An Open Trial Targeting Food Cue Reactivity and Satiety Sensitivity in Overweight and Obese Binge Eaters
Open accessAbstract
Data suggests that individuals who binge eat are more responsive to food cues in the environment and less sensitive to satiety cues. The aim of this open trial was to evaluate the feasibility, acceptability, and initial effectiveness of a novel treatment grounded in Schachter's externality theory targeting food cue reactivity and satiety responsiveness with obese adults who binge eat. Treatment was provided in groups, and utilized appetite monitoring, cue-exposure treatment, in vivo exercises, self-monitoring, and coping skills. Twenty-eight overweight and obese adults who binge eat (82% female; mean age = 47.5 years [SD = 12.8]; BMI = 38.9 [SD = 10.3]; 79% White non-Hispanic) participated in a 4-month group-based treatment program. Assessments were conducted at baseline, posttreatment, and 3-month follow-up time points. Results indicated that this treatment was well accepted and had high retention at posttreatment. Initial effectiveness showed significant decreases in BMI, and improvements in loss of control and overeating episodes, food responsiveness, and power of food. The majority of results were maintained at the 3-month follow-up time point. This open trial provides preliminary evidence for the feasibility, acceptability, and initial effectiveness of this treatment on both eating disorder symptoms and weight in obese adults who binge eat. Because these data are preliminary, further treatment development and randomized controlled studies are needed.
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Increased food cue reactivity is associated over time with weight gain or regain, disordered eating behaviors and eating disorders, and loss of quality of life.
“increased food cue reactivity is associated, over time, with important health-related outcomes, including weight gain or regain [50,65,76], disordered eating behaviors and eating disorders [77,78,79], and, consequently, loss of quality of life [45,80].”
From What Is Food Noise? A Conceptual Model of Food Cue Reactivity (2023) · cites this paper as [78]
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- Authors
- Boutelle, K. N., Knatz, S., Carlson, J., Bergmann, K., & Peterson, C. B.
- Affiliations
- University of California San Diego (US)
- University of Minnesota (US)
- Corresponding author
- Boutelle, Kerri N.
- Venue
- Cognitive and Behavioral Practice
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 24
- Issue
- 3
- Pages
- 363-373
- ISSN
- 1077-7229 (ISSN-L)
- PMC
- PMC5734111
- OpenAlex
- W2529506540
- Cited by
- 60
- References
- 90
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 12 · 2020: 10 · 2019: 6 · 2018: 6 · 2017: 1 · 2015: 1
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cognitive and Behavioral Practice (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- National Heart, Lung, and Blood Institute (L40 HL120007, T32HL079891)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- binge eating, obesity, food cue reactivity, externality theory, group therapy, self-monitoring, coping strategies, weight loss, eating disorder symptoms, food responsiveness, treatment feasibility and acceptability
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