A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder
Article first published online: 6 NOV 2006
Copyright © 2006 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 40, Issue 2, pages 102–113, March 2007
How to Cite
Munsch, S., Biedert, E., Meyer, A., Michael, T., Schlup, B., Tuch, A. and Margraf, J. (2007), A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder. Int. J. Eat. Disord., 40: 102–113. doi: 10.1002/eat.20350
- Issue published online: 29 JAN 2007
- Article first published online: 6 NOV 2006
- Manuscript Accepted: 13 AUG 2006
- randomized comparison;
- cognitive-behavioral therapy;
- behavioral weight loss treatment;
- long-term efficacy;
- end point analyses;
- course of treatment
The aim of this study was to determine the efficacy of cognitive-behavioral therapy (CBT) and behavioral weight loss treatment (BWLT) for overweight patients with binge eating disorder (BED).
Eighty obese patients meeting criteria of BED according to DSM-IV-TR were randomly assigned to either CBT or BWLT consisting of 16 weekly treatments and 6 monthly follow-up sessions. Binge eating, general psychopathology, and body mass index (BMI) were assessed before, during, and after treatment, and at 12-month follow-up.
At posttreatment results favored CBT as the more effective treatment. Analysis of the course of treatments pointed to a faster improvement of binge eating in CBT based on the number of self-reported weekly binges, but faster reduction of BMI in BWLT. At 12-month follow-up, no substantial differences between the two treatment conditions existed.
CBT was somewhat more efficacious than BWLT in treating binge eating but this superior effect was barely maintained in the long term. Further research into cost effectiveness is needed to assess which treatment should be considered the treatment of choice. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006