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A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder.

AbstractOBJECTIVES:
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.
AuthorsSimone Munsch, Esther Biedert, Andrea Meyer, Tanja Michael, Barbara Schlup, Alex Tuch, Juergen Margraf
JournalThe International journal of eating disorders (Int J Eat Disord) Vol. 40 Issue 2 Pg. 102-13 (Mar 2007) ISSN: 0276-3478 [Print] United States
PMID17089420 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
Copyright2006 by Wiley Periodicals, Inc.
Topics
  • Adult
  • Behavior Therapy
  • Body Mass Index
  • Bulimia Nervosa (psychology, therapy)
  • Cognitive Behavioral Therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Obesity (psychology, therapy)
  • Overweight
  • Patient Compliance (psychology)
  • Psychopathology
  • Self Efficacy
  • Switzerland
  • Weight Loss

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