Meta‐analysis of the effectiveness of psychological and pharmacological treatments for binge eating disorder
Abstract
Objective: The aim of this study was to compute and compare mean effects of various treatments for binge eating disorder. Method: A total of 38 studies with 1973 participants fulfilled the defined inclusion criteria. Effect sizes, odds ratios, and simple rates were integrated in fixed and random (mixed) effects categorical models. Results: From randomized controlled trials, psychotherapy and structured self‐help, both based on cognitive behavioral interventions, were found to have large effects on the reduction of binge eating. Regarding pharmacotherapy, mainly comprising antidepressants, randomized controlled trials revealed medium effects for the reduction of binge eating. Uncontrolled studies on weight‐loss treatments demonstrated moderate reductions of binge eating. Combination treatments did not result in higher effects compared with single‐treatment regimens. Except for weight‐loss treatment, none of the interventions resulted in a considerable weight reduction. Discussion: Psychotherapy and structured self‐help, both based on cognitive‐behavioral interventions, should be recommended as the first‐line treatments. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010
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- Authors
- Vocks, S., Tuschen‐Caffier, B., Pietrowsky, R., Rustenbach, S. J., Kersting, A., & Herpertz, S.
- Affiliations
- Ruhr University Bochum (DE)
- University of Freiburg (DE)
- Heinrich Heine University Düsseldorf (DE)
- Universität Hamburg (DE)
- University of Münster (DE)
- Corresponding author
- Vocks, Silja
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2009-04-28
- Volume
- 43
- Issue
- 3
- Pages
- 205-217
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2029603706
- Cited by
- 343
- References
- 92
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 11 · 2023: 10 · 2022: 14 · 2021: 16 · 2020: 68 · 2019: 20 · 2018: 27 · 2017: 37 · 2016: 16 · 2015: 27 · 2014: 25 · 2013: 22 · 2012: 19
- FWCI
- 16.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- binge eating disorder, treatment effectiveness, psychotherapy, cognitive behavioral therapy, pharmacotherapy, antidepressants, weight loss treatment, combination therapy, weight loss, first-line therapy
- MeSH terms
- Adult, Anticonvulsants, Antidepressive Agents, Combined Modality Therapy, Female, Fenfluramine, Follow-Up Studies, Humans, Male, Middle Aged, Psychotherapy, Self Care, Weight Loss, Cognitive Behavioral Therapy, Body Mass Index, Randomized Controlled Trials as Topic, Selective Serotonin Reuptake Inhibitors, Binge-Eating Disorder
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