PMID- 33916374
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210502
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 10
IP  - 7
DP  - 2021 Apr 5
TI  - Translating Virtual Reality Cue Exposure Therapy for Binge Eating into a 
      Real-World Setting: An Uncontrolled Pilot Study.
LID - 10.3390/jcm10071511 [doi]
LID - 1511
AB  - Binge-eating disorder (BED) and bulimia nervosa (BN) have adverse psychological 
      and medical consequences. Innovative interventions, like the integration of 
      virtual reality (VR) with cue-exposure therapy (VR-CET), enhance outcomes for 
      refractory patients compared to cognitive behavior therapy (CBT). Little is known 
      about the feasibility and acceptability of translating VR-CET into real-world 
      settings. To investigate this question, adults previously treated for BED or BN 
      with at least one objective or subjective binge episode/week were recruited from 
      an outpatient university eating disorder clinic to receive up to eight weekly 
      one-hour VR-CET sessions. Eleven of 16 (68.8%) eligible patients were enrolled; 
      nine (82%) completed treatment; and 82% (9/11) provided follow-up data 7.1 (SD = 
      2.12) months post-treatment. Overall, participant and therapist acceptability of 
      VR-CET was high. Intent-to-treat objective binge episodes (OBEs) decreased 
      significantly from 3.3 to 0.9/week (p < 0.001). Post-treatment OBE 7-day 
      abstinence rate for completers was 56%, with 22% abstinent for 28 days at 
      follow-up. Among participants purging at baseline, episodes decreased from a mean 
      of one to zero/week, with 100% abstinence maintained at follow-up. The adoption 
      of VR-CET into real-world clinic settings appears feasible and acceptable, with a 
      preliminary signal of effectiveness. Findings, including some loss of treatment 
      gains during follow-up may inform future treatment development.
FAU - Nameth, Katherine
AU  - Nameth K
AUID- ORCID: 0000-0003-1910-7302
AD  - Department of Psychiatry and Behavioral Sciences, 401 Quarry Rd, Stanford 
      University, Stanford, CA 94305, USA.
FAU - Brown, Theresa
AU  - Brown T
AUID- ORCID: 0000-0002-9261-3853
AD  - PGSP-Stanford PsyD Consortium, 1791 Arastradero Rd, Palo Alto, CA 94304, USA.
FAU - Bullock, Kim
AU  - Bullock K
AD  - Department of Psychiatry and Behavioral Sciences, 401 Quarry Rd, Stanford 
      University, Stanford, CA 94305, USA.
FAU - Adler, Sarah
AU  - Adler S
AD  - Department of Psychiatry and Behavioral Sciences, 401 Quarry Rd, Stanford 
      University, Stanford, CA 94305, USA.
FAU - Riva, Giuseppe
AU  - Riva G
AUID- ORCID: 0000-0003-3657-106X
AD  - Applied Technology for Neuro-Psychology Lab. Istituto Auxologico Italiano, 20095 
      Milan, Italy.
AD  - Centro Studi e Ricerche di Psicologia della Comunicazione, Universita Cattolica 
      del Sacro Cuore, 20123 Milan, Italy.
FAU - Safer, Debra
AU  - Safer D
AD  - Department of Psychiatry and Behavioral Sciences, 401 Quarry Rd, Stanford 
      University, Stanford, CA 94305, USA.
FAU - Runfola, Cristin
AU  - Runfola C
AD  - Department of Psychiatry and Behavioral Sciences, 401 Quarry Rd, Stanford 
      University, Stanford, CA 94305, USA.
LA  - eng
GR  - 133020/National Eating Disorders Association/
PT  - Journal Article
DEP - 20210405
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC8038593
OTO - NOTNLM
OT  - binge eating
OT  - binge-eating disorder
OT  - bulimia nervosa
OT  - cue-exposure
OT  - eating disorder
OT  - therapy
OT  - treatment
OT  - virtual reality
COIS- The authors declare no conflict of interest.
EDAT- 2021/05/01 06:00
MHDA- 2021/05/01 06:01
PMCR- 2021/04/05
CRDT- 2021/04/30 01:03
PHST- 2021/03/02 00:00 [received]
PHST- 2021/03/29 00:00 [revised]
PHST- 2021/04/02 00:00 [accepted]
PHST- 2021/04/30 01:03 [entrez]
PHST- 2021/05/01 06:00 [pubmed]
PHST- 2021/05/01 06:01 [medline]
PHST- 2021/04/05 00:00 [pmc-release]
AID - jcm10071511 [pii]
AID - jcm-10-01511 [pii]
AID - 10.3390/jcm10071511 [doi]
PST - epublish
SO  - J Clin Med. 2021 Apr 5;10(7):1511. doi: 10.3390/jcm10071511.