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A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder
Author(s) -
Munsch Simone,
Biedert Esther,
Meyer Andrea,
Michael Tanja,
Schlup Barbara,
Tuch Alex,
Margraf Juergen
Publication year - 2007
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.20350
Subject(s) - binge eating , overweight , binge eating disorder , psychopathology , cognitive behavioral therapy , weight loss , psychology , body mass index , cognitive therapy , randomized controlled trial , cognition , eating disorders , clinical psychology , psychiatry , medicine , obesity , bulimia nervosa
Objectives: The aim of this study was to determine the efficacy of cognitive‐behavioral therapy (CBT) and behavioral weight loss treatment (BWLT) for overweight patients with binge eating disorder (BED). Method: Eighty obese patients meeting criteria of BED according to DSM‐IV‐TR were randomly assigned to either CBT or BWLT consisting of 16 weekly treatments and 6 monthly follow‐up sessions. Binge eating, general psychopathology, and body mass index (BMI) were assessed before, during, and after treatment, and at 12‐month follow‐up. Results: At posttreatment results favored CBT as the more effective treatment. Analysis of the course of treatments pointed to a faster improvement of binge eating in CBT based on the number of self‐reported weekly binges, but faster reduction of BMI in BWLT. At 12‐month follow‐up, no substantial differences between the two treatment conditions existed. Conclusion: CBT was somewhat more efficacious than BWLT in treating binge eating but this superior effect was barely maintained in the long term. Further research into cost effectiveness is needed to assess which treatment should be considered the treatment of choice. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006