Predictors and mediators of treatment outcome in patients with binge eating disorder.

Abstract:

:A randomized controlled trial (N=52) was conducted comparing cognitive-behavioral therapy with a waiting list control group to identify mediators and predictors of treatment outcome. Reduction of weight concerns mediated abstinence of binge eating at post-treatment. Abstinence was marginally mediated by changes in eating and shape concerns, depressive symptoms and global severity of general psychopathology. Neither treatment outcome nor status at 1-year follow-up could be predicted by severity of eating disorder, comorbid psychopathology or maladaptive core beliefs at baseline or at post-treatment. The only predictor for abstinence at both post-treatment and 1-year follow-up was the coping style palliative reacting: higher scores predicted less favorable outcomes. Lower expression of emotions at post-treatment predicted more reduction of eating disorder psychopathology at follow-up. No other patient characteristics allowing treatment-patient matching could be identified.

journal_name

Behav Res Ther

authors

Dingemans AE,Spinhoven P,van Furth EF

doi

10.1016/j.brat.2007.06.003

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

2551-62

issue

11

eissn

0005-7967

issn

1873-622X

pii

S0005-7967(07)00120-9

journal_volume

45

pub_type

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