Disorders - Binge Eating Disorders
Linardon, J., Wade, T. D., de-la-Piedad Garcia, X., Brennan, L.
OBJECTIVE: This meta-analysis examined the efficacy of cognitive-behavioral therapy (CBT) for eating disorders.\rMETHOD:
Randomized controlled trials of CBT were searched. Seventy-nine trials were included.\rRESULTS: Therapist-led CBT was more efficacious than inactive
(wait-lists) and active (any psychotherapy) comparisons in individuals with bulimia nervosa and binge eating disorder. Therapist-led CBT was most
efficacious when manualized CBT-BN or its enhanced version was delivered. No significant differences were observed between therapist-led CBT for
bulimia nervosa and binge eating disorder and antidepressants at posttreatment. CBT was also directly compared to other specific psychological
interventions, and therapist-led CBT resulted in greater reductions in behavioral and cognitive symptoms than interpersonal psychotherapy at
posttreatment. At follow-up, CBT outperformed interpersonal psychotherapy only on cognitive symptoms. CBT for binge eating disorder also resulted in
greater reductions in behavioral symptoms than behavioral weight loss interventions. There was no evidence that CBT was more efficacious than
behavior therapy or nonspecific supportive therapies.\rCONCLUSIONS: CBT is efficacious for eating disorders. Although CBT was equally efficacious to
certain psychological treatments, the fact that CBT outperformed all active psychological comparisons and interpersonal psychotherapy specifically,
offers some support for the specificity of psychological treatments for eating disorders. Conclusions from this study are hampered by the fact that
many trials were of poor quality. Higher quality RCTs are essential. (PsycINFO Database Record
Journal of Consulting & Clinical Psychology, 85(11) : 1080-
1094
- Year: 2017
- Problem: Anorexia Nervosa, Binge Eating Disorders, Bulimia Nervosa
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)
Shomaker, L. B., Tanofsky-Kraff, M., Matherne, C. E., Mehari, R. D., Olsen, C. H., Marwitz,
S. E., Bakalar,
J. L., Ranzenhofer, L. M., Kelly, N. R., Schvey, N. A., Burke, N. L., Cassidy, O., Brady, S. M., Dietz, L. J., Wilfley, D. E., Yanovski, S. Z., Yanovski, J. A.
Objective: Preadolescent loss-of-control-eating (LOC-eating) is a risk factor for excess weight gain and binge-eating-
disorder. We evaluated feasibility and acceptability of a preventive family-based interpersonal psychotherapy (FB-IPT) program. FB-IPT was compared
to family-based health education (FB-HE) to evaluate changes in children's psychosocial functioning, LOC-eating, and body mass. Method: A
randomized, controlled pilot trial was conducted with 29 children, 8 to 13 years who had overweight/obesity and LOC-eating. Youth-parent dyads were
randomized to 12-week FB-IPT (n = 15) or FB-HE (n = 14) and evaluated at post-treatment, six-months, and one-year. Changes in child psychosocial
functioning, LOC-eating, BMI, and adiposity by dual-energy-X-ray-absorptiometry were assessed. Missing follow-up data were multiply imputed. Results:
FB-IPT feasibility and acceptability were indicated by good attendance (83%) and perceived benefits to social interactions and eating. Follow-up
assessments were completed by 73% FB-IPT and 86% FB-HE at post-treatment, 60% and 64% at six-months, and 47% and 57% at one-year. At post-treatment,
children in FB-IPT reported greater decreases in depression (95% CI -7.23, -2.01, Cohen's d = 1.23) and anxiety (95% CI -6.08, -0.70, Cohen's d
=.79) and less odds of LOC-eating (95% CI -3.93, -0.03, Cohen's d =.38) than FB-HE. At six-months, children in FB-IPT had greater reductions in
disordered-eating attitudes (95% CI -0.72, -0.05, Cohen's d =.66) and at one-year, tended to have greater decreases in depressive symptoms (95% CI
-8.82, 0.44, Cohen's d =.69) than FB-HE. There was no difference in BMI gain between the groups. Discussion: Family-based approaches that address
interpersonal and emotional underpinnings of LOC-eating in preadolescents with overweight/obesity show preliminary promise, particularly for reducing
internalizing symptoms. Whether observed psychological benefits translate into sustained prevention of disordered-eating or excess weight gain
requires further study. Copyright © 2017 Wiley Periodicals, Inc.
International Journal of Eating Disorders, 50(9) : 1084-
1094
- Year: 2017
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Interpersonal therapy (IPT)
Boerhout, C., Swart, M., Van-Busschbach, J. T., Hoek, H. W.
OBJECTIVE: The objective of the study is to evaluate the effect of a brief body and movement oriented intervention on aggression
regulation and eating disorder pathology for individuals with eating disorders.\rMETHOD: In a first randomized controlled trial, 40 women were
allocated to either the aggression regulation intervention plus supportive contact or a control condition of supportive contact only. The
intervention was delivered by a psychomotor therapist. Participants completed questionnaires on anger coping and eating disorder pathology.
Independent samples t-tests were performed on the difference between pre-treatment and post-treatment scores.\rRESULTS: Twenty-nine participants
completed questionnaires at pre-intervention and post-intervention. The intervention resulted in a significantly greater improvement of anger coping,
as well as of eating disorder pathology.\rDISCUSSION: Results indicate that body and movement-oriented aggression regulation may be a viable add-on
for treating eating disorders. It tackles a difficult to treat emotion which may have a role in blocking the entire process of treating eating
disorders.\rCopyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.
European Eating Disorders
Review, 24(2) : 114-21
- Year: 2016
- Problem: Anorexia Nervosa, Binge Eating Disorders, Bulimia Nervosa, Eating disorders not specified
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Mazzeo, S. E., Lydecker, J., Harney, M., Palmberg, A. A., Kelly, N. R., Gow, R. W., Bean, M. K., Thornton, L. M., Tanofsky-Kraff, M., Bulik, C. M., Latzer, Y., Stern, M.
Introduction: Binge
and loss of control (LOC) eating are significant concerns among many adolescents and are associated with poor physical, social, and psychological
functioning. Black girls appear to be particularly vulnerable to binge and LOC eating. Yet, empirically validated, culturally sensitive treatments
for these disordered eating behaviors are not well established. This investigation examined satisfaction, feasibility, and preliminary outcomes of a
binge eating intervention for ethnically diverse adolescent girls. Methods: Participants were 45 girls (age 13-17 years; 44.4% white, 42.2% black)
randomized into a dialectical behavior therapy (DBT)-based intervention (Linking Individuals Being Emotionally Real, LIBER8) or a weight management
group (2BFit). Following each meeting, participants completed satisfaction measures, and therapists assessed intervention feasibility. Participants
also completed assessments of eating behavior and related psychological constructs at baseline, immediately following the intervention, and at 3-
month follow-up. Results: Descriptive statistics indicated that LIBER8 was feasible, and participants were highly satisfied with this intervention.
Significant reductions in eating disorder cognitions, dietary restraint, and eating in response to negative affect were observed for participants in
both groups, with no differences between LIBER8 and 2BFit. Discussion: The acceptability and feasibility of LIBER8 and associated reductions in
emotional eating show promise in ameliorating binge eating and provide insight into multiple options for treating this challenging eating concern.
Copyright © 2016 Elsevier Ltd.
Eating Behaviors, 22 : 199-205
- Year: 2016
- Problem: Binge Eating Disorders
- Type: Controlled clinical trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Dialectical behavioural therapy
(DBT)
Tanofsky-Kraff, M., Crosby, R. D., Vannucci, A., Kozlosky, M., Shomaker, L. B., Brady, S. M., Sbrocco, T., Pickworth, C. K., Stephens, M., Young, J. F., Olsen, C. H., Kelly, N. R., Radin,
R., Cassidy, O., Wilfley, D. E., Reynolds, J. C., Yanovski, J. A.
Objective Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to
contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-
foods than those without LOC, it is unknown if IPT impacts objective energy intake. Methods To test if IPT improves mood and eating in the
laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE)
group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a
multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. Results Girls in
IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up
1 and then returned to baseline by follow-up 2 (p <.04). We found no significant group difference for changes in total intake relative to girls'
daily energy needs (p's >=.25). However, IPT reduced, while HE increased, the percentage of daily energy needs consumed from snack-foods by follow-
up 2 (p =.04). Within-groups, HE increased their snack food intake from follow-up 1 to follow-up 2 (p =.01). Conclusions In adolescent girls with
LOC, IPT did not change total intake at the test meal and was associated with reduced snack-food intake. Data are required to determine if IPT
effectively prevents excess weight gain in the longer-term. Copyright © 2015 Wiley Periodicals, Inc.
International Journal of Eating Disorders, 49(5) : 490-
498
- Year: 2016
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Interpersonal therapy (IPT)
Vella-Zarb, R A., Mills, J S., Westra, H A., Carter, J
C., Keating, L.
Objective: Motivational Interviewing (MI) is a collaborative therapy that focuses on strengthening a person's internal motivation to
change. Research suggests that MI may be helpful for treating binge eating; however, findings are limited and little is known about how MI for binge
eating compares to active therapy controls. The present study aimed to build on current research by comparing MI as a prelude to self-help treatment
for binge eating with psychoeducation as a prelude to self-help treatment for binge eating.; Method: Participants with full or subthreshold DSM-IV
Binge Eating Disorder or nonpurging Bulimia Nervosa were randomly assigned to receive either 60 minutes of MI followed by a self-help manual (n = 24)
or 60 minutes of psychoeducation followed by a self-help manual (n?=?21). Questionnaires were completed pre- and postsession, and at 1 and 4 months
postsession.; Results: MI significantly increased readiness to change and confidence in ability to control binge eating, whereas psychoeducation did
not. No group differences were found when changes in eating disorder attitudes and behaviors were examined.; Discussion: MI offers benefits for
increasing motivation and self-efficacy. However, it may not be a uniquely effective treatment approach for reducing binge eating.; © 2014 Wiley
Periodicals, Inc.
International Journal of Eating Disorders, 48(3) : 328-
332
- Year: 2015
- Problem: Binge Eating Disorders, Bulimia Nervosa
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation
Lock, J.
Eating
disorders are relatively common and serious disorders in adolescents. However, there are few controlled psychosocial intervention studies with this
younger population. This review updates a previous Journal of Clinical Child and Adolescent Psychology review published in 2008. The recommendations
in this review were developed after searching the literature including PubMed/Medline and employing the relevant medical subject headings. In
addition, the bibliographies of book chapters and treatment guideline articles were reviewed; last, colleagues were asked for suggested additional
source materials. Psychosocial treatments examined include family therapy, individual therapy, cognitive behavioral therapy, interpersonal
psychotherapy, cognitive training, and dialectical behavior therapy. Using the most recent Journal of Clinical Child and Adolescent Psychology
methodological review criteria, family treatment-behavior (FT-B) is the only well-established treatment for adolescents with anorexia nervosa. Family
treatment-systemic and insight oriented individual psychotherapy are probably efficacious treatments for adolescents with anorexia nervosa. There are
no well-established treatments for adolescents with bulimia nervosa, binge eating disorder, or avoidant restrictive food intake disorder. Possibly
efficacious psychosocial treatments for adolescent bulimia nervosa include FT-B and supportive individual therapy. Internet-delivered cognitive
behavioral therapy is a possibly efficacious treatment for binge eating disorder. Experimental treatments for adolescent eating disorders include
enhanced cognitive behavioral therapy, dialectical behavioral therapy, cognitive training, and interpersonal psychotherapy. FT-B is the only well-
established treatment for adolescent eating disorders. Additional research examining treatment for eating disorders in youth is warranted. (PsycINFO
Database Record (c) 2015 APA, all rights reserved) (journal abstract).
Journal of Clinical
Child & Adolescent Psychology, 44(5) : 707-721
- Year: 2015
- Problem: Anorexia Nervosa, Binge Eating Disorders, Bulimia Nervosa, Eating disorders not specified
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Dialectical behavioural therapy
(DBT), Family therapy, Supportive
therapy
DeBar, L. L., Wilson, G.
T., Yarborough, B. J., Burns, B., Oyler, B., Hildebrandt, T., Clarke, G. N., Dickerson, J., Striegel, R. H.
There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence
and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested
its efficacy in a small, pilot randomized controlled trial. We present lessons learned in recruiting adolescents, a description of our treatment
approach, acceptability of the treatment for teens and parents, as well as results from the pilot trial. Participants in the CBT group had
significantly fewer posttreatment eating binges than those in a treatment as usual/delayed treatment (TAU-DT) control group; 100% of CBT participants
were abstinent at follow-up. Our results provide preliminary support for the efficacy of this adolescent adaptation of evidence-based CBT for
recurrent binge eating. The large, robust effect size estimate observed for the main outcome (NNT. =. 2) places this among the larger effects
observed for any mental health intervention. (copyright) 2012.
Cognitive & Behavioral Practice, 20(2) : 147-
161
- Year: 2013
- Problem: Eating Disorders
(any), Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)
Flament, Martine F., Bissada,
Hany, Spettigue, Wendy
The objective was to review scientific evidence for efficacy
and safety of pharmacotherapy in adults or children with an eating disorder (ED). We conducted a computer search for all randomized controlled trials
(RCTs) published between 1960 and May 2010 for treatment of anorexia nervosa (AN), bulimia nervosa (BN) or binge-eating disorder (BED). For drugs for
which no RCT was found, open trials or case reports were retrieved. Clinically relevant RCTs in the treatment of AN have used atypical
antipsychotics, selective serotonin reuptake inhibitors (SSRIs), and zinc supplementation. Olanzapine demonstrated an adjunctive effect for in-
patient treatment of underweight AN patients, and fluoxetine helped prevent relapse in weight-restored AN patients in 1/2 studies. For treatment of
BN, controlled studies have used SSRIs, other antidepressants, and mood stabilizers. In 9/11 studies, pharmacotherapy yielded a statistically
significant although moderate reduction in binge/purge frequency, and some additional benefits. For BED, RCTs have been conducted using SSRIs and one
serotonin norepinephrine reuptake inhibitor (SNRI), mood stabilizers, and anti-obesity medications. In 11/12 studies, there was a statistically
significant albeit limited effect of medication. Meta-analyses on efficacy of pharmacotherapy for BN and BED support moderate effect sizes for
medication, but generally low recovery rates. Treatment resistance is an inherent feature of AN, where treatment should focus on renourishment plus
psychotherapy. For BN and BED, combined treatment with pharmacotherapy and cognitive behaviour therapy has been more effective than either alone.
Data on the long-term efficacy of pharmacotherapy for EDs are scarce. Short- and long-term pharmacotherapy of EDs still remains a challenge for the
clinician.;
International Journal of Neuropsychopharmacology, 15(2) : 189-
207
- Year: 2012
- Problem: Anorexia Nervosa, Binge Eating Disorders, Bulimia Nervosa
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any)
Bishop-Gilyard, C.
T., Berkowitz, R. I., Wadden, T. A., Gehrman, C. A., Cronquist, J. L., Moore, R. H.
Little is known
about binge eating (BE) in adolescents. The primary aim of the present study was to examine the relationship between BE and weight loss in
adolescents (BMI 95th percentile) enrolled in a randomized controlled trial of behavioral and pharmacologic treatment of obesity. Participants were
82 treatment-seeking adolescents (BMI = 37.9 3.8kg/m 2; age = 14.1 1.2 years; 67% females; 42% African American, 55% white). Participants completed
the Children's Depression Inventory (CDI), the Piers Harris Self-Esteem Questionnaire, and the Eating Inventory (including cognitive restraint,
disinhibition, and hunger scales). BE was assessed by a questionnaire and a confirmatory interview. At baseline, 24% of participants met criteria for
BE (N = 13 met full BE disorder (BED) criteria; N = 7 met subthreshold BE). There were no significant differences in percentage reduction in initial
BMI between participants with or without BE at month 6 (7.0(plus or minus)1.6 vs. 6.9(plus or minus)0.9%) or month 12 (8.8(plus or minus)2.4 vs. 8.3
(plus or minus)1.3%) (omnibus main effect BE P = 0.89, interaction BE null time P = 0.84, interaction BE null drug P = 0.61). The rate of BE declined
significantly over time from 24% (n = 20) at baseline to 8% (n = 6) at month 6 and 3% (n = 2) at month 12 (P = 0.003). There were significant
decreases in hunger and disinhibition as well as an increase in cognitive restraint over time (all P 0.0001). Findings suggest a combination of
behavioral and pharmacologic therapy may produce both weight loss and improvement in BE. (copyright) 2011 The Obesity Society.
Obesity, 19(5) : 982-987
- Year: 2011
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any), Appetite
moderators, Psychological Interventions
(any), Other Psychological Interventions
Boutelle, K. N., Zucker, N. L., Peterson, C. B., Rydell, S. A., Cafri, G., Harnack, L.
Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese
children. Method: Thirty-six overweight and obese 8- to 12-year-old children (58 female; mean age = 10.3 years, SD = 1.3), with high scores on eating
in the absence of hunger, and their parents were randomly assigned to an 8-week children's appetite awareness training or cue exposure treatment-
food. Children completed an eating in the absence of hunger (EAH) paradigm, an Eating Disorder Examination interview for children, and three 24-hr
dietary recalls, and their height and weight were measured. Parents completed the EAH Questionnaire and the Binge Eating Scale, and their height and
weight were measured. Assessments were conducted at baseline, posttreatment, and 6 and 12 months posttreatment. Results: Results showed that both
treatments resulted in significant decreases in binge eating in children over time. Additionally, children in the food cue exposure treatment showed
significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH.
Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates
that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children.
Because these data are preliminary, further treatment development and randomized controlled studies are needed. (copyright) 2011 American
Psychological Association.
Journal of Consulting &
Clinical Psychology, 79(6) : 759-771
- Year: 2011
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Other Psychological Interventions, Dietary advice, dietary change
Jones, Megan, Luce, Kristine H., Osborne, Megan I., Taylor, Katherine, Cunning, Darby, Doyle, Angela
Celio, Wilfley, Denise E., Taylor, C. B.
Overweight is increasing at an alarming rate among adolescents and is associated with compromised psychological and physical health. Binge eating
is linked to increased degree of overweight and elevated eating-related psychopathology and may be an effective target for weight maintenance
interventions. This study examines the efficacy of an Internet-based intervention designed to help overweight adolescents with high rates of binge
eating, reduce binge eating and maintain or lose weight. A total of 105 at risk for overweight adolescent male and female high school students (mean
age = 15.1±1.0) were randomized to a 16-week online intervention, StudentBodies™2-BED (n = 52) or wait-list control (n = 53). The primary outcome
was change in body mass index (BMI) z-score from baseline to nine month follow-up. Completer analyses indicate that participants in the intervention
group had significantly lower BMI z-scores (ES=0.8) and BMI (ES=0.6) from baseline to follow-up compared to control (p<.01). Additionally, a
significant reduction in objective binge episodes and subjective binge episodes from baseline to post-treatment and from baseline to follow-up was
observed among intervention participants (p<.01). The intervention group also reported significantly reduced weight and shape concerns from post-
treatment to follow-up and from baseline to follow-up (p<.05). Participants in the intervention group who engaged in objective overeating or binge
eating episodes at baseline experienced a significantly greater reduction in BMI at follow-up compared to control (p<.05). Results suggest that an
Internet-based intervention is moderately effective in short-term weight loss and weight maintenance and yields a large reduction in binge eating.
This study also demonstrates that weight management and eating disorder psychopathology reduction can be achieved simultaneously using an easily
disseminated Internet-facilitated program. To produce more robust weight maintenance results among adolescents at risk of overweight, additional
research is needed to develop more effective adherence strategies and to explore effective maintenance interventions. (PsycINFO Database Record (c)
2010 APA, all rights reserved)
Pediatrics, 121(3) : 453-
462
- Year: 2008
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Self-help, Technology, interventions delivered using technology (e.g. online, SMS)