Effects of cognitive–behavioural therapy on health-related quality of life in obese subjects with and without binge eating disorder
Abstract
Objective To measure the effects of cognitive-behavioural therapy on health-related quality of life (HRQL) in obese patients, in relation to binge eating disorder.Design Longitudinal, clinical intervention study consisting of structured sessions of cognitive-behavioural therapy, preceded by sessions chaired by a psychologist in subjects with binge eating.Subjects Two groups of obese patients (92 treated by cognitive-behavioural therapy (77 females); 76 untreated controls (67 female), selected from the waiting list (control group)). Of 92 treated patients, 46 had a binge eating disorder at psychometric testing and structured clinical interview.Measurements Health-related quality of life by means of Short-Form 36 questionnaire at baseline and after 3-5 months.Results Cognitive-behavioural treatment produced an average weight loss of 9.4+/-7.5 kg, corresponding to a BMI reduction of 3.48+/-2.70 kg/m(2). No changes were observed in the control group. All scales of HRQL improved in treated subjects (by 5-19%). In obese subjects with binge eating weight loss was lower in comparison to non-bingers (7.7+/-8.1 vs 11.1+/-6.6; P=0.034). However, the improvement in HRQL was on average larger, and significantly so for Role Limitation-Physical (P=0.006), Role Limitation-Emotional (P=0.002), Vitality (P=0.003), Mental Health (P=0.032) and Social Functioning (P=0.034). Bodily Pain was the sole scale whose changes paralleled changes in body weight.Conclusions The positive effects of cognitive-behavioural therapy, mainly in subjects with binge eating, largely outweigh the effects on body weight, resulting in a significant change in self-perceived health status.
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The observed prevalence of BED in obese individuals seeking weight loss treatment is 30% to 50%.
“The observed prevalence in obese individuals seeking weight loss treatment reached 30 % to 50% [5, 6].”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [5]
CBT group treatment has been shown to improve quality of life for patients with BED.
“CBT group treatment has been shown to improve quality of life for patients with BED [5].”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [5]
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- Authors
- Marchesini, G., Natale, S., Chierici, S., Manini, R., Besteghi, L., Di Domizio, S., Sartini, A., Pasqui, F., Baraldi, L., Forlani, G., & Melchionda, N.
- Affiliations
- University of Bologna (IT)
- Corresponding author
- Marchesini, G
- Venue
- International Journal of Obesity
- Published
- 2002-08-21
- Volume
- 26
- Issue
- 9
- Pages
- 1261-1267
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2315735984
- Cited by
- 58
- References
- 40
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Università di Bologna
- 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
- cognitive behavioral therapy, binge eating disorder, obesity, health-related quality of life, weight loss, body mass index, role limitations, vitality, mental health, social functioning, bodily pain
- MeSH terms
- Adolescent, Adult, Aged, Analysis of Variance, Bulimia, Female, Health, Humans, Longitudinal Studies, Male, Middle Aged, Obesity, Prospective Studies, Quality of Life, Surveys and Questionnaires, Cohort Studies, Cognitive Behavioral Therapy
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 ›
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