A non-randomized direct comparison of cognitive-behavioral short- and long-term treatment for binge eating disorder.

Abstract:

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, less-intensive CBT treatments could nevertheless be a viable option in the treatment of BED.

journal_name

Obes Facts

journal_title

Obesity facts

authors

Schlup B,Meyer AH,Munsch S

doi

10.1159/000319538

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

261-6

issue

4

eissn

1662-4025

issn

1662-4033

pii

000319538

journal_volume

3

pub_type

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