A pilot study of interpersonal psychotherapy for preventing excess weight gain in adolescent girls at‐risk for obesity
Open accessAbstract
Objective: Interpersonal psychotherapy (IPT) is effective at reducing binge episodes and inducing weight stabilization in obese adults with binge eating disorder. Method: We piloted the administration of IPT to girls at‐risk for excess weight gain (BMI 75 th–97 th percentile; IPT‐WG) with and without loss of control (LOC) eating. Thirty‐eight girls (12–17 years) were randomized to IPT‐WG or a standard‐of‐care health education group. Results: All 38 girls completed the programs and all follow‐up visits through 6 months. Thirty‐five of 38 returned for a complete assessment visit at 1 year. Among girls with baseline LOC (n = 20), those in IPT‐WG experienced greater reductions in such episodes than girls in health education (p = .036). Regardless of LOC status, over 1 year girls in IPT‐WG were less likely to increase their BMI as expected for their age and BMI percentile (p = .028). Discussion: IPT‐WG is feasible and acceptable to adolescent girls at‐risk for adult obesity and may prevent excess weight gain over 1 year. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010; 43:701–706
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Existing evidence from diverse samples regarding LOC in youth points to efficacy of CBT, IPT, or DBT in reducing binge eating frequency.
“The existing evidence from diverse samples regarding LOC in youth point to the efficacy of cognitive behavioral therapy (CBT) [33], interpersonal therapy (IPT) [34] or dialectic behavioral therapy (DBT) [35] in reducing binge eating frequency.”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [34]
The Results (Secondary Study Aim; page unavailable) report significantly greater reductions in loss-of-control (LOC) eating episodes among girls receiving IPT-WG than among those receiving health education. This supports preliminary evidence for IPT in youth, but the paper measures LOC episodes—which it defines as occurring regardless of the amount eaten—not specifically binge-eating frequency. The Discussion also says the small pilot study cannot establish definitive efficacy. (LLM, conf=0.84)
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- Authors
- Tanofsky‐Kraff, M., Wilfley, D. E., Young, J. F., Mufson, L., Yanovski, S. Z., Glasofer, D. R., Salaita, C. G., & Schvey, N. A.
- Affiliations
- National Institutes of Health (US)
- Washington University in St. Louis (US)
- Rutgers, The State University of New Jersey (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Tanofsky‐Kraff, Marian
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2010-11-10
- Volume
- 43
- Issue
- 8
- Pages
- 701-706
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC2891416
- OpenAlex
- W2076122276
- Cited by
- 111
- References
- 46
- Citations by year
- 2025: 1 · 2024: 10 · 2023: 3 · 2022: 9 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 12 · 2015: 11 · 2014: 10 · 2013: 6 · 2012: 14
- FWCI
- 8.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080906)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (Z01HD000641)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- interpersonal psychotherapy, adolescent girls, obesity risk, loss of control eating, binge eating, body mass index, health education, feasibility and acceptability
- MeSH terms
- Adolescent, Bulimia, Child, Female, Humans, Internal-External Control, Interpersonal Relations, Obesity, Psychotherapy, Risk, Weight Gain
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