A Randomised Controlled Comparison of Second-Level Treatment Approaches for Treatment-Resistant Adults with Bulimia Nervosa and Binge Eating Disorder: Assessing the Benefits of Virtual Reality Cue Exposure Therapy
- Ferrer Garcia, Marta - Gutierrez Maldonado, Jose - Pla Sanjuanelo, Joana - Vilalta Abella, Ferran - Riva, Giuseppe - Clerici, Massimo - Ribas Sabate, Joan - Andreu Gracia, Alexis - Fernandez Aranda, Fernando - Forcano, Laura - Riesco, Nadine - Sanchez, Isabel - Escandon Nagel, Neli - Gomez Tricio, Osane - Tena, Virginia - Dakanalis, Antonios
- Datos de publicación:
- EUROPEAN EATING DISORDERS REVIEW,Vol.25,479-490,2017
- cue exposure - virtual reality - bulimia nervosa - binge eating disorders - treatment
- Migración Web of Science 
- A question that arises from the literature on therapy is whether second-level treatment is effective for patients with recurrent binge eating who fail first-level treatment. It has been shown that subjects who do not stop binge eating after an initial structured cognitive-behavioural treatment (CBT) programme benefit from additional CBT (A-CBT) sessions; however, it has been suggested that these resistant patients would benefit even more from cue exposure therapy (CET) targeting features associated with poor response (e.g. urge to binge in response to a cue and anxiety experienced in the presence of binge-related cues). We assessed the effectiveness of virtual reality-CET as a second-level treatment strategy for 64 patients with bulimia nervosa and binge eating disorder who had been treated with limited results after using a structured CBT programme, in comparison with A-CBT. The significant differences observed between the two groups at post-treatment in dimensional (behavioural and attitudinal features, anxiety, food craving) and categorical (abstinence rates) outcomes highlighted the superiority of virtual reality-CET over A-CBT. Copyright (c) 2017 John Wiley & Sons, Ltd and Eating Disorders Association.