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The Evidence Finder tool allows you to search published studies of treatment and prevention strategies for mental health and substance use issues in young people. You can use the filters to refine your search or browse by category.
Disorders - Binge Eating Disorders
Bishop-Gilyard, C. T., Berkowitz, R. I., Wadden, T. A., Gehrman, C. A., Cronquist, J. L., Moore, R. H.
Little is known about binge eating (BE) in adolescents. The primary aim of the present study was to examine the relationship between BE and weight loss in adolescents (BMI 95th percentile) enrolled in a randomized controlled trial of behavioral and pharmacologic treatment of obesity. Participants were 82 treatment-seeking adolescents (BMI = 37.9 3.8kg/m 2; age = 14.1 1.2 years; 67% females; 42% African American, 55% white). Participants completed the Children's Depression Inventory (CDI), the Piers Harris Self-Esteem Questionnaire, and the Eating Inventory (including cognitive restraint, disinhibition, and hunger scales). BE was assessed by a questionnaire and a confirmatory interview. At baseline, 24% of participants met criteria for BE (N = 13 met full BE disorder (BED) criteria; N = 7 met subthreshold BE). There were no significant differences in percentage reduction in initial BMI between participants with or without BE at month 6 (7.0(plus or minus)1.6 vs. 6.9(plus or minus)0.9%) or month 12 (8.8(plus or minus)2.4 vs. 8.3(plus or minus)1.3%) (omnibus main effect BE P = 0.89, interaction BE null time P = 0.84, interaction BE null drug P = 0.61). The rate of BE declined significantly over time from 24% (n = 20) at baseline to 8% (n = 6) at month 6 and 3% (n = 2) at month 12 (P = 0.003). There were significant decreases in hunger and disinhibition as well as an increase in cognitive restraint over time (all P 0.0001). Findings suggest a combination of behavioral and pharmacologic therapy may produce both weight loss and improvement in BE. (copyright) 2011 The Obesity Society.
Obesity, 19(5) : 982-987
- Year: 2011
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Appetite moderators, Psychological Interventions (any)
, Other Psychological Interventions
Boutelle, K. N., Zucker, N. L., Peterson, C. B., Rydell, S. A., Cafri, G., Harnack, L.
Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. Method: Thirty-six overweight and obese 8- to 12-year-old children (58 female; mean age = 10.3 years, SD = 1.3), with high scores on eating in the absence of hunger, and their parents were randomly assigned to an 8-week children's appetite awareness training or cue exposure treatment-food. Children completed an eating in the absence of hunger (EAH) paradigm, an Eating Disorder Examination interview for children, and three 24-hr dietary recalls, and their height and weight were measured. Parents completed the EAH Questionnaire and the Binge Eating Scale, and their height and weight were measured. Assessments were conducted at baseline, posttreatment, and 6 and 12 months posttreatment. Results: Results showed that both treatments resulted in significant decreases in binge eating in children over time. Additionally, children in the food cue exposure treatment showed significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH. Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. Because these data are preliminary, further treatment development and randomized controlled studies are needed. (copyright) 2011 American Psychological Association.
Journal of Consulting & Clinical Psychology, 79(6) : 759-771
- Year: 2011
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Psychological Interventions (any)
, Other Psychological Interventions, Dietary advice, dietary change
Jones, Megan, Luce, Kristine H., Osborne, Megan I., Taylor, Katherine, Cunning, Darby, Doyle, Angela Celio, Wilfley, Denise E., Taylor, C. B.
Overweight is increasing at an alarming rate among adolescents and is associated with compromised psychological and physical health. Binge eating is linked to increased degree of overweight and elevated eating-related psychopathology and may be an effective target for weight maintenance interventions. This study examines the efficacy of an Internet-based intervention designed to help overweight adolescents with high rates of binge eating, reduce binge eating and maintain or lose weight. A total of 105 at risk for overweight adolescent male and female high school students (mean age = 15.1±1.0) were randomized to a 16-week online intervention, StudentBodies™2-BED (n = 52) or wait-list control (n = 53). The primary outcome was change in body mass index (BMI) z-score from baseline to nine month follow-up. Completer analyses indicate that participants in the intervention group had significantly lower BMI z-scores (ES=0.8) and BMI (ES=0.6) from baseline to follow-up compared to control (p<.01). Additionally, a significant reduction in objective binge episodes and subjective binge episodes from baseline to post-treatment and from baseline to follow-up was observed among intervention participants (p<.01). The intervention group also reported significantly reduced weight and shape concerns from post-treatment to follow-up and from baseline to follow-up (p<.05). Participants in the intervention group who engaged in objective overeating or binge eating episodes at baseline experienced a significantly greater reduction in BMI at follow-up compared to control (p<.05). Results suggest that an Internet-based intervention is moderately effective in short-term weight loss and weight maintenance and yields a large reduction in binge eating. This study also demonstrates that weight management and eating disorder psychopathology reduction can be achieved simultaneously using an easily disseminated Internet-facilitated program. To produce more robust weight maintenance results among adolescents at risk of overweight, additional research is needed to develop more effective adherence strategies and to explore effective maintenance interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Pediatrics, 121(3) : 453-462
- Year: 2008
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Self-help
, Technology, interventions delivered using technology (e.g. online, SMS)
Dunn, Eric C., Neighbors, Clayton, Larimer, Mary E.
OBJECTIVE: The aims of this study were to evaluate whether a single session of motivational enhancement therapy (MET) would increase participant readiness to change, improve the efficacy of self-help treatment for binge eaters, and improve participant compliance with the self-help manual. METHOD: Participants with bulimia nervosa or binge eating disorder were randomly assigned either to attend a 1-hr MET session prior to receiving the self-help manual (n = 45) or to receive the self-help manual only (n = 45). Participants were followed for 4 months for assessment of self-reported eating disorder outcome and compliance. RESULTS: The MET intervention resulted in increased readiness to change for binge eating compared with the self-help-only (SH) condition. Few differences were found between the MET condition and the SH condition for changes in eating attitudes and frequency of binge eating and compensatory behaviors. No significant effects were found for compliance. DISCUSSION: This research adds to the literature regarding the use of brief motivational interventions to enhance readiness for change in populations with eating disorders.
Psychology of Addictive Behaviors, 20(1) : 44-52
- Year: 2006
- Problem: Binge Eating Disorders, Bulimia Nervosa
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy, Self-help
Gelber, Diana, Levine, Joseph, Belmaker, R.
Examined whether inositol has therapeutic value in patients with bulimia nervosa and binge eating. A double-blind crossover trial using 18 g inositol vs placebo was performed in 12 patients (aged 20-39 yrs) for 6 wks in each arm. The results show inositol was significantly better than placebo on the Global Clinical Impression, the Visual Analogue Scale, and the Eating Disorders Inventory. It is concluded that inositol is as therapeutic in patients with bulimia nervosa and binge eating as it is in patients with depression and panic and obsessive-compulsive disorders. This increases its parallelism with serotonin selective reuptake inhibitors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
International Journal of Eating Disorders, 29(3) : 345-348
- Year: 2001
- Problem: Binge Eating Disorders, Bulimia Nervosa
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative Interventions (CAM)
, Vitamins and supplements
Ricca, Valdo, Mannucci, Edoardo, Mezzani, Barbara, Moretti, Sandra, Di Bernardo, Milena, Bertelli, Marco, Rotella, Carlo M., Faravelli, Carlo
Examined the effectiveness of antidepressant drugs (fluoxetine [FLX], 60 mg/day; fluvoxamine [FLV], 300 mg/day), cognitive-behavioural therapy [CBT] and combined treatments [CBT+FLX, CBT+FLV]). 108 binge eating disorder (BED) outpatients (mean age 25.9 yrs) were randomly assigned to either CBT, FLX, FLV, CBT+FLX, or CBT+FLV for 24 weeks. At the beginning (T0), at the end (T1), and after 1 year (T2) of treatment, body mass index (BMI) and eating attitude and behaviours were assessed. At T1, BMI and Eating Disorder Examination (EDE) scores were significantly reduced in CBT, CBT+ FLX and CBT+FLV, but not in the FLX and FLV treatment groups. At T2, BMI was significantly higher than at T1, but still significantly lower than at T0 in the CBT, CBT+FLX and CBT+FLV groups, while EDE scores remained unchanged from T1 in all treatment groups. CBT was more effective than FLX or FLV in the treatment of BED. The addition of FLX to CBT does not seem to provide any clear advantage, while the addition of FLV could enhance the effects of CBT on eating behaviours. Modifications of eating behaviours are maintained at the 1-year follow-up, although the lost weight was partly regained. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Psychotherapy & Psychosomatics, 70(6) : 298-306
- Year: 2001
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Selective serotonin reuptake inhibitors (SSRIs), Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
Allen, Heather N., Craighead, Linda Wilcoxon
Twenty-nine women meeting criteria for Binge Eating Disorder (BED) were randomly assigned to Appetite Awareness Training (AAT; an 8-week cognitive-behavioral intervention) or a wait-list control. The goal of AAT is to establish an eating pattern in which: (a) the individual responds primarily to moderate (rather than strong) hunger and fullness cues; and (b) eating in response to non-appetite cues is minimized. The intervention uses an innovative form of self-monitoring based on appetite ratings rather than recording food intake. Compared to controls, AAT participants reported significantly greater reductions in both binge eating and overeating episodes; they did not report increased hunger nor did they gain weight. They also reported decreased urges to eat in several high-risk situations, and decreased symptoms of depression and social anxiety. Results provide initial support for the effectiveness of a form of cognitive behavior therapy utilizing appetite monitoring (AAT) and suggest that additional investigation of this intervention is warranted. (PsycINFO Database Record (c) 2008 APA, all rights reserved) (journal abstract).
Behavior Therapy, 30(2) : 253-272
- Year: 1999
- Problem: Binge Eating Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)