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Trial registered on ANZCTR
Registration number
ACTRN12605000721606
Ethics application status
Approved
Date submitted
16/09/2005
Date registered
9/11/2005
Date last updated
12/01/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Enhancing psychotherapy for bulimia nervosa and binge eating disorder
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Scientific title
A randomised trial of cognitive behaviour therapy, schema focussed therapy and appetite enhanced cognitive therapy in the treatment for bulimia nervosa and binge eating disorder to reduce the frequency of binge eating episodes after six months of weekly and six months of monthly therapy
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Secondary ID [1]
290422
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
BEP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bulimia nervosa and binge eating disorder
871
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Binge eating disorder
872
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Condition category
Condition code
Diet and Nutrition
939
939
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0
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Other diet and nutrition disorders
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Mental Health
940
940
0
0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
CBT-B (Beck); CBT-S (Schema focused); CBT-A (Appetite enhanced).
Duration: 12 months.
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Intervention code [1]
644
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None
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Comparator / control treatment
CBT-B
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Control group
Active
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Outcomes
Primary outcome [1]
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To examine whether it is possible to improve the outcome of BN and BED treatment by enhancing cognitive component of standard CBT. Standard CBT will be compared with two enhanced forms of CBT - schema therapy and nutrition and appetite enhanced CBT.
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Assessment method [1]
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Timepoint [1]
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End of treatment (12 months)
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Primary outcome [2]
1234
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To examine whether it is possible to improve the outcome of BN and BED treatment by enhancing the nutritional component of standard CBT. Standard CBT will be compared with two enhanced forms of CBT - schema therapy and nutrition and appetite enhanced CBT.
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Assessment method [2]
1234
0
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Timepoint [2]
1234
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End of treatment (12 months)
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Primary outcome [3]
1235
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Binge eating (frequency of binges per week)
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Assessment method [3]
1235
0
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Timepoint [3]
1235
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End of treatment (12 months)
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Secondary outcome [1]
2246
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i) Recovery, defined as abstinence from binging, purging and the absence of any eating disorder diagnosis
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Assessment method [1]
2246
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Timepoint [1]
2246
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Outcomes are measured at end of treatment (12 months).
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Secondary outcome [2]
2247
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ii) Clinician-rated EDE subscales (sum): Restraint, bulimia, eating concerns, weight concerns, shape concerns
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Assessment method [2]
2247
0
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Timepoint [2]
2247
0
Outcomes are measured at end of treatment (12 months).
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Secondary outcome [3]
2248
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iii) Clinician-rated: Global Assessment of Functioning, Axis V of DSM-IV
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Assessment method [3]
2248
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Timepoint [3]
2248
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Outcomes are measured at end of treatment (12 months).
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Secondary outcome [4]
2249
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iv) Weight
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Assessment method [4]
2249
0
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Timepoint [4]
2249
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Outcomes are measured at end of treatment (12 months).
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Secondary outcome [5]
2250
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v) Number of days per week on which binge eating occurs
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Assessment method [5]
2250
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Timepoint [5]
2250
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Outcomes are measured at end of treatment (12 months).
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Secondary outcome [6]
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vi) Cliinician-rated: Global Eating Disorder Status
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Assessment method [6]
2251
0
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Timepoint [6]
2251
0
Outcomes are measured at end of treatment (12 months).
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Secondary outcome [7]
2252
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vii) Eating disorder symptoms: number of purges, dietary restriction
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Assessment method [7]
2252
0
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Timepoint [7]
2252
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Outcomes are measured at end of treatment (12 months).
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Secondary outcome [8]
2253
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viii) Self-report: EDI subscales: Drive for Thiness, Body Dissatisfaction, Bulimia.
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Assessment method [8]
2253
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Timepoint [8]
2253
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Outcomes are measured at end of treatment (12 months).
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Eligibility
Key inclusion criteria
i) current primary diagnosis of BN or BED; ii) Body mass index (BMI) > 17.5.
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Minimum age
16
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Current severe major depression (HDRS>20); ii) current severe psychoactive substance dependence; iii) current or past bipolar I disorder or schizophrenia; iv) developmental learning disorder or cognitive impairment; v) major medical or neurological illness; vi) current severe medical complications of an eating disorder; vii) currently taking psychoactive medication and unwilling to undergo a supervised drug wash-out period (the longer of two weeks or five drug half-lives); viii) failure to respond to a previous adequate trial of one of the psychotherapies in this study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed envelope.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated permutated block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/05/2005
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Actual
17/05/2005
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Date of last participant enrolment
Anticipated
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Actual
5/10/2010
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Date of last data collection
Anticipated
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Actual
2/03/2016
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Sample size
Target
200
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Accrual to date
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Final
112
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Recruitment outside Australia
Country [1]
8359
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New Zealand
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State/province [1]
8359
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Canterbury
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Funding & Sponsors
Funding source category [1]
1038
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Government body
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Name [1]
1038
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Health Research Council of New Zealand
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Address [1]
1038
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Level 3 - ProCARE Building, Grafton Mews, at 110 Stanley Street, Auckland 1010
Postal Address PO Box 5541, Wellesley Street, Auckland 1141
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Country [1]
1038
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New Zealand
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Primary sponsor type
Government body
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Name
Health Research Council of New Zealand
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Address
Level 3 - ProCARE Building, Grafton Mews, at 110 Stanley Street, Auckland 1010
Postal Address PO Box 5541, Wellesley Street, Auckland 1141
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Country
New Zealand
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Secondary sponsor category [1]
900
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None
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Name [1]
900
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Not applicable
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Address [1]
900
0
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Country [1]
900
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2338
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Christchurch
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Ethics committee address [1]
2338
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Ministry of Health PO Box 3877 Christchurch 8013
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Ethics committee country [1]
2338
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New Zealand
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Date submitted for ethics approval [1]
2338
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03/08/2004
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Approval date [1]
2338
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10/09/2004
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Ethics approval number [1]
2338
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CTB/04/08/139
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Summary
Brief summary
Bulimia nervosa (BN) and binge eating disorder (BED) are eating disorders that share a pattern of binge eating or overeating within discrete short time periods. CBT is the most effective treatment for BN and BED, and uses both cognitive and behavioural strategies. However, in spite of CBT being the most effective treatment for BN and BED, fewer than half of individuals fully recover. The proposed study aims to evaluate whether the effectiveness of standard CBT may be enhanced in two different ways. Schema therapy (ST) enhances the cognitive component of CBT by focusing on changing deeper level beliefs or schemas. Appetite enhanced CBT (CBT-A) enhances the behavioural component of CBT by focusing on hunger and satiety. The study will randomise women with BN or BED to standard CBT, ST or CBT-A
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Trial website
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Trial related presentations / publications
McIntosh, V. V. W., Jordan, J., Carter, J. D., Frampton, C. M. A., McKenzie, J. M., Latner, J. D., & Joyce, P. R. Psychotherapy for transdiagnostic binge eating: A randomized controlled trial of cognitive-behavioural therapy, appetite-focused cognitive-behavioural therapy, and schema therapy. Psychiat Res 2016; 240, 412-420. Jordan J, McIntosh VVW, Carter JD, Rowe S, Taylor K, Frampton CMA, et al. Bulimia nervosa-non purging subtype: Closer to the bulimia nervosa-purging subtype or to binge eating disorder? Int J Eat Disord. 2014, 47(3):231-238.
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Public notes
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Contacts
Principal investigator
Name
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Prof Peter Joyce
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Address
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Department of Psychological Medicine, UOC, PO Box 4345, Christchurch 8001
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Country
35964
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New Zealand
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Phone
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+64 3 372 0400
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Fax
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Email
35964
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[email protected]
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Contact person for public queries
Name
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Virginia McIntosh
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Address
9833
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Psychology Department,
University of Canterbury
Private Bag 4800
Christchurch 8140
New Zealand
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Country
9833
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New Zealand
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Phone
9833
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: +64,3,3694333
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Fax
9833
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+64 3 3642181
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Email
9833
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[email protected]
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Contact person for scientific queries
Name
761
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Virginia McIntosh
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Address
761
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Psychology Department,
University of Canterbury
Private Bag 4800
Christchurch 8140
New Zealand
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Country
761
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New Zealand
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Phone
761
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+64,3,3,694333
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Fax
761
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+64 3 3642181
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Email
761
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF