Psychological and dietary treatments of binge eating disorder: Conceptual implications
Abstract
OBJECTIVE: The authors review the available literature on psychological and dietary treatment approaches for binge eating disorder (BED). METHODS: Studies were grouped according to psychological versus dietary approaches to BED. Studies were reviewed in terms of general implications, but particular emphasis was placed on drop-out rates, abstinence from binge eating, and weight loss. RESULTS: Drop-out rates from psychological or dietary approaches to treatment averaged 20% and the presence of binge eating did not confer a greater risk of drop-out among obese individuals. Both psychological and dietary approaches to treatment produced abstinence rates from binge eating of approximately 50% at the 12-month follow-up. Both psychological and dietary approaches show modest efficacy of short-term weight loss, but these effects are generally not sustained in long-term follow-up assessments. DISCUSSION: Psychological and dietary approaches to BED treatment show reasonable efficacy in binge eating reduction, but limited efficacy in weight loss. These findings are discussed in terms of the validity of the BED construct and the need for more psychopathology studies of BED.
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Sustainable weight loss is predicted by abstinence from binge eating.
“Given that sustainable weight loss is predicted by abstinence from binge eating [57], it is imperative that binge eating be addressed in the long-term management of obesity.”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [57]
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“Introduction Since the introduction of the research criteria for the binge eating (BE)(1) disorder (BED) diagnosis in the DSM-IV as a specific example of an eating disorder (ED) not otherwise specified, several randomized controlled trials have shown the efficacy of psychotherapeutic interventions in reducing BE frequ…”
BackgroundEffectiveness for Interpersonal Problem‐Solving is Reduced in Women with Binge Eating Disorder
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“Consequently, treatments that have been found to be efficacious for BN, primarily Cognitive Behaviour Therapy (CBT), have been modified and used in the treatment of BED (Wonderlich et al. 2003).”
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- Authors
- Wonderlich, S. A., de Zwaan, M., Mitchell, J. E., Peterson, C., & Crow, S.
- Affiliations
- University of North Dakota (US)
- University of Minnesota (US)
- Corresponding author
- Wonderlich, Stephen A.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2003
- Volume
- 34
- Issue
- S1
- Pages
- S58-S73
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W1987317458
- Cited by
- 81
- References
- 62
- Citations by year
- 2026: 1 · 2020: 4 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 4
- FWCI
- 10.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01-MH 66287, R01MH066287, R01-MH 59234, R01MH059674, R01-MH-59674, R01MH/DK58820, R01 MH5910)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK 50456, P30DK050456, R01DK61912, R01-DK 60432, R01DK061973, R01DK61973, R01DK061912, R01DK060432)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- binge eating disorder, psychological intervention, dietary therapy, treatment discontinuation, weight loss, obesity, treatment efficacy
- MeSH terms
- Behavior Therapy, Bulimia, Energy Intake, Combined Modality Therapy, Diet, Reducing, Humans, Outcome and Process Assessment, Health Care, Psychotherapy
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