Testing a stepped care model for binge-eating disorder: a two-step randomized controlled trial

Tasca, Giorgio A.; Koszycki, Diana; Brugnera, Agostino; Chyurlia, Livia; Hammond, Nicole G.; Francis, Kylie; Ritchie, Kerri; Ivanova, Iryna; Proulx, Geneviève; Wilson, Brian K.; Beaulac, Julie; Bissada, Hany; Beasley, Erin; Mcquaid, Nancy; Grenon, Renee; Fortin-Langelier, Benjamin; Compare, Angelo; Balfour, Louise

doi:10.1017/s0033291718001277

Cited by 20 publications

(29 citation statements)

References 33 publications

(44 reference statements)

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“…This result could be explained with the latest research on the attachment system in patients with BED, in which it was observed that low levels of parental care could have triggered greater confusion and uncertainty in adequately responding to the high frequency of unpleasant emotional experiences (Maxwell et al, ). These experiences have thus contributed to the deficient development of their character, a more severe psychopathological symptomatology and greater difficulty in identifying the sensations of hunger and satiety and accurately distinguishing them from other emotions (Tasca et al, ). This confusion could represent the central nucleus of binges, as discussed in a recent review on this topic (Kittel, Brauhardt, & Hilbert, ).…”

Section: Discussionmentioning

confidence: 99%

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

et al. 2019

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Objective The present study aimed to (a) assess and compare personological traits and early maladaptive schemas (EMSs) of obese women with and without binge eating disorder (BED) and (b) identify the variables associated with the binge severity. Method One hundred women (55 BED‐obese and 45 non‐BED‐obese) completed psychopathological and personological self‐report questionnaires. A forward stepwise linear regression analysis was performed to assess variables associated with binge eating severity. Results Not only psychopathological but also personological differences were evident between BED and non‐BED‐obese women. BED severity was significantly associated with depressivity, emotional deprivation, and defectiveness. Conclusions Our preliminary findings suggest that BED patients exhibit some EMSs that could be linked to the construct of emotional neglect and specific personological traits closely related to depressive dimensions, emotional lability, and impulsivity. In particular, binge severity is associated with the pervasiveness of depressogenic cognitive schemas, as well as those of emotional deprivation and defectiveness.

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Section: Discussionmentioning

confidence: 99%

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

et al. 2019

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“…Besides, with this model of treatment less than six sessions were needed per patient, obtaining an overall improve of 63%. Another study (Tasca et al, 2018) tested the usefulness of this approach of intervention for the treatment of binge eating disorder. The findings of this study indicated that the low intensity treatment reduced significantly the symptoms of patients and that a more intensive intervention did not reduce the symptoms more than the low intensity treatment.…”

Section: Anticipated Resultsmentioning

confidence: 99%

Evidence-Based Brief Psychological Treatment for Emotional Disorders in Primary and Specialized Care: Study Protocol of a Randomized Controlled Trial

et al. 2019

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Emotional Disorders (EDs) are very prevalent in Primary Care (PC). However, general practitioners (GPs) have difficulties to make the diagnosis and the treatment of this disorders that are usually treated with drugs. Brief psychological therapies may be a new option to treat EDs in a PC context. This article aims to present a study protocol to evaluate the effectiveness and the efficiency of an adaptation to brief format of the “Unified Protocol (UP) for the transdiagnostic treatment of EDs.” This is a single-blinded RCT among 165 patients with EDs. Patients will be randomly assigned to receive brief psychological treatment based on UP, conventional psychological treatment, conventional psychological treatment plus pharmacological treatment, minimum intervention based on basic psychoeducational information, or pharmacological treatment only. Outcome measure will be the following: GAD-7, STAI, PHQ-9, BDI-II, PHQ-15, PHQ-PD, and BSI-18. Assessments will be carried out by blinded raters at baseline, after the treatment and 6-month follow-up. The findings of this RCT may encourage the implementation of brief therapies in the PC context, what would lead to the decongestion of the public health system, the treatment of a greater number of people with EDs in a shorter time, the reduction of the side effects of pharmacological treatment and a possible economic savings for public purse.Clinical Trial Registration: ClinicalTrial.gov, identifier NCT03286881. Registered September 19, 2017.

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“…Each GPIP group consisted of five to 11 members led by one of 11 trained therapists. All therapists had prior experience conducting group therapy and were adequately adherent to the GPIP manual (see Tasca et al, 2013Tasca et al, , 2019. Participants provided written informed consent prior to enrolment.…”

Section: Methods Participantsmentioning

confidence: 99%

“…They also completed the following measures at two time-points (i.e., pre-and 6 months post-treatment): the AAI which was coded with the DMRS, the IIP-64, and the EDE to assess days binged in the past 28 days. Hence, the present study included (a) a re-analysis of previously published outcome data on interpersonal functioning and binge-eating frequency (Tasca et al, 2013(Tasca et al, , 2019, and (b) new data on defensive functioning coded by the DMRS from the AAI audio recordings. We only included pretreatment defensive functioning in this study, as it was the most representative of the potential impact of defensive functioning as it operated early in the therapy groups.…”

Section: Methodsmentioning

confidence: 99%

A group’s level of defensive functioning affects individual outcomes in group psychodynamic-interpersonal psychotherapy.

Carlucci¹,

Chyurlia²,

Presniak³

et al. 2022

Psychotherapy

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We used an actor-partner interdependence model (APIM) to study the association between the individual group member and other group therapy members' defensive functioning on an individual group member's treatment outcome. We hypothesized that (a) more adaptive individual defensive functioning at pretreatment will be significantly related to better treatment outcomes (i.e., lower binge-eating and interpersonal distress) at 6 months post-treatment; and (b) more adaptive other group members' defensive functioning at pretreatment will be significantly related to better treatment outcomes at 6 months post-treatment. Participants (N = 136) were individuals with BED enrolled in group psychodynamic-interpersonal psychotherapy (GPIP). Participants completed attachment interviews and were assessed on interpersonal distress and days binged at pre-treatment and 6 months post-treatment. The interview audio recordings were transcribed and used to code defensive functioning. We found that individual overall defensive functioning (ODF) scores at pretreatment were not significantly associated with binge-eating frequency or interpersonal distress at 6 months post-treatment. Other group members' mean ODF scores at pretreatment were significantly associated with individual interpersonal distress at 6 months post-treatment. However, the other group members' mean ODF scores were not significantly associated with individual binge-eating outcomes at 6 months post-treatment. Defensive functioning of other members of a therapy group may be particularly important for improving interpersonal functioning in individuals with BED. Clinical Impact StatementQuestion: We studied the impact of the individual group member's and other group therapy members' defense mechanisms on an individual group member's treatment outcome (i.e., binge-eating frequency and interpersonal/social functioning). Findings: When other members of a therapy group used more adaptive defense mechanisms, the individual group member's interpersonal functioning improved; but

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Testing a stepped care model for binge-eating disorder: a two-step randomized controlled trial

Cited by 20 publications

References 33 publications

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

Evidence-Based Brief Psychological Treatment for Emotional Disorders in Primary and Specialized Care: Study Protocol of a Randomized Controlled Trial

A group’s level of defensive functioning affects individual outcomes in group psychodynamic-interpersonal psychotherapy.

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