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.
Martin Seligman: Author Of “Learned Optimism” Speaks About Positive Psychology And Authentic Happiness
Martin Seligman was originally best known for his classic psychology studies and theory of “Learned Helplessness” (1967) and it’s relationship to depression.
These days he is considered to be a founder of positive psychology, a field of study that examines healthy states, such as authentic happiness, strength of character and optimism, and is the author of “Learned Optimism”.
This is a terrific talk on Positive Psychology and what it means to be happy. It’s about 20 mins. long but definitely worth a watch!
Today I wanted to get around to doing what I have been meaning to do for a while and post a list of free access interactive and/or educational websites which I have come across. These sites are fantastic resources and each one offers a different way to get involved with your recovery. Please note I am not affiliated with any of these sites and they are not affiliate sites. I hope you find one or more useful as I know many of my clients have.
Self Help / Educational Websites
Updated 27th March 2010
- Anxiety Online
- Beyond Blue
- Bipolar Disorder Education Program
- CRUfAD – Self Help
- Depression Education Program
- Feardrop – online exposure therapy for phobias
- Living Well Working Well
- Multicultural Information on Depression online (MIDonline)
- Virtual Clinic
- Added 27th March 2010
- Beatingtheblues (UK)
There you have it! Check them out and let me know what you think. Know of any others? (No affiliate sites please).
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.
Recently, the American Psychiatric Association released some preliminary draft changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) that may affect those diagnosed on the autism spectrum. There are several significant changes proposed that are now posted for public view, including: Asperger’s Syndrome and Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS) would both be subsumed into the Autistic Disorder category, meaning that they would no longer be considered a separate diagnosis from autism, and the inclusion of potential co-morbidities with ADHD and other medical conditions.
The Autism Society is currently investigating the implications this change could have for the service and support systems currently in place for those with autism spectrum disorders. We will also be holding a town hall meeting at the Autism Society’s National Conference on Autism Spectrum Disorders in Dallas July –, 2010 (learn more about the conference or register at www.autism-society.org/conference). You can also give your feedback on the changes at the Web site www.DSM5.org – look for the diagnoses on the autism spectrum under “Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence.”
These changes are not yet official – they are proposed for the update to the manual, which is expected to be published in May 2013. Whatever changes do go into effect surrounding autism spectrum disorders, the Autism Society will continue to work as we have always done to improve the lives of people across the entire spectrum of autism.
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!
I am pleased that I’ve actually come across some sound and sensible information regarding hypnosis on the internet! Hypnosis when put in to action well, can be a very effective tool for some interpersonal and habitual problems. However there are a number of reasons why a lot of people won’t touch it with the preverbial bargepole! From the site www.hypnosisdownloads.com here are some accurate debunks of 5 myths about hypnosis.
Hypnosis Myth 1) All hypnosis is the same As with anything, hypnosis can be good, bad or indifferent. The most common is old-style authoritarian hypnosis of the type “You are getting sleepy, you are feeling confident”. Unsurprisingly, this sort of hypnosis doesn’t work well with many people. Good hypnosis uses subtle psychological principles and advanced communication patterns. It’s like the difference between a football coach who thinks you’ll perform best if he yells at you, compared with the more elegant style of a great leader who knows that to get the best from his people, he needs to understand motivation, to cajole, encourage and reward. Hypnosis Downloads.com offers hundreds of sessions using the best type of hypnosis.
Hypnosis Myth 2) Subliminals work Subliminals are words that you can’t hear. Common sense says they shouldn’t work, and there’s no research proving that they do.
Hypnosis Myth 3) Some people can’t be hypnotized .The only reason you can’t be hypnotized is if you are incapable of paying attention due to extremely low IQ or brain damage. That’s not to say that every hypnotist can hypnotize you however. The more flexible the hypnotist, the more effective she will be with the largest number of people.
Hypnosis Myth 4) Hypnosis is something weird that other people do to you If you couldn’t go into hypnosis, you wouldn’t be able to sleep, to learn, or get nervous through ‘negative self hypnosis’. (You know when you imagine things going wrong and it makes you feel anxious? Well that’s self hypnosis!)
Hypnosis is simply a deliberate utilization of the REM (Rapid Eye Movement) or dream state. We’re not giving people medication here – if it wasn’t a natural ability, hypnosis wouldn’t work!
Hypnosis Myth 5) You lose control in hypnosis Crazy news stories, stage hypnotists and gossip have created the illusion that you lose control in hypnosis. In fact, when hypnotized, you are relaxed and focused – and able to choose to get up and walk away at any time. You choose to give your attention to the hypnotist, and you can withdraw it at any time.
If you have been scared of hypnosis in the past, this article has hopefully helped give you a more balanced perspective. But remember, ensure what you’re getting is the real thing. If you are curious, ask you therapist or psychologist before you seek further information or help. Online, try www.hypnosisdownloads.com for further resources or information.
Adapted from an article by Mark Tyrrell of Hypnosis Downloads.com.