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Table 4 CBT-based bibliotherapy for emerging adults

From: The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond

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).
There were no group differences (between INT-GSH and BIB-GSH) in EDI-2 subscales [75].
  1. Bibliography:
  2. RCTs – Wagner 2013 [75], Wagner 2013 [76], Wagner 2015 [77]