Kaiser Permanente Center for Health Research, Press Release
Short-Term Program for Binge Eaters Using “Overcoming Binge Eating” by Dr. Christopher Fairburn Has Long-Term Benefits
PORTLAND, Ore. — A new study finds that a self-guided, 12-week program helps binge eaters stop binging for up to a year and the program can also save money for those who participate. Recurrent binge eating is the most common eating disorder in the country, affecting more than three percent of the population, or nine million people, yet few treatment options are available.
But a first-of-a-kind study conducted by researchers at the Kaiser Permanente Center for Health Research, Wesleyan University and Rutgers University found that more than 63 percent of participants had stopped binging at the end of the program — compared to just over 28 percent of those who did not participate. The program lasted only 12 weeks, but most of the participants were still binge free a year later. A second study, also published in the April issue of the Journal of Consulting and Clinical Psychology, found that program participants saved money because they spent less on things like dietary supplements and weight loss programs.
“It is unusual to find a program like this that works well, and also saves the patient money. It’s a win-win for everyone,” said study author Frances Lynch, PhD, MSPH, a health economist at the Kaiser Permanente Center for Health Research. “This type of program is something that all health care systems should consider implementing.”
“People who binge eat more than other people do during a short period of time and they lose control of their eating during these episodes. Binge eating is often accompanied by depression, shame, weight gain, loss of self-esteem and it costs the health care system millions of extra dollars,” said the study’s principal investigator Ruth H. Striegel-Moore, PhD, a professor of psychology at Wesleyan University. “Our studies show that recurrent binge eating can be successfully treated with a brief, easily administered program, and that’s great news for patients and their providers.”
Binge eating has received a lot of media attention recently because the American Psychiatric Association is recommending that it be considered a separate, distinct eating disorder like bulimia and anorexia. This new diagnosis can be expected to focus more attention on binge eating and how best to treat it, according to the researchers. It also could influence the number of people diagnosed and how insurers will cover treatment.
This randomized controlled trial, conducted in 2004–2005, involved 123 members of the Kaiser Permanente health plan in Oregon and southwest Washington. More than 90 percent of them were women, and the average age was 37. To be included in the study, participants had to have at least one binge eating episode a week during the previous three months with no gaps of two or more weeks between episodes.
Half of the participants were enrolled in the intervention and asked to read the book “Overcoming Binge Eating” by Dr. Christopher Fairburn, a professor of psychiatry and expert on eating disorders. The book details scientific information about binge eating and then outlines a six-step self-help program using self-monitoring, self-control and problem-solving strategies. Participants in the study attended eight therapy sessions over the course of 12 weeks in which counselors explained the rationale for cognitive behavioral therapy and helped participants apply the strategies in the book. The first session lasted one hour, and subsequent sessions were 20–25 minutes. The average cost of the intervention was $167 per patient.
All participants were mailed fliers detailing the health plan’s offerings for healthy living and eating and encouraged to contact their primary care physician to learn about more services.
By the end of the 12-week program 63.5 percent of participants had stopped binging, compared to 28.3 percent of those who did not participate. Six months later, 74.5 percent of program participants abstained from binging, compared to 44.1 percent in usual care. At one year, 64.2 percent of participants were binge free, compared to 44.6 percent of those in usual care.
Everyone in the trial was asked to provide extensive information about their binge eating episodes, how often they missed work or were less productive at work, and the amount they spent on health care, weight-loss programs and weight loss supplements. Researchers also examined expenditures on medications, doctor visits, and other health-related services.
The researchers then compared these costs between the two groups and found that average total costs were $447 less in the intervention group. This included an average savings of $149 for the participants, who spent less on weight loss programs, over-the-counter medications and supplements. Total costs for the intervention group were $3,670 per person per year, and costs for the control group were $4,098.
“While program results are promising, we highly encourage anyone who has problems with binge eating to consult with their doctors to make sure this program is right for them,” said study co-author Lynn DeBar, PhD, clinical psychologist at the Kaiser Permanente Center for Health Research.
Study authors include: Lynn DeBar, John F. Dickerson, Frances Lynch and Nancy Perrin from the Kaiser Permanente Center for Health Research in Portland, Oregon; Ruth H. Striegel-Moore and Francine Rosselli from Wesleyan University; G. Terence Wilson from Rutgers, The State University of New Jersey; and Helena C. Kraemer from the Stanford University School of Medicine.
I have just found this video which includes a rare interview with Dr David Schnarch, author of “Passionate Marriage”, “Resurrecting Sex” & his latest book released in October 2009 “Intimacy & Desire”. Anyone who knows me well knows I am an advocate of Schnarch’s personal development approach to improving intimate relationships. For more information on my personal experiences with Schnarch and his unique contributions to this field read THIS POST.
Here are Schnarch’s online self evaluation surveys and statistics for the health of your sexual relationship and personal intimacy style. If you’re having issues (like 70% of couples in committed relationships) and have tried and failed to spark things up again, please watch this interview, read one of Schnarch’s books and check out his website for online resources. It will be worth your time and money.
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As today is World Autism Awareness Day, I thought I’d highlight A new book by Australian author and mum Sally Thibault, whose son David, now 24 and studying at University, has Asperger’s Syndrome. Below is an interview with Sally and the story of “David’s Gift”
Credit : davidsgift.com.au: A new book called David’s Gift by Australian author Sally Thibault is a real-life story about her long struggle to cope with son David’s Asperger’s Syndrome – an autistic spectrum disorder. The book was released in mid March 2010 to help other parents facing challenging behaviours with children.
The message of the book is for everyone – that it’s not what happens to you in life that’s important, but how you handle it that matters.
Sally was a pioneering parent dealing with autistic spectrum disorder when it was unknown and first being diagnosed in Australia about 12 years ago. Now this complex neurological disorder is the most common developmental disorder in Australia. One in every 166 children in Australia has autism and that number has increased to one in every 91 children in the USA. Three out of every four are boys.Interview with Sally Thibault ABC Queensland 1st April 2010 Download
Already being touted as a must read for all parents, teachers and health care professionals, David’s Gift helps others understand the pain and emotions parents deal with as they navigate the challenges of having a child with ASD.
Thibault’s story is inspirational and offers hope to people from all walks of life, especially those with disabilities. The book reveals useful information about Asperger’s Syndrome and autistic spectrum disorder (ASD), and gives parents real, tangible tools to assist them to come to terms with the diagnosis and create strategies to ensure their child grows to be a strong, self-actualised and confident young adult.
“When Asperger’s Syndrome first came into our lives it presented us with a challenge that, at the time, seemed sad, unfair and overwhelming. It is only now I can see that it was in fact an incredible gift,” said Mrs Thibault.
“As parents, we had to become the people we wanted David to be. What we learned about ourselves and who we became as people was David’s gift to us.”
“The book transcends the issue of autism and can be transferred to anyone’s life situation. The story has the potential to transform how people view the challenges they face, by helping readers see how those challenges are a gift offering them opportunity to grow and have a better life.”
Sally Thibault is a ‘wise mother’ of three children aged 24, 22 and 16, who has lived with autistic spectrum disorder for 24 years. She hopes her honest account of parenting a child with Asperger’s Syndrome will help other parents learn through her experiences.
When her eldest son David was a toddler, Sally knew he was different from other children. After searching for answers for many years, it wasn’t until David was 12 years old that he was finally diagnosed with Asperger’s Syndrome, an autistic spectrum disorder, in 1997.
“Back then, there wasn’t nearly as much information about Asperger’s as there is today, but judgements still haven’t changed in 12 years,” said Mrs Thibault. “One of the greatest challenges for children with ASD and their families is coping with a world that doesn’t accept difference very well.
As Barack Obama said: “My advice is to cultivate a sense of empathy – to put yourself in other people’s shoes – to see the world from their eyes. Empathy is a quality of character that can change the world.”
Asperger’s Syndrome is the mildest and highest function end of the autistic spectrum. People with Asperger’s find it difficult to understand social skills, often misunderstand the use of language and can be considered ‘obsessive’, focussing on one particular area of interest. People diagnosed with Asperger’s are generally intelligent, intense and self-focussed individuals who usually find success in a career that requires enormous amounts of attention to detail.
Steven Spielberg was diagnosed with Asperger’s as an adult. Today, David is following a similar career path and studying to be a digital video editor, which is perfect for his personality type.
Bill Gates is suspected to have Asperger’s Syndrome, along with Albert Einstein, Isaac Newton, Benjamin Franklin and Ludwig van Beethoven. David’s Gift has parallel themes to the award-winning book and film, The Horse Boy – a true story about a father’s quest to heal his autistic son by traveling with horses through Mongolia.
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I have just come across this site. The book prices are as good or better than Amazon and they ship free to any address worldwide no matter the size of the order. The Book Depository
I will be using this site for my blog links for highly recommended books from now on as I believe it provides the best value for most of my readers. I will continue to provide Amazon links in my Highly Recommended Books Library accessible from the menu on the right.
Music affects all of us, and we can attest to it’s appeal to our emotions. Now researchers have developed a program designed to help children with ASD better understand emotions, and learn to recognize emotions in other people.
The children use a method of music education known as the Orff-Schulwerk (schulwerk is German for schooling) approach, which was developed by 20th-century German composer Carl Orff. This approach to music learning uses movement and is based on things that kids intuitively like to do, such as sing, chant rhymes, clap, dance and keep a beat or play a rhythm on anything near at hand.
The 12-week program uses elements from the Orff method — including games, instruments and teamwork — and combines them with musical games. The idea is to pair emotional musical excerpts with matching displays of social emotion (happy with happy, sad with sad, etc.) in a social, interactive setting.
Istvan Molnar-Szakacs, a researcher at the UCLA Tennenbaum Center for the Biology of Creativity and member of the of the Help Group–UCLA Autism Research Alliance, stated, “The purpose of this work is to provide a means for awakening the potential in every child for being ‘musical’ — that is, to be able to understand and use music and movement as forms of expression and, through that, to develop a recognition and understanding of emotions.”
Molnar-Szakacs also said that participating in musical activities has the potential to scaffold and enhance all other learning and development, from timing and language to social skills. “Beyond these more concrete intellectual benefits, the extraordinary power of music to trigger memories and emotions and join us together as an emotional, empathic and compassionate humanity are invaluable”
The goal of the research is to evaluate the effect of the music education program on outcomes in social communication and emotional functioning, as well as the children’s musical development.
I am constantly delighted and enthralled by the children, young people and adults with ASD with whom I have the opportunity to work. There is a frankness and depth in these conversations that blows my socks off just about every time we get together.
Here are some of the ASD resources that I use and recommend to my clients and patients as well as my colleagues.
This is not an exhaustive list by any means, but rather some of those I have found most useful or been described as most helpful. Please have a look and see if you think they may be of use to you or someone you know. There are others listed in my “Highly Recommended Books and Resources” Link to the right of this page.
and there are so many others! I’m just realising that this is an entire post topic in itself. Stay tuned. Any others you like” Any questions? Leave a comment!
The theory of cognitive distortions was first proposed by David Burns, MD. Eliminating these distortions and negative thoughts is one of the goals of many research proven Cognitive Behavioral Therapy(CBT) approaches to conquering mood disorders such as depression and chronic anxiety. The process of learning to refute these distortions is called cognitive restructuring. David Burns originally came up with 10 types of cognitive distortions, and a few others have been suggested subsequently by other researchers.
A number of years ago, myself and psychologist Jillian Hooper adapted these types of distortions into questions which clients and patients could use to challenge their dodgy thoughts. I thought it might be useful to post them here in the hope that they may be of use to readers. So here they are:
Questions to help you challenge negative thinking
What real evidence is there?
Am I turning a thought into a “fact”?
Am I jumping to conclusions?
What alternatives could there be?
What is the effect of thinking the way I do?
Is thinking this way helpful?
What are the pros and cons of thinking this way?
What thinking errors am I making?
Am I asking questions that don’t have answers?
Am I thinking “all or nothing” thoughts?
Am I “always” exaggerating “everything?”
Am I questioning my worth as a person because of one thing that has happened?
Am I focussing on my weaknesses and forgetting my strengths
Am I blaming myself for things that aren’t really my fault?
Am I taking things personally?
Am I expecting more of myself than I would of others?
Am I only noticing the negative side of things?
Am I making a mountain out of a molehill?
Am I expecting a catastrophe?
Am I worrying about things that I can do something about?
Am I assuming that things can’t change?
Am I trying to predict the future?
Brown, P H & Hooper, J (1998) Accessible Interventions for Depression in Rural and Remote Areas. Royal Queensland Bush Children’s Health Scheme.
David Burns Brilliant Book Feeling Good: The New Mood Therapy has been revised and updated over many years and remains one of the best self help tools for people suffering from depression and anxiety. It is also listed in my Highly Recommended Reads accessible via the link in the right column.