The treatment of binge eating disorder with cognitive behavior therapy and other therapies: An overview and clinical considerations

2020 ◽  
Author(s):  
Felipe Q. da Luz ◽  
Phillipa Hay ◽  
Lucene Wisniewski ◽  
Táki Cordás ◽  
Amanda Sainsbury
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Binge Eating Disorder ◽  
Cognitive Behavior Therapy ◽  
Cognitive Behavior ◽  
Clinical Considerations

Double-Blind, Randomized, Placebo-Controlled Trial of Topiramate Plus Cognitive-Behavior Therapy in Binge-Eating Disorder

2007 ◽  
Vol 68 (09) ◽  
pp. 1324-1332 ◽  
Author(s):  
Angélica M. Claudino ◽  
Irismar R. de Oliveira ◽  
José Carlos Appolinario ◽  
Táki A. Cordás ◽  
Monica Duchesne ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Binge Eating Disorder ◽  
Cognitive Behavior Therapy ◽  
Controlled Trial ◽  
Cognitive Behavior ◽  
Double Blind

scholarly journals The use of a manual-driven group cognitive behavior therapy in a Brazilian sample of obese individuals with binge-eating disorder

2007 ◽  
Vol 29 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Mônica Duchesne ◽  
José Carlos Appolinario ◽  
Bernard Pimentel Rangé ◽  
Julia Fandiño ◽  
Tatiana Moya ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Binge Eating Disorder ◽  
Cognitive Behavior Therapy ◽  
Body Shape ◽  
Cognitive Behavior ◽  
Obese Subjects ◽  
Shape Concern

OBJECTIVE: To assess the effectiveness of a manual-based cognitive behavior therapy adapted to a group format in a sample of Brazilian obese subjects with binge-eating disorder. METHOD: In an open trial, 21 obese subjects with binge-eating disorder received a group cognitive-behavioral therapy program. Changes in binge-eating frequency, weight, body shape concerns, and depressive symptoms were compared between baseline and the end of the study. RESULTS: The mean frequency of binge-eating episodes significantly decreased from baseline to post-treatment (p < 0.001), with a binge eating remission rate of 76.1% at the end of the trial. Depressive symptoms and body shape concern also improved (p < 0.001). In addition, weight loss was statistically and clinically significant. CONCLUSION: The use of this adapted manual-based cognitive behavior therapy in this sample resulted in a marked improvement in binge-eating, weight, body shape concern, and depressive symptoms related to binge-eating disorder.

Cognitive behavior therapy in patients with binge eating disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 739-739
Author(s):  
V. Vaidya
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Disordered Eating ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Eating Behaviors ◽  
Psychiatric Symptoms ◽  
Eating Habits ◽  
Cognitive Behavior ◽  
Before And After

IntroductionWith the growing epidemic of obesity many treatments are aimed at reducing weight like diets, exercise, pharmacotherapy and bariatric surgery. All of these can reduce weight at least for a period; however none of them adequately address the behavior of binge eating/eating disorder.Aimassessed the role of Cognitive Behavior therapy in reducing disordered eating behavior.MethodThe subjects were enrolled in 12 weeks CBT. They were all obese and had a score of > 20 on the BES. They completed a BDI, MBSRQ, and BES before and after the groups. Their weight was recorded before and after the 12 weeks. 79 patients were enrolled in groups over a period of 3 years. Of those 56 patients completed the groups and questionnaires. Most groups consisted of 6–8 patients.Discussion70% of patients had psychiatric symptoms psychotropic medications like antidepressants. More than 70% felt their eating habits were more in control and felt more informed about themselves since attending CBT groups. All of the patients who stayed and attended groups felt that the connection helped them sustain better eating habits. 67% of patients had lost 4–30 lbs during the 12 weeks of CBT, none had gained weight.ConclusionCBT helps the patient reduce disordered eating behaviors by understanding the cause of their self sabotage. CBT addresses the core of the problem i.e. disordered behavior as opposed to its consequences (viz. obesity and its multiple medical comorbidities); while affecting weight indirectly.

scholarly journals An adaptive randomized trial of dialectical behavior therapy and cognitive behavior therapy for binge-eating

2016 ◽  
Vol 47 (4) ◽  
pp. 703-717 ◽  
Author(s):  
E. Y. Chen ◽  
J. Cacioppo ◽  
K. Fettich ◽  
R. Gallop ◽  
M. S. McCloskey ◽  
...  
Keyword(s):  
Binge Eating ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Initial Response ◽  
Early Response ◽  
Cognitive Behavior ◽  
Additional Group ◽  
Dsm Iv

BackgroundEarly weak treatment response is one of the few trans-diagnostic, treatment-agnostic predictors of poor outcome following a full treatment course. We sought to improve the outcome of clients with weak initial response to guided self-help cognitive behavior therapy (GSH).MethodOne hundred and nine women with binge-eating disorder (BED) or bulimia nervosa (BN) (DSM-IV-TR) received 4 weeks of GSH. Based on their response, they were grouped into: (1) early strong responders who continued GSH (cGSH), and early weak responders randomized to (2) dialectical behavior therapy (DBT), or (3) individual and additional group cognitive behavior therapy (CBT+).ResultsBaseline objective binge-eating-day (OBD) frequency was similar between DBT, CBT+ and cGSH. During treatment, OBD frequency reduction was significantly slower in DBT and CBT+ relative to cGSH. Relative to cGSH, OBD frequency was significantly greater at the end of DBT (d = 0.27) and CBT+ (d = 0.31) although these effects were small and within-treatment effects from baseline were large (d = 1.41, 0.95, 1.11, respectively). OBD improvements significantly diminished in all groups during 12 months follow-up but were significantly better sustained in DBT relative to cGSH (d = −0.43). At 6- and 12-month follow-up assessments, DBT, CBT and cGSH did not differ in OBD.ConclusionsEarly weak response to GSH may be overcome by additional intensive treatment. Evidence was insufficient to support superiority of either DBT or CBT+ for early weak responders relative to early strong responders in cGSH; both were helpful. Future studies using adaptive designs are needed to assess the use of early response to efficiently deliver care to large heterogeneous client groups.

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