The Rate and Shape of Change in Binge Eating Episodes and Weight: An Effectiveness Trial of Emotionally Focused Group Therapy for Binge‐Eating Disorder

Abstract

Decline in binge eating (BE) episodes is related to decline in weight, and this relationship was greater towards the end of treatment. Emotionally focused group therapy plus dietary counselling that targets both affect regulation and nutritional problems resulted in faster rate of response early in treatment both in terms of BE episodes and weight. Combined emotionally focused group therapy and dietary counselling may provide clinicians with an additional approach to treating BE disorder.

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

“…The results demonstrated support for this hypothesis in that there was a reduction in binge-eating episodes from pretreatment (17.66) to posttreatment (2.17) over the past 28 days. The findings are consistent with previous results of studies that used EFT to treat BED, where mean binge-eating episodes in the last 28 days at 1 and 20 weeks decreased from 17.36 to 4.60 for EFGT and from 17.38 to 3.97 for CT (Compare & Tasca, 2016). The findings also indicate that individual EFT, on average, results in similar reductions in mean binge-eating episodes in the previous 7 days pretreatment to posttreatment when compared with GPIP (4.11 to 1.11) and GCBT (3.95 to 0.57; Tasca et al, 2006).…”

“…There was a low dropout rate in the current research; however, obvious caution is required given the small sample size. These findings are nevertheless consistent with low dropout rates in the treatment of BED, including 6% for EFT (Compare & Tasca, 2016); 0%, 7%, and 8.6% for IPT (Fairburn et al, 2015;Wilfley et al, 2002;Wilson et al, 2010); 3% for CBT (Dingemans et al, 2007); 0% for CBT-E (Fairburn et al, 2015); and 0% and 4% for DBT (Safer et al, 2010;Telch et al, 2000).…”

“…Participants who completely discontinued attendance or did not present at follow-up sessions were considered dropouts, in line with Compare and Tasca (2016).…”

Within‐persons predictors of change during eating disorders treatment: An examination of self‐compassion, self‐criticism, shame, and eating disorder symptoms

“…a An examination of within-person relationships between variables requires that multiple participants complete multiple repeated measures over time. [5][6][7][8] Such a design makes it possible to disaggregate within-person variance from betweenperson variance in study variables and to use multilevel modeling to examine the relationships between variables at both the between-persons level (i.e., level 2 of the model in which variance related to differences between individuals are estimated) and the within-person level (i.e., at level 1 of the model in which variance related to repeated measurements within individuals across time are estimated). 7,9 The overall aim of the present study was to highlight the value of exploring withinperson predictors of eating disorder symptoms during treatment.…”

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

“…While there is a growing body of literature exploring the use of EFT for eating disorders (e.g., 22,23,29,30,), this literature has generally included mixed samples of BED, Anorexia Nervosa (AN) and BN with limited research focusing speci cally on BED To date, only two studies have examined the e cacy of EFT speci cally for BED. Compare and Tasca (31) comparedthe outcome of 20 weeks of emotionally focused group therapy (EFGT), aimed at helping clients change how they experienced and used their emotions, with combined therapy (CT) of EFGT plus dietary counselling, which sought to lower energy-dense food intake in 118 obese adults with BED. Binge episodes and weight signi cantly declined during both treatments; however, compared to EFGT CT resulted in more rapid weight loss across the weeks of therapy.…”