Developing an acceptance-based behavioral treatment for binge eating disorder: rationale and challenges
Open accessAbstract
Binge eating disorder (BED), characterized by recurrent eating episodes in which individuals eat an objectively large amount of food within a short time period accompanied by a sense of loss of control, is the most common eating disorder. While existing treatments, such as cognitive behavioral therapy (CBT), produce remission in a large percentage of individuals with BED, room for improvement in outcomes remains. Two reasons some patients may continue to experience binge eating after a course of treatment are: (a) Difficulty complying with the prescribed behavioral components of CBT due to the discomfort of implementing such strategies; and (b) a lack of focus in current treatments on strategies for coping with high levels of negative affect that often drive binge eating. To optimize treatment outcomes, it is therefore crucial to provide patients with strategies to overcome these issues. A small but growing body of research suggests that acceptance-based treatment approaches may be effective for the treatment of binge eating. The goal of the current paper is to describe the development of an acceptance-based group treatment for BED, discuss the structure of the manual and the rationale and challenges associated with integrating acceptance-based strategies into a CBT protocol, and to discuss clinical strategies for successfully implementing the intervention.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Low DT has become a key treatment target across both traditional and novel treatment approaches for EDs-B/P.
“As a result, low DT has become a key treatment target across both traditional and novel treatment approaches for EDs-B/P (Fairburn et al., 2003;Juarascio et al., 2017;Kamody et al., 2020), and one hypothesised mechanism underpinning the co-occurrence between EDs-B/P and other types of impulsive-type psychopathology (Kim and Hodgins, 2018).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Juarascio et al., 2017
The Abstract and Acceptance-Based Strategies section describe distress tolerance as a focus of the proposed treatment for binge eating disorder (BED), and note that CBT-E addresses mood intolerance to a lesser extent. The paper does not establish that low distress tolerance is a key target across traditional and novel treatments for the broader range of binge/purge eating disorders; its treatment study included only people with BED. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
(2012) · Springer eBooks · doi:10.1007/springerreference_121117 · Cited by 20,769 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · cited 1× · see citing works
“These strategies were designed to increase individuals’ ability to behave flexibly in response to their internal experiences, particularly in ways that moved them closer to (rather than further away from) their personal values (Hayes et al., 2006).”
The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.040 · Cited by 4,973 · see citing works
Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00088-8 · Cited by 3,374 · see citing works
Hayes, S. C. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80013-3 · Cited by 2,493 · see citing works
(2008) · Cited by 1,397 · 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
Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Bohn, K., Hawker, D. M., Wales, J. A., & Palmer, R. L. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08040608 · Cited by 829 · see citing works
Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review
Chawla, N., & Ostafin, B. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20400 · Cited by 805 · see citing works
Haedt-Matt, A. A., & Keel, P. K. (2011) · Psychological Bulletin · doi:10.1037/a0023660 · Cited by 799 · see citing works
Hayes, S. C. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.11.006 · Cited by 785 · see citing works
(2009) · Cited by 655 · see citing works
Stice, E. M., & Agras, W. S. (1998) · Behavior Therapy · doi:10.1016/s0005-7894(98)80006-3 · Cited by 622 · see citing works
Wilfley, D. E., Welch, R. R., Stein, R. I., Spurrell, E. B., Cohen, L. R., Saelens, B. E., Dounchis, J. Z., Frank, M. A., Wiseman, C. V., & Matt, G. E. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.8.713 · Cited by 597 · see citing works
Lejuez, C. W., Hopko, D. R., Acierno, R. E., Daughters, S. B., & Pagoto, S. (2011) · Behavior Modification · doi:10.1177/0145445510390929 · Cited by 574 · see citing works
Yanovski, S. Z., Nelson, J. E., Dubbert, B. K., & Spitzer, R. L. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.10.1472 · Cited by 497 · see citing works
Gowers, S., Pilling, S., Fairburn, C. G., & Treasure, J. (2004) · UCL Discovery (University College London) · Cited by 420 · see citing works
Whiteside, U., Chen, E., Neighbors, C., Hunter, D., Lo, T., & Larimer, M. (2007) · Eating Behaviors · doi:10.1016/j.eatbeh.2006.04.001 · Cited by 400 · see citing works
Binge eating disorder treatment: a systematic review of randomized controlled trials
Brownley, K. A., Berkman, N. D., Sedway, J. A., Lohr, K. N., & Bulik, C. M. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20370 · Cited by 346 · see citing works
Vocks, S., Tuschen‐Caffier, B., Pietrowsky, R., Rustenbach, S. J., Kersting, A., & Herpertz, S. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20696 · Cited by 343 · see citing works
Cognitive-behavioral therapy for bulimia nervosa: Time course and mechanisms of change.
Wilson, G. T., Fairburn, C. G., Agras, W. S., Walsh, B. T., & KRAEMER, H. C. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.2.267 · Cited by 317 · see citing works
Fairburn, C. G. (1995) · Guilford Press eBooks · Cited by 316 · see citing works
Fairburn, C. G., Bailey‐Straebler, S., Basden, S. L., Doll, H., Jones, R., Murphy, R., O'Connor, M. E., & Cooper, Z. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.04.010 · Cited by 314 · see citing works
Safer, D. L., & Jo, B. (2010) · Behavior Therapy · doi:10.1016/j.beth.2009.01.006 · Cited by 313 · see citing works
Stice, E. M., Nemeroff, C. J., & Shaw, H. E. (1996) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1996.15.3.340 · Cited by 312 · see citing works
The Relationship Between Homework Compliance and Therapy Outcomes: An Updated Meta-Analysis
Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010) · Cognitive Therapy and Research · doi:10.1007/s10608-010-9297-z · Cited by 309 · see citing works
DSM‐IV psychiatric disorder comorbidity and its correlates in binge eating disorder
Grilo, C. M., White, M. A., & Masheb, R. M. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20599 · Cited by 306 · see citing works
Mindfulness-Based Relapse Prevention for Addictive Behaviors: A Clinician's Guide
Bowen, S. W., Chawla, N., & Marlatt, G. A. (2010) · Cited by 305 · see citing works
Purssell, E. (2013) · Cited by 286 · see citing works
Binge antecedents in obese women with and without binge eating disorder.
Greeno, C. G., Wing, R. R., & Shiffman, S. S. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.1.95 · Cited by 280 · see citing works
The validity and clinical utility of binge eating disorder
Wonderlich, S. A., Gordon, K. H., Mitchell, J. E., Crosby, R. D., & Engel, S. G. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20719 · Cited by 274 · see citing works
Agras, W. S., & Telch, C. F. (1998) · Behavior Therapy · doi:10.1016/s0005-7894(98)80045-2 · Cited by 266 · see citing works
The clinical significance of binge eating disorder
Wilfley, D. E., Wilson, G. T., & Agras, W. S. (2003) · International Journal of Eating Disorders · doi:10.1002/eat.10209 · Cited by 266 · see citing works
The third wave of cognitive behavioural therapies
Kahl, K. G., Winter, L., & Schweiger, U. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e328358e531 · Cited by 265 · see citing works
Berg, K. C., Crosby, R. D., Cao, L., Peterson, C. B., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0029703 · Cited by 249 · see citing works
Grilo, C., Masheb, R., & Wilson, G. T. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.002 · Cited by 224 · see citing works
Telch, C. F., & Stice, E. M. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.5.768 · Cited by 213 · see citing works
Hilbert, A., & Tuschen‐Caffier, B. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20401 · Cited by 206 · see citing works
Review and Meta‐analysis of Pharmacotherapy for Binge‐eating Disorder
Reas, D. L., & Grilo, C. M. (2008) · Obesity · doi:10.1038/oby.2008.333 · Cited by 186 · see citing works
Subtyping binge eating disorder.
Grilo, C. M., Masheb, R. M., & Wilson, G. T. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.6.1066 · Cited by 179 · see citing works
Eating disorders in men: update
Weltzin, T. E., Weisensel, N., Franczyk, D., Burnett, K., Klitz, C., & Bean, P. (2005) · The Journal of Men's Health & Gender · doi:10.1016/j.jmhg.2005.04.008 · Cited by 177 · see citing works
An Evaluation of Affect and Binge Eating
Deaver, C. M., Miltenberger, R. G., Smyth, J. M., Meidinger, A. L., & Crosby, R. D. (2003) · Behavior Modification · doi:10.1177/0145445503255571 · Cited by 173 · see citing works
Long-term efficacy of psychological treatments for binge eating disorder
Hilbert, A., Bishop, M. E., Stein, R. I., Tanofsky‐Kraff, M., Swenson, A. K., Welch, R. R., & Wilfley, D. E. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.110.089664 · Cited by 167 · see citing works
Telch, C. F., & Stice, E. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.5.768 · Cited by 166 · see citing works
A comparison of quality of life in obese individuals with and without binge eating disorder
Rieger, E., Wilfley, D. E., Stein, R. I., Marino, V., & Crow, S. J. (2005) · International Journal of Eating Disorders · doi:10.1002/eat.20101 · Cited by 164 · see citing works
Psychological Treatments for Binge Eating Disorder
McClendon, J., Gredysa, D. M., Altman, M., & Wilfley, D. E. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0277-8 · Cited by 161 · see citing works
Juarascio, A., Shaw, J., Forman, E., Timko, C. A., Herbert, J., Butryn, M., Bunnell, D., Matteucci, A., & Lowe, M. (2013) · Behavior Modification · doi:10.1177/0145445513478633 · Cited by 148 · see citing works
Self-citationSubtyping binge eating disorder.
Grilo, C. M., Masheb, R. M., & Wilson, G. T. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.6.1066 · Cited by 142 · see citing works
Acceptance and Mindfulness in Cognitive Behavior Therapy
(2011) · Wiley eBooks · doi:10.1002/9781118001851 · Cited by 141 · see citing works
Juarascio, A. S., Forman, E. M., & Herbert, J. D. (2010) · Behavior Modification · doi:10.1177/0145445510363472 · Cited by 125 · see citing works
Self-citationBinge Eating and Weight Control: The Role of Experiential Avoidance
Lillis, J., Hayes, S. C., & Levin, M. E. (2011) · Behavior Modification · doi:10.1177/0145445510397178 · Cited by 114 · see citing works
Peterson, C. B., Mitchell, J. E., Crow, S. J., Crosby, R. D., & Wonderlich, S. A. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09030345 · Cited by 96 · see citing works
Ricca, V., Castellini, G., Mannucci, E., Lo Sauro, C., Ravaldi, C., Rotella, C. M., & Faravelli, C. (2010) · Appetite · doi:10.1016/j.appet.2010.09.019 · Cited by 84 · cited 3× · see citing works
“High emotional eating has also been found to predict treatment resistance (Ricca et al., 2010), suggesting that individuals for whom the relationship between negative affect and binge eating is”
InfluentialAcceptance and Commitment Therapy for Eating Disorders: Rationale and Literature Review
Manlick, C. F., Cochran, S. V., & Koon, J. A. (2012) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-012-9223-7 · Cited by 74 · see citing works
Peterson, C. B., Mitchell, J. E., Engbloom, S., Nugent, S. M., Mussell, M. P., Crow, S. J., & THURAS, P. D. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1098 · Cited by 69 · see citing works
Binge-Eating Disorder: Clinical Foundations and Treatment
Mitchell, J. E., Devlin, M. J., de Zwaan, M., Crow, S. J., & Peterson, C. B. (2007) · Cited by 53 · see citing works
Thomas, E. (2006) · Primary Health Care · doi:10.7748/phc.16.8.8.s14 · Cited by 53 · see citing works
Hill, M. L., Masuda, A., Melcher, H., Morgan, J. R., & Twohig, M. P. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.02.005 · Cited by 42 · see citing works
Binge-Eating Disorder. Clinical Foundations and Treatment
Balon, R. (2008) · Annals of Clinical Psychiatry · doi:10.1080/10401230802177839 · Cited by 41 · see citing works
Blomquist, K. K., & Grilo, C. M. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20849 · Cited by 38 · see citing works
Mindfulness as therapy for disordered eating: a systematic review
Masuda, A., & Hill, M. L. (2013) · Neuropsychiatry · doi:10.2217/npy.13.36 · Cited by 36 · see citing works
Zendegui, E., West, J. A., & Zandberg, L. J. (2014) · Eating Behaviors · doi:10.1016/j.eatbeh.2014.03.002 · Cited by 34 · see citing works
A pilot study of an acceptance-based behavioral treatment for binge eating disorder
Juarascio, A. S., Manasse, S. M., Espel‐Huynh, H., Schumacher, L. M., Kerrigan, S. G., & Forman, E. M. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.12.003 · Cited by 20 · see citing works
Self-citationBehavioral Activation in the Context of “Third Wave” Therapies
Martell, C. R., & Kanter, J. W. (2011) · Wiley eBooks · doi:10.1002/9781118001851.ch8 · Cited by 17 · see citing works
Mussell (2000) · doi:10.1002/(sici)1098-108x(200003)27:2
Flagged first, then by citations
Research works printed but not linked: 2
- Hayes SC Strosahl KD Wilson KG 2012 Acceptance and commitment therapy: The process and practice of mindful change 2nd New York, NY Guilford Press
- Linehan MM 1993 Cognitive behavioral therapy of borderline personality disorder New York, NY Guilford Press
Cited by
Sorted by citations
Linardon, J., Gleeson, J., Yap, K., Murphy, K., & Brennan, L. (2019) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1517389 · Cited by 134 · see citing works
Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation
Manasse, S. M., Espel, H. M., Schumacher, L. M., Kerrigan, S. G., Zhang, F., Forman, E. M., & Juarascio, A. S. (2016) · Appetite · doi:10.1016/j.appet.2016.05.026 · Cited by 65 · see citing works
Self-citationMattingley, S., Youssef, G. J., Manning, V., Graeme, L., & Hall, K. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.126 · Cited by 65 · see citing works
- Authors
- Juarascio, A. S., Manasse, S. M., Schumacher, L., Espel, H., & Forman, E. M.
- Affiliations
- Drexel University (US)
- Corresponding author
- Juarascio, Adrienne S.
- Venue
- Cognitive and Behavioral Practice
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 24
- Issue
- 1
- Pages
- 1-13
- ISSN
- 1077-7229 (ISSN-L)
- PMC
- PMC5987204
- OpenAlex
- W2275418752
- Cited by
- 46
- References
- 66
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 1
- FWCI
- 7.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cognitive and Behavioral Practice (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH105680)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- binge eating disorder, acceptance and commitment therapy, cognitive behavioral therapy, group therapy, treatment manual development, treatment implementation, negative affect, medication adherence, eating disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
