TY - JOUR
T1 - Psychological treatments for binge eating disorder
AU - Iacovino, Juliette M.
AU - Gredysa, Dana M.
AU - Altman, Myra
AU - Wilfley, Denise E.
N1 - Funding Information:
Disclosure J.M. Iacovino, D.M. Gredysa, and M. Altman reported no potential conflicts of interest relevant to this article. D.E. Wilfley has received research grants from National Institutes of Health (NIH) and National Institute of Mental Health (NIMH); has served as a board member of Minnesota Obesity Center, Wellspring Academies, and UnitedHealth Group; and has served as a consultant for Lee Regional Visiting Nurse Association.
Funding Information:
The following funding sources are also acknowledged: NIDDK grant 5T32HL007456, NIMH grants 5K24MH070446-09, 1R01MH095748 and 5R29MH051384, CTSA grant UL1RR024992, and the Washington University Chancellor's Graduate Fellowship Program.
PY - 2012/8
Y1 - 2012/8
N2 - 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.
AB - 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.
KW - Behavioral weight loss
KW - Binge eating disorder
KW - Cognitive behavioral therapy
KW - Dialectical behavior therapy
KW - Eating disorders
KW - Guided self-help
KW - Interpersonal psychotherapy
KW - Loss of control
KW - Psychological treatments
KW - Randomized controlled trials
KW - Treatment review
UR - https://www.scopus.com/pages/publications/84865647175
U2 - 10.1007/s11920-012-0277-8
DO - 10.1007/s11920-012-0277-8
M3 - Article
C2 - 22707016
AN - SCOPUS:84865647175
SN - 1523-3812
VL - 14
SP - 432
EP - 446
JO - Current psychiatry reports
JF - Current psychiatry reports
IS - 4
ER -