Cognitive-behavioral treatment of obese binge eaters

Abstract

Obese binge eaters may benefit from cognitive‐behavioral treatment (CBT) approaches that target binge eating. In the present study, eight overweight women participated in a 16‐week group CBT program. The Eating Disorder Examination (EDE), a clinical interview designed to assess the psychopathology specific to eating disorders, was administered pre‐ and post‐treatment. Frequency of bulimic episodes during the 28 days prior to assessment was substantially reduced following treatment. Total days with bulimic episodes decreased from 13.4 to 1.2, with a mean reduction of 81%. As assessed by the EDE, dysfunctional concern for body shape and weight and disturbed attitudes about eating markedly diminished. Mood similarly improved. These find/rigs confirm that obese bingers improve after a CBT program designed to ameliorate binge eating and indicate the utility of the EDE in assessing treatment outcome with these patients.

A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder

“…In general both CBT and BWLT reduced binge eating and related symptoms significantly. In other words, our group-administered BWLT was efficacious in reducing BED-associated symptoms, confirming the findings of Gladis et al 46 and Goodrick et al 47 The treatment outcomes with respect to abstinence and BED diagnosis rates in our ITT analy- ses corroborate response rates reported in several previous studies 3,9,13,16,48 but were lower compared to the Nauta et al 17,23 and Wilfley et al 12 studies. This difference can be partially explained by our data-processing procedure: because we replaced missing values by carrying the last observed values forward to account for our rather high drop-out rate, obtained estimates might have been biased, 49 especially for variables that were measured less often.…”

A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder

“…In general both CBT and BWLT reduced binge eating and related symptoms significantly. In other words, our group-administered BWLT was efficacious in reducing BED-associated symptoms, confirming the findings of Gladis et al 46 and Goodrick et al 47 The treatment outcomes with respect to abstinence and BED diagnosis rates in our ITT analy- ses corroborate response rates reported in several previous studies 3,9,13,16,48 but were lower compared to the Nauta et al 17,23 and Wilfley et al 12 studies. This difference can be partially explained by our data-processing procedure: because we replaced missing values by carrying the last observed values forward to account for our rather high drop-out rate, obtained estimates might have been biased, 49 especially for variables that were measured less often.…”

A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters

“…Participants in the cognitive treatment hardly lost any weight. This is in accordance with other research that evaluated the effectiveness of CBT intervention for obese binge eaters and that also found no effects for weight after treatment (Agras et al, 1994;Marcus, et al, 1995;Marcus et al, 1988;Porzelius et al, 1995;Smith et al, 1992;Telch et al, 1990;Wilfley et al, 1993). Finally, obese binge eaters seemed to regain more weight than obese non-binge eaters between posttreatment and follow-up.…”

Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavioral therapy?

“…As we and others have found in previous studies (Agras et al, 1994; Smith et al, 1992), those who became abstinent from binge eating lost more weight than those who did not. Indeed, those who were not abstinent at 12 weeks gained weight on average.…”

A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder

“…In general both CBT and BWLT reduced binge eating and related symptoms significantly. In other words, our group-administered BWLT was efficacious in reducing BED-associated symptoms, confirming the findings of Gladis et al 46 and Goodrick et al 47 The treatment outcomes with respect to abstinence and BED diagnosis rates in our ITT analy- ses corroborate response rates reported in several previous studies 3,9,13,16,48 but were lower compared to the Nauta et al 17,23 and Wilfley et al 12 studies. This difference can be partially explained by our data-processing procedure: because we replaced missing values by carrying the last observed values forward to account for our rather high drop-out rate, obtained estimates might have been biased, 49 especially for variables that were measured less often.…”

A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters

“…Participants in the cognitive treatment hardly lost any weight. This is in accordance with other research that evaluated the effectiveness of CBT intervention for obese binge eaters and that also found no effects for weight after treatment (Agras et al, 1994;Marcus, et al, 1995;Marcus et al, 1988;Porzelius et al, 1995;Smith et al, 1992;Telch et al, 1990;Wilfley et al, 1993). Finally, obese binge eaters seemed to regain more weight than obese non-binge eaters between posttreatment and follow-up.…”

Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavioral therapy?

“…As we and others have found in previous studies (Agras et al, 1994; Smith et al, 1992), those who became abstinent from binge eating lost more weight than those who did not. Indeed, those who were not abstinent at 12 weeks gained weight on average.…”

A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder

“…In general both CBT and BWLT reduced binge eating and related symptoms significantly. In other words, our group-administered BWLT was efficacious in reducing BED-associated symptoms, confirming the findings of Gladis et al 46 and Goodrick et al 47 The treatment outcomes with respect to abstinence and BED diagnosis rates in our ITT analy- ses corroborate response rates reported in several previous studies 3,9,13,16,48 but were lower compared to the Nauta et al 17,23 and Wilfley et al 12 studies. This difference can be partially explained by our data-processing procedure: because we replaced missing values by carrying the last observed values forward to account for our rather high drop-out rate, obtained estimates might have been biased, 49 especially for variables that were measured less often.…”

A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters

“…Participants in the cognitive treatment hardly lost any weight. This is in accordance with other research that evaluated the effectiveness of CBT intervention for obese binge eaters and that also found no effects for weight after treatment (Agras et al, 1994;Marcus, et al, 1995;Marcus et al, 1988;Porzelius et al, 1995;Smith et al, 1992;Telch et al, 1990;Wilfley et al, 1993). Finally, obese binge eaters seemed to regain more weight than obese non-binge eaters between posttreatment and follow-up.…”

Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavioral therapy?

“…As we and others have found in previous studies (Agras et al, 1994; Smith et al, 1992), those who became abstinent from binge eating lost more weight than those who did not. Indeed, those who were not abstinent at 12 weeks gained weight on average.…”