Effectiveness of internet‐based guided self‐help for binge‐eating disorder and characteristics of completers versus noncompleters

Objective Binge‐eating disorder (BED) is characterized by recurrent episodes of binge eating, accompanied by a lack of control and feelings of shame. Online intervention is a promising, accessible treatment approach for BED. In the current study, we compared completers with noncompleters in a 10‐session guided internet‐based treatment program (iBED) based on cognitive behavioral therapy. Methods Adults (N = 75) with mild to moderate BED participated in iBED with weekly written support from psychologists. Participants were compared on the Eating Disorder Examination Questionnaire (EDE‐Q), diagnostic criteria for BED (BED‐Q), major depression inventory (MDI), quality of life (EQ‐5D‐5L), body mass index (BMI) and sociodemographic variables. Results Minor differences were observed between completers and noncompleters on depression. No differences were found in BED‐symptoms, BMI, and sociodemographic variables. Participants who completed treatment showed large reductions in eating disorder pathology. Discussion More research is needed to determine risk factors for attrition or treatment outcome in internet‐based interventions for BED. It is suggested that iBED is an efficient intervention for BED. However, more studies of internet‐interventions are needed.