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Brief cognitive behavioural therapy for binge-eating disorder: clinical effectiveness in a routine clinical setting

Published online by Cambridge University Press:  24 June 2021

Elana Moore ,
Michelle Hinde  and
Glenn Waller Open the ORCID record for Glenn Waller [Opens in a new window]
Elana Moore
Affiliation:
South Yorkshire Eating Disorders Association, 26–28 Bedford Street, SheffieldS6 3BT, UK
Michelle Hinde
Affiliation:
South Yorkshire Eating Disorders Association, 26–28 Bedford Street, SheffieldS6 3BT, UK
Glenn Waller*
Affiliation:
Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield, UK
*
*Corresponding author. Email: g.waller@sheffield.ac.uk.
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Abstract

Brief cognitive behavioural therapy (CBT) is effective in working with non-underweight eating disorder patients across transdiagnostic groups. However, it is not clear whether it will be as effective in the treatment of binge-eating disorder, where emotional eating is likely to play a larger role than starvation-driven eating. This case series tested whether brief, 10-session CBT (CBT-T) would be effective in a case series of 53 patients with binge-eating disorder. Attrition rates were comparable to previous research. Eating attitudes, binge frequency, anxiety and depression were measured. Remission was measured comparing different categorical methods: ‘cut-off’; reliable change index (RCI); and clinically significant change (CSC). CBT-T was effective for binge-eating disorder patients, at comparable levels to other non-underweight patients. All measures of pathology were significantly reduced, with large to moderate effect sizes. When categorical changes were used to indicate remission, RCI and CSC levels were more appropriate than existing cut-off methods, potentially because of the lower levels of initial restrained eating in this clinical group. CBT-T’s effectiveness in transdiagnostic groups is replicated in binge-eating disorder patients, despite their greater level of emotionally driven eating. More stringent definitions of remission (CSC and RCI) should be used more widely, to ensure realistic estimates.

Key learning aims

  1. (1) What is necessary for brief CBT to be effective for binge-eating disorder (BED)?

  2. (2) Is CBT for BED effective in the absence of purging behaviours?

  3. (3) What is the most appropriate way to measure remission in CBT for BED?

Keywords

binge-eating disordercognitive behavioural therapyinterventionremission
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 14 , 2021 , e17
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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References

Further reading

Dingemans, A., Danner, U., & Parks, M. (2017). Emotion regulation in binge eating disorder: a review. Nutrients, 9, 1274. doi: 10.3390/nu9111274 CrossRefGoogle ScholarPubMed
Leehr, E. J., Krohmer, K., Schag, K., Dresler, T., Zipfel, S., & Giel, K. E. (2015). Emotion regulation model in binge eating disorder and obesity – a systematic review. Neuroscience & Biobehavioral Reviews, 49, 125–134. doi: 10.1016/j.neubiorev.2014.12.008.CrossRefGoogle ScholarPubMed

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