Psychological treatments for binge eating disorder

Juliette M. Iacovino, Dana M. Gredysa, Myra Altman, Denise E. Wilfley

Research output: Contribution to journalArticle

71 Scopus citations

Abstract

Bin ge eating disorder (BED) is the most prevalent eating disorder in adults, and individuals with BED report greater general and specific psychopathology than noneating disordered individuals. The current paper reviews research on psychological treatments for BED, including the rationale and empirical support for cognitive behavioral therapy (CBT), interpersonal psychotherapy (IPT), dialectical behavior therapy (DBT), behavioral weight loss (BWL), and other treatments warranting further study. Research supports the effectiveness of CBT and IPT for the treatment of BED, particularly for those with higher eating disorder and general psychopathology. Guided self-help CBT has shown efficacy for BED without additional pathology. DBT has shown some promise as a treatment for BED, but requires further study to determine its long-term efficacy. Predictors and moderators of treatment response, such as weight and shape concerns, are highlighted and a steppedcare model proposed. Future directions include expanding the adoption of efficacious treatments in clinical practice, testing adapted treatments in diverse samples (e.g., minorities and youth), improving treatment outcomes for nonresponders, and developing efficient and cost-effective stepped-care models.

Original languageEnglish
Pages (from-to)432-446
Number of pages15
JournalCurrent psychiatry reports
Volume14
Issue number4
DOIs
StatePublished - Aug 1 2012

Keywords

  • Behavioral weight loss
  • Binge eating disorder
  • Cognitive behavioral therapy
  • Dialectical behavior therapy
  • Eating disorders
  • Guided self-help
  • Interpersonal psychotherapy
  • Loss of control
  • Psychological treatments
  • Randomized controlled trials
  • Treatment review

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