Emotion‐focused therapy for binge‐eating disorder: A review of six cases

Glisenti, Kevin; Strodl, Esben; King, Robert

doi:10.1002/cpp.2319

Cited by 14 publications

(31 citation statements)

References 92 publications

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“…The present study has several implications. Firstly, it provides further preliminary evidence that EFT may be an e cacious treatment for BED and builds upon previous ndings (e.g., 31,68). It also identi ed changes in objective binge episodes and days, binge eating psychopathology,and anxiety psychopathology that are theoretically important to EFT including emotion and emotion regulation.…”

Section: Primary Outcome Measuressupporting

confidence: 73%

Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomized Control Trial

Glisenti¹,

Strodl²,

King³

et al. 2020

Preprint

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Background:Research into psychotherapy for binge-eating disorder (BED) has focused mainly on cognitive behavioral therapies, but efficacy, failure to abstain, and dropout rates continue to be problematic. The experience of negative emotions is among the most accurate predictors for the occurrence of binge eating episodes in BED, suggesting benefits to exploring other psychological treatments with a more specific focus on the role of emotion. The present study aimed to build upon the emerging evidence for emotion-focused therapy (EFT) as a treatment for BED by examining the outcomes of a pilot randomized waitlist-controlled trial of individual EFT for BED.Methods:Twenty-one participants were assessed on the primary outcome measures of objective binge episodes, the number of days on which objective binge episodes occurred, and binge eating symptoms and the secondary outcome measures of anxiety and depressive symptoms. The treatment consisted of 12 weekly one-hour sessions of EFT for maladaptive emotions over three months. A series of between groups repeated measures analyses of variance (ANOVA) was used to test the hypothesis that those receiving the treatment would demonstrate a greater degree of improvement in primary outcome measures compared to participants on the waitlist. A series of within-groups repeated-measures ANOVA was then used to test the hypothesis that participation in the EFT intervention would result in significant improvements in the primary and secondary outcome measures from pre to post-therapy, and then maintained at each follow-up period.Results:Participants receiving the EFT demonstrated a greater degree of improvement in primary outcome measures compared to participants on the waitlist. Participation in the EFT intervention resulted in significant improvements in all primary outcome measures and anxiety, but not depressive symptoms. The intervention also demonstrated a relatively low dropout rate when compared to other psychological therapy interventions for BED.Conclusions:These findings provide further preliminary evidence that individual EFT may be an efficacious treatment for BED and provide support for more extensive randomized control trials to test the efficacy and effectiveness of EFT for BED further.Trial registration: The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000563965) on the 14 May 2020https://www.anzctr.org.au/ACTRN12620000563965.aspx

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Section: Primary Outcome Measuressupporting

confidence: 73%

Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomized Control Trial

Glisenti¹,

Strodl²,

King³

et al. 2020

Preprint

Self Cite

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show abstract

“…To our knowledge, this is one of the first pilot randomised controlled trials to test the feasibility of individual EFT for BED. It builds upon more extensive previous research exploring the efficacy and feasibility of group therapy based EFT for BED [ 46 ] which used a non-randomised observational study, and a less extensive feasibility trial of individual therapy based EFT for BED which used a case study approach [ 47 ]. It was initially hypothesised that participants would be willing to be randomised; and an appropriate number of participants would be deemed eligible for the research.…”

Section: Discussionmentioning

confidence: 99%

“…This study is a pilot randomised wait-list control trial designed to explore the feasibility of individual emotion-focused therapy (EFT) as a treatment for BED. It builds upon findings from an initial multiple baseline case series design of EFT for BED [ 47 ]. The sample size for the current study was calculated using the outcome measure of changes in binge eating episodes from the initial case series as a basis.…”

Section: Methodsmentioning

confidence: 99%

“…Treatment incorporated 12 weekly one-hour sessions of EFT for maladaptive emotions over 3 months. The treatment manual was initially adapted from [ 45 ] by [ 47 ] in a series of case studies exploring the use of individual EFT to treat BED. Phase 1 of the treatment focused on promoting awareness of emotions, welcoming and accepting emotions, putting emotions into words, and identifying primary emotions.…”

Section: Methodsmentioning

confidence: 99%

“…The dropout rate for EFGT was only 6%. Further, to date, only one study to date has examined the feasibility of individual therapy based EFT for BED [ 47 ]. This study involved the use of a multiple baseline case series design in which individual EFT over 12 weeks, was applied to six female adult participants with BED, with follow-ups at 2, 4- and 8-weeks posttreatment.…”

Section: Plain English Summarymentioning

confidence: 99%

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The feasibility of emotion-focused therapy for binge-eating disorder: a pilot randomised wait-list control trial

et al. 2021

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Background Research into psychotherapy for binge-eating disorder (BED) has focused mainly on cognitive behavioural therapies, but efficacy, failure to abstain, and dropout rates continue to be problematic. The experience of negative emotions is among the most accurate predictors for the occurrence of binge eating episodes in BED, suggesting benefits to exploring psychological treatments with a more specific focus on the role of emotion. The present study aimed to explore the feasibility of individual emotion-focused therapy (EFT) as a treatment for BED by examining the outcomes of a pilot randomised wait-list controlled trial. Methods Twenty-one participants were assessed using a variety of feasibility measures relating to recruitment, credibility and expectancy, therapy retention, objective binge episodes and days, and binge eating psychopathology outcomes. The treatment consisted of 12 weekly one-hour sessions of EFT for maladaptive emotions over 3 months. A mixed model approach was utilised with one between effect (group) using a one-way analysis of variance (ANOVA) to test the hypothesis that participants immediately receiving the EFT treatment would demonstrate a greater degree of improvement on outcomes relating to objective binge episodes and days, and binge eating psychopathology, compared to participants on the EFT wait-list; and one within effect (time) using a repeated-measures ANOVA to test the hypothesis that participation in the EFT intervention would result in significant improvements in outcome measures from pre to post-therapy and then maintained at follow-up. Results Recruitment, credibility and expectancy, therapy retention outcomes indicated EFT is a feasible treatment for BED. Further, participants receiving EFT demonstrated a greater degree of improvement in objective binge episodes and days, and binge eating psychopathology compared to EFT wait-list control group participants. When participants in the EFT wait-list control group then received treatment and outcomes data were combined with participants who initially received the treatment, EFT demonstrated significant improvement in objective binge episodes and days, and binge eating psychopathology for the entire sample. Conclusions These findings provide further preliminary evidence for the feasibility of individual EFT for BED and support more extensive randomised control trials to assess efficacy. Trial registration The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000563965) on 14 May 2020.

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Efficacy of emotion‐focused therapy in the treatment of eating disorders: A systematic review

Osoro

Villalobos

Tamayo

2021

Clin Psychology and Psychoth

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Background The high incidence of eating disorders (EDs) means that its treatment is approached from various perspectives, among which we find emotion‐focused therapy (EFT). Therefore, the main objective of this systematic review was to know the effectiveness of EFT for eating disorders. Method A systematic review of PubMed, the Cochrane Library and the Psychology and Behavioural Sciences Collection was carried out without a time limit and in a population with an eating disorder diagnosis. Results Eight studies fulfilled the eligibility criteria: (1) six studies treated the population with binge eating disorder (BED) five were group treatments, and four included the combined modality; (2) one with BED, bulimia nervosa (BN) and Eating Disorder No Otherwise Specified (EDNOS); and (3) one for a single case of anorexia nervosa (AN). The duration of treatments ranged from 12 weeks to 18 months, and all studies used the original EFT protocol. Specific variables of each type of eating disorder were studied, as well as comorbid symptoms. Conclusions It seems that the results coincide in the existence of post‐treatment improvements both in eating psychopathology and in affective symptoms, although with variable data during follow‐up. More research is needed to affirm the efficacy of EFT as an empirically validated treatment for EDs.

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Emotion‐focused therapy for binge‐eating disorder: A review of six cases

Abstract: Individual EFT demonstrates potential as a psychological treatment for BED. The current study provides preliminary evidence to guide the development of a more extensive trial to test the efficacy of individual EFT for BED as well as to identify possible mechanisms of change.

Cited by 14 publications

References 92 publications

Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomized Control Trial

Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomized Control Trial

The feasibility of emotion-focused therapy for binge-eating disorder: a pilot randomised wait-list control trial

Efficacy of emotion‐focused therapy in the treatment of eating disorders: A systematic review

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