Treatment of Emotional Dysregulation in Full Syndrome and Subthreshold Binge Eating Disorder

Abstract

The link between negative affect and binge eating in those with binge eating disorder (BED) has been well established. The present study examined the efficacy of a treatment for BED designed to increase recognition and regulation of negative emotion, replicating and extending a previous investigation (Clyne, C., & Blampied, N.M. [2004]. Training in emotion regulation as a treatment for binge eating: A preliminary study. Behaviour Change, 21, 269-281) by including a control group, a larger number of participants, and formal diagnoses rather than classifying binge eating symptomatology from self-report questionnaires. Twenty-three women diagnosed with subthreshold or full syndrome BED (using the Eating Disorders Examination) participated in a treatment program that focused on increasing emotional regulation skills. Each participant completed the Eating Disorders Examination Questionnaire, the Binge Eating Scale, the Emotional Eating Scale, and completed self-monitoring records of binge episodes. Binge abstinence rates following treatment (post-treatment and 1 year follow-up were 78% and 87% respectively) were comparable to other empirically supported treatments for BED. Other positive changes in eating and general pathology were observed. These effects were well-maintained up to 1 year later.

Emotion-Focused Therapy and Dietary Counseling for Obese Patients with Binge Eating Disorder: A Propensity Score-Adjusted Study

“…From a clinical point of view, our results, along with literature data [9], show that EFT, a psychotherapy focused on the cognitive and interpersonal experiential perspectives of emotions associated with DC, produces promising results on binge eating remission, weight loss, binge eating behavior and health-related quality of life in treatment-seeking BED patients with obesity. The data also suggest that the combination of EFT and DC might be a promising strategy to produce both an improvement of the eating disorder psychopathology and a healthy amount of weight loss.…”

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

“…Preliminary results of treatment that focused on increasing recognition and regulation of negative emotion in BED resulted in BE abstinence rates that were comparable with other empirically supported treatments for BED (Clyne, Latner, Gleaves, & Blampied, 2010). Dialectical behaviour therapy (DBT) adapted for treating BED (DBT-BED; Wiser & Telch, 1999), which focuses on increasing emotion regulation skills, was tested in two randomized controlled trials (Chen, Matthews, Allen, Kuo, & Linehan, 2008;Telch, Agras, & Linehan, 2001).…”

Psychopathological characteristics of patients seeking for bariatric surgery, either affected or not by binge eating disorder following the criteria of the DSM IV TR and of the DSM 5

“…An increasing number of researchers and clinicians have recognized Binge Eating Disorder (BED) as a stable pathology with specific characteristics (Vinai & Todisco, 2007) and also individuals affected by subthreshold forms of the syndrome have shown to share typical traits of BED patients (Striegel-Moore et al, 2000), (Masheb & Grilo, 2006), (Clyne, Latner, Gleaves, & Blampied, 2010): low self-esteem (Flückiger et al, 2011), impulsivity (Yip, White, Grilo, & Potenza, 2011), difficulties in regulating emotions (Sassaroli et al, 2009) (De Zwaan et al, 1994), psychosocial impairment, frequent psychiatric co-morbidity (Peterson, Miller, Crow, Thuras, & Mitchell, 2005) and medical problems needing a specific treatment (Allison et al, 2006). In light of these results the American Psychiatric Association has included BED with less restrictive diagnostic criteria in the fifth edition of the DSM (American Psychiatric Association, 2013).…”