+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder



Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder



Behavior Therapy 50(1): 115-125



Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change-including moderate and low decreasing-as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (≥ 10% reduction in binge eating at week 1, ≥ 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066105803

Download citation: RISBibTeXText

PMID: 30661552

DOI: 10.1016/j.beth.2018.03.013


Related references

Different moderators of cognitive-behavioral therapy on subjective and objective binge eating in bulimia nervosa and binge eating disorder: a three-year follow-up study. PsychoTherapy and Psychosomatics 81(1): 11-20, 2012

Rapid response predicts binge eating and weight loss in binge eating disorder: findings from a controlled trial of orlistat with guided self-help cognitive behavioral therapy. Behaviour Research and Therapy 45(11): 2537-2550, 2007

Kognitive Verhaltenstherapie fr Paare: Fallstudie einer doppelten Binge-Eating-Strung; Cognitive-behavioral therapy for couples: case study of double binge-eating disorder;. Psychotherapeut 63(5): 397-400, 2018

Changes in eating self-efficacy and body image following cognitive-behavioral group therapy for binge eating disorder: a clinical study. Eating Behaviors 2(2): 97, 2001

Cognitive Behavioral Therapy and Fluoxetine as Adjuncts to Group Behavioral Therapy for Binge Eating Disorder. Obesity research 13(6): 1077-1088, 2005

A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder. Behaviour Research and Therapy 43(11): 1509-1525, 2005

A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder. International Journal of Eating Disorders 40(2): 102-113, 2007

Cognitive-behavioral therapy, behavioral weight loss, and sequential treatment for obese patients with binge-eating disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology 79(5): 675-685, 2011

Effectiveness of spouse involvement in cognitive behavioral therapy for binge eating disorder. International Journal of Eating Disorders 33(4): 421-433, 2003

12-month follow-up of fluoxetine and cognitive behavioral therapy for binge eating disorder. Journal of Consulting and Clinical Psychology 80(6): 1108-1113, 2012

Cognitive Behavioral Therapy and Fluoxetine for Binge Eating Disorder: Two-year Follow-up. Obesity 15(7): 1702-1709, 2007

Cognitive-behavioral therapy for obesity--with special reference to binge eating disorder. Nihon Rinsho. Japanese Journal of Clinical Medicine 53 Suppl: 468-474, 1995

Cognitive behavioral therapy for the treatment of binge eating disorder: what constitutes success?. American Journal of Psychiatry 157(7): 1051-1056, 2000

Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavioral therapy?. Journal of Consulting and Clinical Psychology 63(3): 356-360, 1995

One-year follow-up of cognitive-behavioral therapy for obese individuals with binge eating disorder. Journal of Consulting and Clinical Psychology 65(2): 343-347, 1997