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Disorders - Binge Eating Disorders
Dunn, Eric C., Neighbors, Clayton, Larimer, Mary E.
OBJECTIVE: The aims of this study were to evaluate whether a single
session of motivational enhancement therapy (MET) would increase participant readiness to change, improve the efficacy of self-help treatment for
binge eaters, and improve participant compliance with the self-help manual. METHOD: Participants with bulimia nervosa or binge eating disorder were
randomly assigned either to attend a 1-hr MET session prior to receiving the self-help manual (n = 45) or to receive the self-help manual only (n =
45). Participants were followed for 4 months for assessment of self-reported eating disorder outcome and compliance. RESULTS: The MET intervention
resulted in increased readiness to change for binge eating compared with the self-help-only (SH) condition. Few differences were found between the
MET condition and the SH condition for changes in eating attitudes and frequency of binge eating and compensatory behaviors. No significant effects
were found for compliance. DISCUSSION: This research adds to the literature regarding the use of brief motivational interventions to enhance
readiness for change in populations with eating disorders.
Psychology of Addictive Behaviors, 20(1) : 44-
52
- Year: 2006
- Problem: Binge Eating Disorders, Bulimia Nervosa
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Self-help
Gelber, Diana, Levine, Joseph, Belmaker, R.
Examined whether inositol has therapeutic
value in patients with bulimia nervosa and binge eating. A double-blind crossover trial using 18 g inositol vs placebo was performed in 12 patients
(aged 20-39 yrs) for 6 wks in each arm. The results show inositol was significantly better than placebo on the Global Clinical Impression, the Visual
Analogue Scale, and the Eating Disorders Inventory. It is concluded that inositol is as therapeutic in patients with bulimia nervosa and binge eating
as it is in patients with depression and panic and obsessive-compulsive disorders. This increases its parallelism with serotonin selective reuptake
inhibitors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
International Journal of Eating Disorders, 29(3) : 345-
348
- Year: 2001
- Problem: Binge Eating Disorders, Bulimia Nervosa
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Vitamins and supplements
Ricca, Valdo, Mannucci, Edoardo, Mezzani, Barbara, Moretti, Sandra, Di Bernardo, Milena, Bertelli, Marco, Rotella, Carlo M., Faravelli,
Carlo
Examined the effectiveness of antidepressant drugs (fluoxetine
[FLX], 60 mg/day; fluvoxamine [FLV], 300 mg/day), cognitive-behavioural therapy [CBT] and combined treatments [CBT+FLX, CBT+FLV]). 108 binge eating
disorder (BED) outpatients (mean age 25.9 yrs) were randomly assigned to either CBT, FLX, FLV, CBT+FLX, or CBT+FLV for 24 weeks. At the beginning
(T0), at the end (T1), and after 1 year (T2) of treatment, body mass index (BMI) and eating attitude and behaviours were assessed. At T1, BMI and
Eating Disorder Examination (EDE) scores were significantly reduced in CBT, CBT+ FLX and CBT+FLV, but not in the FLX and FLV treatment groups. At T2,
BMI was significantly higher than at T1, but still significantly lower than at T0 in the CBT, CBT+FLX and CBT+FLV groups, while EDE scores remained
unchanged from T1 in all treatment groups. CBT was more effective than FLX or FLV in the treatment of BED. The addition of FLX to CBT does not seem
to provide any clear advantage, while the addition of FLV could enhance the effects of CBT on eating behaviours. Modifications of eating behaviours
are maintained at the 1-year follow-up, although the lost weight was partly regained. (PsycINFO Database Record (c) 2008 APA, all rights
reserved).
Psychotherapy & Psychosomatics, 70(6) : 298-306
- Year: 2001
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any), Selective serotonin reuptake inhibitors (SSRIs), Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)
Allen, Heather N., Craighead, Linda Wilcoxon
Twenty-nine women meeting criteria for Binge Eating Disorder (BED) were randomly assigned to Appetite Awareness Training (AAT; an 8-week
cognitive-behavioral intervention) or a wait-list control. The goal of AAT is to establish an eating pattern in which: (a) the individual responds
primarily to moderate (rather than strong) hunger and fullness cues; and (b) eating in response to non-appetite cues is minimized. The intervention
uses an innovative form of self-monitoring based on appetite ratings rather than recording food intake. Compared to controls, AAT participants
reported significantly greater reductions in both binge eating and overeating episodes; they did not report increased hunger nor did they gain
weight. They also reported decreased urges to eat in several high-risk situations, and decreased symptoms of depression and social anxiety. Results
provide initial support for the effectiveness of a form of cognitive behavior therapy utilizing appetite monitoring (AAT) and suggest that additional
investigation of this intervention is warranted. (PsycINFO Database Record (c) 2008 APA, all rights reserved) (journal abstract).
Behavior Therapy, 30(2) : 253-272
- Year: 1999
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)