Long-term efficacy of psychological treatments for binge eating disorder

Anja Hilbert, Monica E. Bishop, Richard I. Stein, Marian Tanofsky-Kraff, Anne K. Swenson, R. Robinson Welch, Denise E. Wilfley

Research output: Contribution to journalArticlepeer-review

95 Scopus citations


Background: The long-term efficacy of psychological treatments for binge eating disorder remains largely unknown. Aims: To examine the long-term efficacy of out-patient group cognitive-behavioural therapy (CBT) and group interpersonal psychotherapy (IPT) for binge eating disorder and to analyse predictors of long-term non-response. Method: Ninety people with binge eating disorder were assessed 4 years after treatment cessation within a randomised trial (trial registration: NCT01208272). Results: Participants showed substantial long-term recovery, partial remission, clinically significant improvement and significant reductions in associated psychopathology, despite relapse tendencies in single secondary outcomes. Body mass index remained stable. While the IPT group demonstrated an improvement in eating disorder symptoms over the follow-up period, the CBT group reported a worsening of symptoms, but treatments did not differ at any time point. Conclusions: The results document the long-term efficacy of out-patient CBT and IPT for binge eating disorder. Further research is warranted to elucidate the time course and mechanisms of change of these treatments for binge eating disorder.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalBritish Journal of Psychiatry
Issue number3
StatePublished - Mar 2012


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