Depressive symptoms rather than executive functioning predict group cognitive behavioural therapy outcome in binge eating disorder

Dingemans, Alexandra E.; Son, Gabriëlle E. van; Vanhaelen, Christine B.; Furth, Eric F. van

doi:10.1002/erv.2768

Cited by 20 publications

(17 citation statements)

References 59 publications

(79 reference statements)

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“…Present results also corroborate and extend the understanding of the recent findings of Dingemans and colleagues (Dingemans et al., 2020). Authors evaluated whether EF on entry predicted the outcome of cognitive behavioural therapy for patients with BED, when accounting for depressive symptoms, and found that while EF were only weakly predictive, depression severity was associated with 50% reduction in ED severity and/or abstinence of objective binge eating.…”

Section: Discussionsupporting

confidence: 93%

Executive functions and depressive symptoms interplay in binge eating disorder: A structural equation model analysis

Rania

Aloi

Filippis

et al. 2021

Euro Eating Disorders Rev

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Objective: Executive functions (EF) have been so far investigated as potential endophenotypes for binge eating disorder (BED). However, major critical limitations in previous research, such as the influence of obesity and comorbid depression, prevented any consensus to be reached. The present study investigated the association between depressive symptoms, a broad range of EF and binge eating severity in individuals with obesity and with/without BED, and whether this association may be explained by a mediation or independency model. Method:One hundred and seven participants completed clinical and psychometric examination. Associations between EF, depressive symptoms and binge eating severity were assessed through bivariate correlation analysis, and the magnitude, as well as the direction of associations between variables, was estimated with structural equation model. Results: Two reliable models were tested; results showed that depressive symptoms exhibited significant direct and indirect effects on the severity of binge eating; conversely, EF did not show either significant direct or indirect effect on binge eating severity. Conclusion: Depression contributes more than EF to psychopathology of BED. Thus, clinicians should routinely assess and, eventually, tailor depressive symptoms in treatment to improve the outcomes of patients with BED.

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Section: Discussionsupporting

confidence: 93%

Executive functions and depressive symptoms interplay in binge eating disorder: A structural equation model analysis

Rania

Aloi

Filippis

et al. 2021

Euro Eating Disorders Rev

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“…In general terms, some of these cognitive impairments seem to be remediable 79 . However, some studies found a greater relevance of comorbid psychopathology in individuals with BED, namely depressive symptomatology, than cognitive dysfunction for therapy outcomes 80 . Decision-making is a complex cognitive process, involving conscious and habitual components, which ultimately results in the choice of an outcome over other alternatives.…”

Section: [H2] Cognitive Impairments In Bedmentioning

confidence: 99%

Binge eating disorder

Giel¹,

Bulik

Fernández‐Aranda

et al. 2022

Nat Rev Dis Primers

100

101

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Primer articlesNature Reviews publishes timely, authoritative articles that are of broad interest and exceptional quality. Thank you for taking the time to help us to ensure that our articles meet these high standards.Primer articles in Nature Reviews provide an overview of a disease or disorder. Primers are intended to provide an authoritative, global perspective for the benefit of biomedical scientists, putting current clinical and translational challenges into context. These overview articles are meant to be introductory and cover all aspects from epidemiology to disease mechanisms, diagnosis and treatment.Please submit your report in narrative form and provide detailed justifications for all statements. Confidential comments to the editor are welcome, but it is helpful if the main points are stated in the comments for transmission to the authors.Please note that all Primer articles follow the same set organization of the main headings. Additionally, Nature Reviews articles will be thoroughly edited before publication and all figures will be redrawn by our in-house art editors. We therefore request that you concentrate on the scientific content of the article and display items, rather than the 'order' of the content or any minor errors in language or grammar that might be present in the draft version. Please consider and comment on the following points when reviewing this manuscript:• Is the article written for a broad audience, including biomedical scientists, translational researchers, medical students and clinicians?• Is the global perspective well represented?• Does the article present the current state of the art in the disease, without much emphasis on historical aspects?• Are the open research questions outlines and comprehensive?• Does the length of the article seem appropriate?• Are the ideas logically presented and discussed?• Does the article provide a balanced overview of the literature? Please bear in mind that it may not be possible to cover all aspects of a field within such a concise article.• Is the discussion fair and accurate? Although our authors are encouraged to be opinionated, they should not ignore alternative points of view. • Do the figures, boxes and tables provide clear and accurate information? Are there any additional or alternative display items that you think that the authors should include?• Are the references appropriate and up-to-date? Do they reflect the scope of the article?• Are you aware of any undeclared conflicts of interest that might affect the balance, or perceived balance, of the article?

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“…In individuals with BPD, emptiness has been associated with lower levels of daily positive affect and higher levels of depression (Harpoth et al, 2021; Klonsky, 2008). Severity of depressive symptoms and greater anhedonia have been found to significantly predict ED symptom severity and successful treatment for EDs (Dingemans et al, 2020; Dolan et al, 2021; Vall & Wade, 2015); thus, emptiness may be an important BPD symptom to target when treating EDs. Finally, BPD treatment outcome studies have found that anger predicts drop‐out from treatment (Wnuk et al, 2013) and may likewise contribute to dropout in treatment for EDs.…”

Section: Introductionmentioning

confidence: 99%

Eating disorders and the nine symptoms of borderline personality disorder: A systematic review and series of meta‐analyses

Miller

Trolio

Halicki-Asakawa

et al. 2022

Intl J Eating Disorders

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Objective: Eating disorders and borderline personality disorder have high rates of comorbidity. However, the extent to which individual BPD symptoms are elevated in patients with EDs is largely unknown. Meta-analyses examined: (1) which of the nine BPD symptoms are especially elevated in individuals with versus without EDs,(2) whether particular ED subtypes have elevated levels of certain BPD symptoms, and (3) which BPD symptoms remain unstudied/understudied in relation to EDs. Methods:We performed nine separate meta-analyses (one for each BPD symptom) to compare levels of symptoms in patients with EDs versus healthy controls. A total of 122 studies (range = 4-34 studies across symptoms) were included.Results: Affective instability was the BPD symptom most elevated, while anger was the BPD symptom least elevated, in patients with EDs compared to controls. When comparing effect sizes across ED subtypes, anorexia nervosa binge-eating/purging subtype had the largest effect sizes for the greatest number of BPD symptoms, while effect sizes for AN restrictive subtype were not significantly larger than those of other EDs for any BPD symptom. The least studied BPD symptoms were identity disturbance and interpersonal difficulties.Discussion: These meta-analyses suggest that certain symptoms of BPD play a more prominent role in the comorbidity between BPD and EDs than others. Targeting affective instability when treating cases of comorbid ED and BPD may be especially likely to ameliorate the negative outcomes related to this comorbidity. Future research should further investigate identity disturbance and interpersonal difficulties in the context of EDs.

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Depressive symptoms rather than executive functioning predict group cognitive behavioural therapy outcome in binge eating disorder

Cited by 20 publications

References 59 publications

Executive functions and depressive symptoms interplay in binge eating disorder: A structural equation model analysis

Executive functions and depressive symptoms interplay in binge eating disorder: A structural equation model analysis

Binge eating disorder

Eating disorders and the nine symptoms of borderline personality disorder: A systematic review and series of meta‐analyses

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