Feasibility and acceptability of a digital tele-guided intervention targeting components of the addictive appetite model for bulimia nervosa and binge-eating disorder in Korea
Abstract
OBJECTIVE: We aimed to evaluate the feasibility, acceptability, and potential impact of a tele-guided digital-based intervention based on the addictive appetite model of recurrent binge eating. METHOD: Female college students with bulimia nervosa (BN) or binge-eating disorder (BED) (n = 22) received a 6-week guided intervention targeting addictive processes and emotion regulation. The feasibility of the intervention was evaluated, and the outcomes were assessed at baseline, the end of the intervention, and 1-month follow-up. RESULTS: Of the participants, 86.4% (n = 19) completed the intervention. The self-help materials were viewed 6.03 ± 3.06 times per week, and the duration of using the self-help materials was 113.16 ± 160.19 min/week. The intervention group experienced a significant reduction with a moderate effect on binge eating at the end of the intervention (Hedges' g = 0.58), and the effects lasted through follow-up (Hedges' g = 0.82). DISCUSSION: The results suggest that the digital intervention targeting a maintenance mechanism of recurrent binge eating was feasible and acceptable for patients with BN and BED, proving the potential for symptom improvement. PUBLIC SIGNIFICANCE: The addictive appetite model provides the framework for new interventions to improve treatments for BN and BED. This study found that the digital intervention based on the model was feasible and acceptable for patients with BN and BED.
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Cites
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523 · see citing works
Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., et al. (2014) · BMJ · doi:10.1136/bmj.g1687 · Cited by 10,548 · see citing works
Distribution Theory for Glass's Estimator of Effect Size and Related Estimators
Hedges, L. V. (1981) · Journal of Educational Statistics · doi:10.2307/1164588 · Cited by 5,695 · see citing works
The debate over dopamine’s role in reward: the case for incentive salience
Berridge, K. C. (2007) · Psychopharmacology · doi:10.1007/s00213-006-0578-x · Cited by 2,347 · see citing works
The SCOFF questionnaire: Assessment of a new screening tool for eating disorders
Morgan, J. F., Reid, F., & Lacey, J. H. (1999) · BMJ · doi:10.1136/bmj.319.7223.1467 · Cited by 1,416 · see citing works
Cognitive Behavior Therapy and Eating Disorders
Ghaderi, A. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070802473239 · Cited by 1,246 · see citing works
Linardon, J., Cuijpers, P., Carlbring, P., Messer, M., & Fuller‐Tyszkiewicz, M. (2019) · World Psychiatry · doi:10.1002/wps.20673 · Cited by 886 · see citing works
Meta-analysis of the efficacy of psychological and medical treatments for binge-eating disorder
Hilbert, A., Petroff, D., Herpertz, S., Pietrowsky, R., Tuschen-Caffier, B., Vocks, S., & Schmidt, R. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000358 · Cited by 283 · see citing works
Linardon, J., Shatte, A., Messer, M., Firth, J., & Fuller-Tyszkiewicz, M. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000575 · Cited by 218 · see citing works
Linardon, J., & Wade, T. D. (2018) · International Journal of Eating Disorders · doi:10.1002/eat.22838 · Cited by 176 · see citing works
Clinical Impairment Assessment Questionnaire (CIA)
Bohn, K. (2017) · Springer eBooks · doi:10.1007/978-981-287-104-6_85 · Cited by 171 · see citing works
Mohr, D., Duffecy, J., Ho, J., Kwasny, M., Cai, X., Burns, M., & Begale, M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070086 · Cited by 156 · see citing works
Fitzsimmons-Craft, E. E., Taylor, C. B., Graham, A. K., Sadeh-Sharvit, S., Balantekin, K. N., Eichen, D. M., Monterubio, G. E., Goel, N. J., Flatt, R. E., Karam, A. M., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.15633 · Cited by 125 · see citing works
Updates in the epidemiology of eating disorders in Asia and the Pacific.
Thomas, J. J., Lee, S., & Becker, A. E. (2016) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000288 · Cited by 120 · see citing works
Treasure, J. L., Leslie, M. R., Chami, R., & Fernández‐Aranda, F. (2018) · European Eating Disorders Review · doi:10.1002/erv.2578 · Cited by 96 · see citing works
Cardi, V., Albano, G., Ambwani, S., Cao, L., Crosby, R. D., Macdonald, P., Schmidt, U., & Treasure, J. (2020) · Psychological Medicine · doi:10.1017/s0033291719002824 · Cited by 57 · see citing works
Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis
Müller, I., & Yardley, L. (2011) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2010.100709 · Cited by 52 · see citing works
Chami, R., Cardi, V., Lawrence, N., MacDonald, P., Rowlands, K., Hodsoll, J., & Treasure, J. (2020) · Psychological Medicine · doi:10.1017/s0033291720002494 · Cited by 50 · see citing works
Keeler, J. L., Chami, R., Cardi, V., Hodsoll, J., Bonin, E., MacDonald, P., Treasure, J., & Lawrence, N. (2022) · Appetite · doi:10.1016/j.appet.2021.105788 · Cited by 43 · see citing works
Treasure, J., Macare, C., Mentxaka, I. O., & Harrison, A. (2010) · European Eating Disorders Review · doi:10.1002/erv.1034 · Cited by 30 · see citing works
Leslie, M. R., Turton, R., Burgess, E. E., Nazar, B. P., & Treasure, J. L. (2018) · European Eating Disorders Review · doi:10.1002/erv.2621 · Cited by 29 · see citing works
Cardi, V., Leppänen, J., Leslie, M. R., Esposito, M., & Treasure, J. L. (2018) · Appetite · doi:10.1016/j.appet.2018.12.001 · Cited by 22 · see citing works
Mobile self-help interventions as augmentation therapy for patients with anorexia nervosa
Kim, Y.-R., Cardi, V., Lee, G. Y., An, S., Kim, J., Kwon, G., Kim, J. W., Eom, J.-S., & Treasure, J. (2019) · Telemedicine and e-Health · doi:10.1089/tmj.2018.0180 · Cited by 15 · see citing works
Self-citationNovel approaches to tackling emotional loss of control of eating across the weight spectrum
Treasure, J. L., Bektas, S., Mutwalli, H., Dhopatkar, N., & Himmerich, H. (2022) · Proceedings of The Nutrition Society · doi:10.1017/s0029665122000994 · Cited by 7 · see citing works
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Cited by
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Gearhardt, A. N., & DiFeliceantonio, A. G. (2022) · Addiction · doi:10.1111/add.16065 · Cited by 128 · see citing works
Yim, S. H., & Schmidt, U. H. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24061 · Cited by 18 · see citing works
The qualitative evaluation of food addiction across the lifespan
Schiestl, E. T., Gearhardt, A. N., & Wolfson, J. A. (2023) · Appetite · doi:10.1016/j.appet.2023.107170 · Cited by 6 · see citing works
Mental Health Care Guidelines for Telemedicine During the COVID-19 Pandemic: Scoping Review
Ivanova, J., Ong, T., Wilczewski, H., Cummins, M. R., Soni, H., Barrera, J. F., Welch, B. M., & Bunnell, B. E. (2025) · JMIR Mental Health · doi:10.2196/56534 · Cited by 5 · see citing works
Kim, Y.-R., An, Z., Han, S. W., Ko, J. K., & Hwa Kwag, K. (2024) · BJPsych Open · doi:10.1192/bjo.2023.647 · Cited by 1 · see citing works
Gearhardt, A. N., Brownell, K. D., Gold, M. S., & Potenza, M. N. (2024) · doi:10.1093/oso/9780190671051.003.0061
- Authors
- Kwag, K. H., Kim, Y., Lee, Y. K., Lee, H. R., Lee, J. Y., Lee, J., Kim, J., Kim, Y., & Treasure, J.
- Affiliations
- Inje University (KR)
- King's College London (GB)
- Corresponding author
- Kim, Youl‐Ri
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2022-06-10
- Volume
- 55
- Issue
- 7
- Pages
- 977-982
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W4281765871
- Cited by
- 6
- References
- 25
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Korea Health Industry Development Institute (HI18C0956)
- National Research Foundation of Korea (2021R1A2C2009668)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- bulimia nervosa, binge eating disorder, digital interventions, emotion regulation, female university students, feasibility and acceptability, self-help materials
- MeSH terms
- Appetite, Feasibility Studies, Female, Humans, Bulimia Nervosa, Republic of Korea, Binge-Eating Disorder
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