Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study

Bäck, Malin; Gustafsson, Sanna Aila; Holmqvist, Rolf

doi:10.1080/13642537.2017.1386226

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…• eating attitudes (EDE-Q, version 6; Fairburn, 2008) • depression [Personal Health Questionnaire-9 (PHQ-9); Kroenke et al, 2001] • anxiety [Generalized Anxiety Disorder-7 (GAD-7); Spitzer et al, 2006]. Diary records were used to measure weekly frequency of objective binge eating.…”

Section: Measures and Proceduresmentioning

confidence: 99%

Brief cognitive behavioural therapy for binge-eating disorder: clinical effectiveness in a routine clinical setting

Moore¹,

Hinde²,

Waller

2021

tCBT

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Brief cognitive behavioural therapy (CBT) is effective in working with non-underweight eating disorder patients across transdiagnostic groups. However, it is not clear whether it will be as effective in the treatment of binge-eating disorder, where emotional eating is likely to play a larger role than starvation-driven eating. This case series tested whether brief, 10-session CBT (CBT-T) would be effective in a case series of 53 patients with binge-eating disorder. Attrition rates were comparable to previous research. Eating attitudes, binge frequency, anxiety and depression were measured. Remission was measured comparing different categorical methods: ‘cut-off’; reliable change index (RCI); and clinically significant change (CSC). CBT-T was effective for binge-eating disorder patients, at comparable levels to other non-underweight patients. All measures of pathology were significantly reduced, with large to moderate effect sizes. When categorical changes were used to indicate remission, RCI and CSC levels were more appropriate than existing cut-off methods, potentially because of the lower levels of initial restrained eating in this clinical group. CBT-T’s effectiveness in transdiagnostic groups is replicated in binge-eating disorder patients, despite their greater level of emotionally driven eating. More stringent definitions of remission (CSC and RCI) should be used more widely, to ensure realistic estimates. Key learning aims (1) What is necessary for brief CBT to be effective for binge-eating disorder (BED)? (2) Is CBT for BED effective in the absence of purging behaviours? (3) What is the most appropriate way to measure remission in CBT for BED?

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Section: Measures and Proceduresmentioning

confidence: 99%

Brief cognitive behavioural therapy for binge-eating disorder: clinical effectiveness in a routine clinical setting

Moore¹,

Hinde²,

Waller

2021

tCBT

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“…In a previous study using an IPT manual for depression, the authors examined the effect of IPT on ED with co-morbid major depression and found significant improvements with large effect sizes on both ED and depression measures [10]. Symptom reductions for the two diagnoses were strongly correlated, which indicate that the mechanisms of change in IPT for depressive symptoms may also work on ED symptoms or that change in one syndrome promotes change in the other.…”

Section: Introductionmentioning

confidence: 98%

Reduction in depressive symptoms predicts improvement in eating disorder symptoms in interpersonal psychotherapy: results from a naturalistic study

et al. 2020

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Background: Interpersonal psychotherapy (IPT) can be effective for both Bulimia Nervosa (BN) and co-occurring depression. While changes in symptoms of Eating disorder (ED) and depression have been found to correlate, it is unclear how they interact during treatment and in which order the symptoms decrease. Methods: Thirty-one patients with BN and depressive symptoms received IPT using the manual IPT-BNm in a naturalistic design. The outcome was measured with the Eating Disorder Examination Questionnaire (EDE-Q) and the Montgomery Åsberg Depression Rating Scale (MADRS-S). Symptom improvement at each session was measured with Repeated Evaluation of Eating Disorder Symptoms (REDS) and the Patient Health Questionnaire-9 (PHQ-9). Results: Significant improvements with large effect sizes were found on both ED symptoms and depression. The rates of change were linear for both BN and depression. A strong correlation between reduction of depressive symptoms and ED symptoms was found. Depressive symptom reduction at one session predicted improvement of ED symptoms at the next session. Conclusions: IPT-BNm had an effect on both BN and co-occurring depressive symptoms. The analyses indicated that reduction in depressive symptoms preceded reduction in bulimic symptoms.

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Brief group cognitive‐behavioral therapy for bulimia nervosa and binge‐eating disorder: A pilot study of feasibility and acceptability

Moore¹,

Waller

2023

Intl J Eating Disorders

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Objective Brief cognitive‐behavioral therapy for non‐underweight eating disorders (CBT‐T) has been shown to be clinically useful in non‐underweight samples, when delivered one‐to‐one. This pilot study assessed the acceptance, compliance and feasibility levels of a group version of CBT‐T, which has the potential to enhance patient access. Method A group CBT‐T protocol was developed and piloted in two therapy groups (N = 8). Eating disorder attitudes and behaviors, depression and anxiety were assessed at the beginning and end of treatment. Results A third of all patients approached accepted the offer of group CBT‐T, and entered treatment. Among that group of treatment starters, none were lost to treatment. The therapy was feasible in practical terms, including online delivery. Finally, mean scores on measures suggested improvement in clinical profiles. Discussion This pilot study demonstrated that a group CBT‐T is a feasible intervention for non‐underweight eating disorders in adults, with low acceptance but high compliance. Group CBT‐T has the potential to reduce demand on services and in turn increase availability of treatment to those with eating disorders. Public Significance The present research contributes to the treatment of non‐underweight adults with eating disorders. Group CBT‐T was shown to be feasible in this pilot study. It was associated with low acceptance but strong compliance. If supported by further research, group CBT‐T has the potential to reduce waitlists, ensure throughput in services, and ultimately improve the lives of many who are affected by eating disorders.

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Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study

Cited by 5 publications

References 45 publications

Brief cognitive behavioural therapy for binge-eating disorder: clinical effectiveness in a routine clinical setting

Brief cognitive behavioural therapy for binge-eating disorder: clinical effectiveness in a routine clinical setting

Reduction in depressive symptoms predicts improvement in eating disorder symptoms in interpersonal psychotherapy: results from a naturalistic study

Brief group cognitive‐behavioral therapy for bulimia nervosa and binge‐eating disorder: A pilot study of feasibility and acceptability

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