for bulimia nervosa (BN) and binge eating disorder (BED): virtual reality-based cue exposure therapy (VR-CET) versus additional cognitive behavioral therapy (A-CBT). Post-treatment outcomes of this study were already published in Ferrer- Garcia et al. (2017) and details of its design can be found at clinicaltrials.gov (identifier: NCT02237300, https:// clinicaltrials.gov). This article focuses on the evolution of symptoms assessed after 6 months of followup in a subgroup of 58 patients from the original study. In this study (Ferrer-Garcia et al., 2017) 64 patients with eating disorders (EDs) (35 with BN and 29 with BED), who still showed active episodes of binge eating by the end of a structured CBT program (first-level treatment), were randomly assigned to one of two second-level treatments (A-CBT or VR-CET). Frequency of binge and purge episodes, and attitudinal features of binge-related EDs (bulimia, drive for thinness, and body dissatisfaction) were assessed before starting the second-level treatment (n = 64), at the end (n = 64), and at 6-month followup (n = 58). Mixed between-within subject analyses of variance were used to compare outcomes of both second-level treatments over time. Although both treatment conditions showed statistically significant improvements at the end and after 6-month followup, obtained reductions were greater after VR-CET, regarding binge and purge episodes, as well as the decrease of selfreported tendency to engage in overeating episodes. Accordingly, abstinence from binge episodes were higher in VR-CET than A-CBT at followup (70 percent vs. 26 percent, respectively; v2 = 11.711, p = 0.001). These results provide further support for the use of VR-CET as an effective second-level intervention for BN and BED treatment-resistant patients.
publishDate 2019
dc.date.none.fl_str_mv 2019
2020
2020
2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/154222
url https://hdl.handle.net/2445/154222
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1089/cyber.2017.0675
Cyberpsychology Behavior and Social Networking, 2019, vol. 22, num. 1, p. 60-68
https://doi.org/10.1089/cyber.2017.0675
dc.rights.none.fl_str_mv (c) Mary Ann Liebert, 2019
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Mary Ann Liebert, 2019
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Mary Ann Liebert
publisher.none.fl_str_mv Mary Ann Liebert
dc.source.none.fl_str_mv Articles publicats en revistes (Psicologia Clínica i Psicobiologia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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