Guided Self-help CBT-E Condition
EVENTS
Guided self-help CBT-E started in the same week as the baseline assessment. Before commencing treatment, patients were required to read the psychoeducational section of the Dutch version of Similar to CBT-E–guided self-help, CBT-E consisted of 4 phases; the first stage focused on establishing regular eating and alternatives for binge eating; using real-time self-monitoring as the central intervention; and events, moods, and eating. After a joint review of progress and designing the rest of treatment in the second stage, based on the patients’ reported symptoms and maintaining mechanisms of their BED, the third stage focused on either dietary restraint or shape concern and finally ended well with a firm focus on minimizing the risk of relapse in the long term.