The efficacy of a short version of a cognitive-behavioral treatment followed by booster sessions for binge eating disorder

Schlup, Barbara; Munsch, Simone; Meyer, Andrea; Margraf, Jürgen; Wilhelm, Frank H.

doi:10.1016/j.brat.2009.04.003

Cited by 54 publications

(67 citation statements)

References 28 publications

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“…Moreover, the reduction of the BE frequency in the IMPULS trial was initially comparable and even somewhat higher at the follow-up in comparison with Boutelle et al’s [30] pilot trial lasting 4 months with impulsivity-related interventions. In comparison with a clinical trial in patients with BED using also an 8-session, but usual group CBT [68], changes in abstinence rates, BE frequency and BMI were comparable to the IMPULS treatment. Taking these comparisons into account, it seems that IMPULS might be as effective as a CBT-based treatment as usual.…”

Section: Discussionmentioning

confidence: 99%

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

Schag¹,

Rennhak²,

Leehr

et al. 2019

Psychother Psychosom

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Background: Impulsivity is a risk factor for binge eating disorder, and binge eating (BE) equates to impulsive eating behaviour. Hence, we developed IMPULS, a cognitive behavioural group intervention focusing on impulsive eating. Methods: We randomised 41 patients to the IMPULS group and 39 to the control group. The IMPULS group participated in the IMPULS treatment, while both groups completed weekly self-observations. We compared both groups concerning BE episodes in the past 4 weeks at the end of treatment (primary outcome). As secondary outcomes, we investigated eating pathology, depression, general impulsivity and body mass index (BMI) at the end of treatment and in a 3-month follow-up. Results: The primary outcome failed, because BE episodes in the past 4 weeks were reduced in both groups at the end of treatment. At follow-up, the IMPULS group showed further improvement, contrary to the control group. The BE days/episodes in the 2 months before were overall reduced in both groups. Eating pathology was reduced in the IMPULS group at the end of treatment and partly in both groups at the follow-up. Depression was only reduced in the IMPULS group. General impulsivity and BMI did not change. Conclusions: The IMPULS study has a negative primary outcome. However, secondary outcomes indicate that the IMPULS treatment might be promising, as BE, eating pathology and depression were reduced in the IMPULS group. The initially reduced BE in the control group might represent a short-term effect from the self-observations. General impulsivity and BMI might need a longer time or more intensive treatment to change.

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Section: Discussionmentioning

confidence: 99%

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

Schag¹,

Rennhak²,

Leehr

et al. 2019

Psychother Psychosom

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“…Given the pathology and impairment associated with subjective binge eating, 7,9,10,12,14,16,17,49 it would seem important to target more specifically, subjective binge eating within existing cognitivebehavioral interventions. Research is mixed, with some studies finding that cognitive-behavioral therapy (CBT) is slower or less effective at reducing subjective compared to objective binge eating, [51][52][53] but others showing a similar response. 54,55 CBT strategies to reduce OBEs initially highlight the vicious cycle of restriction/deprivation leading to hunger and subsequent over-eating with loss of control (i.e., OBEs).…”

Section: Descriptive Statisticsmentioning

confidence: 99%

Subjective binge eating with compensatory behaviors: A variant presentation of bulimia nervosa

Watson

Fursland

Bulik

2012

Intl J Eating Disorders

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Objectives: To determine whether a variant bulimic-type presentation, whereby one meets criteria for bulimia nervosa (BN) except that binge eating episodes are not objectively large (i.e., ''subjective bulimia nervosa,'' SBN), has comparable clinical severity to established eating disorders, particularly BN.Method: Treatment-seeking adults with BN (N 5 112), SBN (N 5 28), anorexia nervosa restricting type (AN-R) (N 5 45), and AN-binge/purge type (AN-B/P) (N 5 24) were compared.Results: Overall, SBN could not be meaningfully distinguished from BN. SBN and BN had equivalent eating pathology, depression and anxiety symptoms, low quality of life, impulsivity, Axis I comorbidity, and lifetime psychiatric history, and comparable clinical severity to AN-R and AN-B/P. Discussion: Individuals with SBN, differing from BN only by the smaller size of their binge eating episodes, had a form of eating disorder comparable in clinical severity to threshold AN and BN and warranting clinical attention. Health professionals and the community require greater awareness of this variant to optimize detection, treatment-seeking, and outcomes. V V C 2012 by Wiley Periodicals, Inc.

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“…The CBT-S included participants from both the immediate treatment and the 8-week waitlist condition, as prior analyses had shown that there were no differences between those groups. Inclusion and exclusion criteria were identical for both samples (consider Munsch et al [10] and Schlup et al [11] for further information). Participant characteristics and comparisons of the two samples are shown in table 1.…”

Section: Participantsmentioning

confidence: 99%

“…One sample (N = 40) included obese participants from a treatment trial evaluating the efficacy of a CBT program consisting of 16 sessions [12] that had been conducted during the period of 2001 to 2003 (referred to as CBT-L). The other sample (N = 36) was drawn from a study evaluating the efficacy of a short-term CBT with 8 sessions in a waitlist-controlled design [11] that had been conducted during the period of December 2004 to June 2007 (referred to as CBT-S). The CBT-S included participants from both the immediate treatment and the 8-week waitlist condition, as prior analyses had shown that there were no differences between those groups.…”

Section: Participantsmentioning

confidence: 99%

“…Both treatments have previously been evaluated with equivalent study designs and have proven to be efficacious for BED. Based on our previous findings of a marked reduction of binge eating within the first 8 weeks of the 16-session CBT [10] and the finding that the shortened intervention was efficacious for BED [11], we wanted to test to what degree, if at all, the 16-week CBT outperformed the 8-week CBT with respect to BED-relevant outcomes.…”

Section: Introductionmentioning

confidence: 99%

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A Non-Randomized Direct Comparison of Cognitive-Behavioral Short- and Long-Term Treatment for Binge Eating Disorder

2010

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Background: To compare treatment outcomes of a cognitive-behavioral long-term (CBT-L) and short-term (CBT-S) treatment for binge eating disorder (BED) in a non-randomized comparison and to identify moderators of treatment outcome. Methods: 76 female patients with BED participated in the study: 40 in CBT-L and 36 in CBT-S. Outcome values were compared at the end of the active treatment phase (16 sessions for CBT-L, 8 sessions for CBT-S) and at 12-month follow-up. Results: Both treatments produced significant reductions in binge eating. At the end of active treatment, but not at the end of follow-up, effects of primary outcomes (e.g. remission from binge eating, EDE shape concern) were better for CBT-L than for CBT-S. Dropout rates were significantly higher in CBT-L (35%) than in CBT-S (14%). Moderator analyses revealed that treatment efficacy for rapid responders and individuals exhibiting high scores on the mixed dietary negative affect subtype differed between the CBT-L and CBT-S with respect to objective binges, restraint eating and eating concern. Conclusion: Findings suggest that CBT in general represents an effective treatment for BED, but that subgroups of patients might profit more from a prolonged treatment. Short, lessintensive CBT treatments could nevertheless be a viable option in the treatment of BED.

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The efficacy of a short version of a cognitive-behavioral treatment followed by booster sessions for binge eating disorder

Cited by 54 publications

References 28 publications

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

Subjective binge eating with compensatory behaviors: A variant presentation of bulimia nervosa

A Non-Randomized Direct Comparison of Cognitive-Behavioral Short- and Long-Term Treatment for Binge Eating Disorder

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