Table 4 CBT-based bibliotherapy for emerging adults
Certainty assessment | Impact | Certainty | Importance | ||||||
|---|---|---|---|---|---|---|---|---|---|
№ of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
Outcomes: ED symptoms (frequency of binge eating, compensatory measures, etc.); ED psychopathology (EDI-2 scores) | |||||||||
3 | randomised trials | not serious | not serious | not serious | not serious | none | 1 RCT [75] and its subsequent studies [76, 77] with emerging adults with BN and EDNOS (total n = 70 INT-GSH; total n = 56 BIB-GSH). ED symptoms (objective binge eating and compensatory behaviour) improved significantly in both groups. Greatest improvements in ED symptoms were after 4 months; by month 18, 14.6% (7/48) of INT-GSH participants and 25% (7/28) of BIB-GSH participants were abstinent from binge eating and compensatory measures. There were no significant differences in outcomes found between the 2 groups. In both groups, lower frequency of binge eating at baseline predicted good outcomes at long-term follow-up (18 months). | ⨁⨁⨁⨁ HIGH | CRITICAL |
There were no group differences (between INT-GSH and BIB-GSH) in EDI-2 subscales [75]. | |||||||||