 |
|
A Randomized Comparison of Group Cognitive-Behavioral Therapy and Group Interpersonal Psychotherapy for the Treatment of Overweight Individuals With Binge-Eating Disorder
Denise E. Wilfley, PhD;
R. Robinson Welch, PhD;
Richard I. Stein, PhD;
Emily Borman Spurrell, PhD;
Lisa R. Cohen, PhD;
Brian E. Saelens, PhD;
Jennifer Zoler Dounchis, BA;
Mary Ann Frank, PhD;
Claire V. Wiseman, PhD;
Georg E. Matt, PhD
Arch Gen Psychiatry. 2002;59:713-721.
Background Cognitive-behavioral therapy (CBT) has documented efficacy for the treatment
of binge eating disorder (BED). Interpersonal psychotherapy (IPT) has been
shown to reduce binge eating but its long-term impact and time course on other
BED-related symptoms remain largely unknown. This study compares the effects
of group CBT and group IPT across BED-related symptoms among overweight individuals
with BED.
Methods One hundred sixty-two overweight patients meeting DSM-IV criteria for BED were randomly assigned to 20 weekly sessions
of either group CBT or group IPT. Assessments of binge eating and associated
eating disorder psychopathology, general psychological functioning, and weight
occurred before treatment, at posttreatment, and at 4-month intervals up to
12 months following treatment.
Results Binge-eating recovery rates were equivalent for CBT and IPT at posttreatment
(64 [79%] of 81 vs 59 [73%] of 81) and at 1-year follow-up (48 [59%] of 81
vs 50 [62%] of 81). Binge eating increased slightly through follow-up but
remained significantly below pretreatment levels. Across treatments, patients
had similar significant reductions in associated eating disorders and psychiatric
symptoms and maintenance of gains through follow-up. Dietary restraint decreased
more quickly in CBT but IPT had equivalent levels by later follow-ups. Patients'
relative weight decreased significantly but only slightly, with the greatest
reduction among patients sustaining recovery from binge eating from posttreatment
to 1-year follow-up.
Conclusions Group IPT is a viable alternative to group CBT for the treatment of
overweight patients with BED. Although lacking a nonspecific control condition
limits conclusions about treatment specificity, both treatments showed initial
and long-term efficacy for the core and related symptoms of BED.
From the Joint Doctoral Program in Clinical Psychology, San Diego State
University and University of California, San Diego (Drs Wilfley, Welch, Stein,
and Matt, and Ms Dounchis); Brown University, Providence, RI (Dr Spurrell);
Anxiety and Traumatic Stress Program, Payne Whitney Clinic, New York Presbyterian
Hospital, New York City (Dr Cohen); Division of Psychology, Children's Hospital
Medical Center, Cincinnati, Ohio (Dr Saelens); Department of Psychology, Yale
University, New Haven, Conn (Dr Frank); and the Department of Psychology,
Trinity College, Hartford, Conn (Dr Wiseman).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Management of bulimia nervosa and other binge eating problems
Cooper and Fairburn
Adv. Psychiatr. Treat. 2009;15:129-136.
ABSTRACT
| FULL TEXT
Efficacy of Sibutramine for the Treatment of Binge Eating Disorder: A Randomized Multicenter Placebo-Controlled Double-Blind Study
Wilfley et al.
Am. J. Psychiatry 2008;165:51-58.
ABSTRACT
| FULL TEXT
State of the Art Reviews: Relationship Between Diet/ Physical Activity and Health
O'Neil and Nicklas
AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2007;1:457-481.
ABSTRACT
Using Cognitive-Behavioral Therapy to Treat Adolescent-Onset Bulimia Nervosa: A Case Study
Schapman-Williams and Lock
Clinical Case Studies 2007;6:508-524.
ABSTRACT
Binge-eating disorder as a distinct familial phenotype in obese individuals.
Hudson et al.
Arch Gen Psychiatry 2006;63:313-319.
ABSTRACT
| FULL TEXT
Eating Disorders
Yager et al.
Focus 2005;3:503-510.
ABSTRACT
| FULL TEXT
Guideline Watch: Practice Guideline for the Treatment of Patients With Eating Disorders, 2nd Edition
Yager et al.
Focus 2005;3:546-551.
FULL TEXT
A Randomized, Double-blind, Placebo-Controlled Study of Sibutramine in the Treatment of Binge-Eating Disorder
Appolinario et al.
Arch Gen Psychiatry 2003;60:1109-1116.
ABSTRACT
| FULL TEXT
Group interpersonal psychotherapy may be as effective as group cognitive behavioural therapy for overweight people with binge eating disorder
Crow
Evid. Based Ment. Health 2003;6:56-56.
FULL TEXT
Topiramate in the Treatment of Binge Eating Disorder Associated With Obesity: A Randomized, Placebo-Controlled Trial
McElroy et al.
Am. J. Psychiatry 2003;160:255-261.
ABSTRACT
| FULL TEXT
OTHER ARTICLES NOTED (Nov 01 to 18 Oct 02)
Evid. Based Nurs. 2003;6:e1-1.
FULL TEXT
|
