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Cited by 143Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Rapid response to eating disorder treatment: a systematic review and meta-analysis

Linardon, Jake, Brennan, Leah, de la Piedad Garcia, Xochitl·2016·International Journal of Eating Disorders
DOI 10.1002/eat.22595
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Abstract

OBJECTIVE: This review aimed to (a) examine the effects of rapid response on behavioral, cognitive, and weight-gain outcomes across the eating disorders, (b) determine whether diagnosis, treatment modality, the type of rapid response (changes in disordered eating cognitions or behaviors), or the type of behavioral outcome moderated this effect, and (c) identify factors that predict a rapid response. METHOD: Thirty-four articles met inclusion criteria from six databases. End of treatment and follow-up outcomes were divided into three categories: Behavioral (binge eating/purging), cognitive (EDE global scores), and weight gain. Average weighted effect sizes(r) were calculated. RESULTS: Rapid response strongly predicted better end of treatment and follow-up cognitive and behavioral outcomes. Moderator analyses showed that the effect size for rapid response on behavioral outcomes was larger when studies included both binge eating and purging (as opposed to just binge eating) as a behavioral outcome. Diagnosis, treatment modality, and the type of rapid response experienced did not moderate the relationship between early response and outcome. The evidence for weight gain was mixed. None of the baseline variables analyzed (eating disorder psychopathology, demographics, BMI, and depression scores) predicted a rapid response. DISCUSSION: As there is a solid evidence base supporting the prognostic importance of rapid response, the focus should shift toward identifying the within-treatment mechanisms that predict a rapid response so that the effectiveness of eating disorder treatment can be improved. There is a need for future research to use theories of eating disorders as a guide to assess within-treatment predictors of rapid response. © 2016 Wiley Periodicals, Inc. Int J Eat Disord 2016; 49:905-919.

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  • Brief SSH-BEeT predominantly encompasses behavioural interventions commonly employed in early CBT sessions for BED, and it was suggested that these behavioural components may drive early and substantial symptom change often seen in the first 4 weeks of CBT treatment for BED.

    “Given Brief SSH-BEeT predominantly encompasses behavioural interventions (i.e., establishing regular eating patterns, self-monitoring of food-intake, etc.) that are commonly employed in the early sessions of a CBT program for BED, it was suggested that these behavioural components may drive the early and substantial symptom change often seen in the first 4 weeks of CBT treatment for BED (33, 34).”

    From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [34]

  • The marked slowing in the rate of change at this juncture further supports the theory that behavioural techniques introduced in the preliminary sessions of CBT treatment (i.e., weekly weighing, self-monitoring of food intake, regular eating) may facilitate early and rapid symptom change.

    “A marked slowing in the rate of change at this juncture further supports the theory that behavioural techniques introduced in the preliminary sessions of CBT treatment (i.e., weekly weighing, self-monitoring of food intake, regular eating) may facilitate early and rapid symptom change (34, 53, 54).”

    From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [34]

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Authors
Linardon, J., Brennan, L., & de la Piedad Garcia, X.
Affiliations
  • Australian Catholic University (AU)
  • School of Psychology Australian Catholic University Melbourne Victoria 3065 Australia
Corresponding author
Linardon, Jake
ORCID
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2016-08-16
Volume
49
Issue
10
Pages
905-919
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
DOI
10.1002/eat.22595
OpenAlex
W2516873366
Cited by
143
References
67
Citations by year
2026: 5 · 2025: 10 · 2024: 16 · 2023: 11 · 2022: 13 · 2021: 11 · 2020: 18 · 2019: 13 · 2018: 32 · 2017: 7 · 2016: 4 · 2014: 1
FWCI
2.76
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
eating disorders, rapid response, binge eating, purging, weight gain, treatment outcomes, Eating Disorder Examination, predictors of treatment response
MeSH terms
Feeding and Eating Disorders, Cognition, Female, Humans, Male, Prognosis, Weight Gain, Treatment Outcome

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