Binge eating disorder: treatment outcome over a 6-year course

Fichter, Manfred M.; Quadflieg, Norbert; Gnutzmann, Anna

doi:10.1016/s0022-3999(97)00263-8

Cited by 73 publications

(32 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…ED diagnoses at admission to the study were derived from the self-report of the patients, the patients' hospital charts including the therapists' diagnoses, and information gathered retrospectively at the follow-ups. [5][6][7] The ED diagnoses at follow-ups were derived from the Structured Inventory for Anorexic and Bulimic Syndromes (SIAB). The expert interview (SIAB-EX) 8,9 was used at all follow-ups except for 2-year follow-ups in BED where the self-rating questionnaire (SIAB-S) 10 was used.…”

Section: Instruments and Proceduresmentioning

confidence: 99%

“…We distinguished between BED and EDNOS as defined in the DSM IV ED criteria (with BED being removed); thus, our breakdown is more detailed. From a large prospective 12-year follow-up study, we are able to provide results on diagnostic crossover from patients treated for AN, BN-P, or BED [5][6][7] ; these long-term longitudinal data are valuable for an analysis of the existing distinction of ED diagnoses.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term stability of eating disorder diagnoses

Fichter

Quadflieg²

2007

Int. J. Eat. Disord.

Self Cite

121

View full text Add to dashboard Cite

Objective: Data on the stability of eating disorder (ED) diagnoses (DSM-IV) over 12 years are presented for a large sample (N 5 311) of female eating disordered patients with anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).Method: Assessments were made at the beginning of therapy and 2-, 6-, and 12-year follow-ups. Diagnoses were derived from the Structured Inventory for Anorexic and Bulimic Eating Disorders. Possible diagnostic outcome categories were AN, BN, BED, NOS, no ED, and deceased.Results: At all follow-ups, more patients changed from AN or BED to BN than vice versa. No diagnostic crossover from AN to BED or vice versa occurred. BED showed the greatest variability and AN had the greatest stability over time.While the long-term outcome of BN and BED is similar, AN had a considerably worse long-term outcome than either BN or BED. Conclusion

show abstract

Section: Instruments and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term stability of eating disorder diagnoses

Fichter

Quadflieg²

2007

Int. J. Eat. Disord.

Self Cite

121

View full text Add to dashboard Cite

show abstract

“…Treatments originally developed for bulimia nervosa, such as cognitive-behavioural therapy (CBT), have been employed in patients with BED [6], as well as pharmacological treatments previously reported to induce weight loss and antidepressant medications. Individual and group CBT [7, 8, 9, 10, 11, 12, 13]have been reported to decrease the frequency of binges, without inducing a significant weight loss.…”

Section: Introductionmentioning

confidence: 99%

Fluoxetine and Fluvoxamine Combined with Individual Cognitive-Behaviour Therapy in Binge Eating Disorder: A One-Year Follow-Up Study

Ricca¹,

Mannucci

Mezzani

et al. 2001

Psychother Psychosom

106

View full text Add to dashboard Cite

Background: The treatment of binge eating disorder (BED) is still the object of debate. In the present study, 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) has been evaluated in a randomized, clinical trial. Results at the end of the active treatment (in the 24th week) and 1-year follow-up outcomes have been evaluated. Methods: One hundred eight (44 M, 64 F) BED patients were randomly assigned to either CBT, FLX (60 mg/day), FLV (300 mg/day), CBT + FLX or CBT + FLV, for 24 weeks. At the beginning (T0), at the end (T1) of treatment and after 1 year (T2), body mass index (BMI) and eating attitude and behaviours (by EDE 12.0D) were assessed. Results: At T1, BMI and EDE scores were significantly reduced in CBT, CBT + FLX and CBT + FLV, but not in the FLX and FLV treatment groups. In the CBT + FLV group, a greater (p < 0.05) reduction of EDE total scores was observed, when compared to CBT + FLX or CBT 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. Conclusions: 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.

show abstract

“…At the 4-, 5-, and 6-year follow-ups, a slight worsening of binge eating was observed, together with a small weight regain [43]. Other studies showed a significant weight regain at 1-year follow-up after CBT in obese subjects with or without binge eating; this regain is similar in obese binge eaters and non-binge eaters [44, 45, 46](table 3).…”

Section: Efficacy Of Cbt In Bedmentioning

confidence: 93%

Cognitive-Behavioural Therapy for Bulimia nervosa and Binge Eating Disorder

Ricca

Mannucci²,

Zucchi³

et al. 2000

Psychother Psychosom

View full text Add to dashboard Cite

Cognitive-behavioural therapy (CBT) programmes for bulimia nervosa (BN) have been considerably refined during the last 2 decades, and such a treatment is now extensively used. The present paper describes the treatment rationale and structure, and reviews the available evidence on its efficacy. Compared to any other psychological or pharmacological treatment for which controlled studies have been published, CBT is reported to be more effective (the majority of studies), or at least as effective. A CBT programme for binge eating disorder (BED) has been created by adapting that of BN, but it has been less extensively evaluated in field trials. Even here, however, no other treatment has proven to be of greater efficacy than CBT. Various methodological limitations reduce the possibility of generalizing these findings. Moreover, CBT was found to be completely satisfactory neither for BN nor for BED, with moderate effectiveness and some limits. However, at the present state of treatment, no other therapeutical procedure seems to be more effective, more specific or more promising. It is speculated therefore that CBT could be presently considered the first-choice remedy for these severely disabling disorders.

show abstract

Binge eating disorder: treatment outcome over a 6-year course

Cited by 73 publications

References 42 publications

Long-term stability of eating disorder diagnoses

Long-term stability of eating disorder diagnoses

Fluoxetine and Fluvoxamine Combined with Individual Cognitive-Behaviour Therapy in Binge Eating Disorder: A One-Year Follow-Up Study

Cognitive-Behavioural Therapy for Bulimia nervosa and Binge Eating Disorder

Contact Info

Product

Resources

About