scholarly journals The Feasibility and Efficacy of Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomised Waitlist Control Trial

2020 ◽  
Author(s):  
Kevin Glisenti ◽  
Esben Strodl ◽  
Robert King ◽  
Leslie Greenberg
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Repeated Measures ◽  
Control Group ◽  
Emotion Focused Therapy ◽  
Eating Psychopathology ◽  
Waitlist Control ◽  
Waitlist Control Group ◽  
Therapy Retention

Abstract Background: Research into psychotherapy for binge-eating disorder (BED) has focused mainly on cognitive behavioural therapies, but efficacy, failure to abstain, and dropout rates continue to be problematic. The experience of negative emotions is among the most accurate predictors for the occurrence of binge eating episodes in BED, suggesting benefits to exploring psychological treatments with a more specific focus on the role of emotion. The present study aimed to explore the feasibility and efficacy of individual emotion-focused therapy (EFT) as a treatment for BED by examining the outcomes of a pilot randomised waitlist-controlled trial. Methods: Twenty-one participants were assessed using measures of feasibility (recruitment, credibility and expectancy, and therapy retention), and efficacy (objective binge episodes and days, and binge eating psychopathology). The treatment consisted of 12 weekly one-hour sessions of EFT for maladaptive emotions over three months. A mixed model approach was utilised with one between effect (group) using a one-way analysis of variance (ANOVA) to test the hypothesis that participants immediately receiving the EFT treatment would demonstrate a greater degree of improvement on outcomes relating to objective binge episodes and days, and binge eating psychopathology, compared to participants on the EFT waitlist; and one within effect (time) using a repeated-measures ANOVA to test the hypothesis that participation in the EFT intervention would result in significant improvements in outcome measures from pre to post-therapy and then maintained at follow-up. Results: Recruitment, credibility and expectancy, and therapy retention outcomes indicated EFT is a feasible treatment for BED. Participants receiving EFT demonstrated a greater degree of improvement in objective binge episodes and days, and binge eating psychopathology compared to EFT waitlist control group participants. When participants in the EFT waitlist control group then received treatment and outcomes data were combined with participants who initially received the treatment, EFT demonstrated significant improvement in objective binge episodes and days, and binge eating psychopathology for the entire sample. Conclusions: These findings provide further preliminary evidence for the feasibility and efficacy of individual EFT for BED and support more extensive randomised control trials.

scholarly journals The feasibility of emotion-focused therapy for binge-eating disorder: a pilot randomised wait-list control trial

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Kevin Glisenti ◽  
Esben Strodl ◽  
Robert King ◽  
Leslie Greenberg
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Control Group ◽  
Wait List ◽  
Wait List Control Group ◽  
Emotion Focused Therapy ◽  
Wait List Control ◽  
Eating Psychopathology ◽  
Therapy Retention

Abstract Background Research into psychotherapy for binge-eating disorder (BED) has focused mainly on cognitive behavioural therapies, but efficacy, failure to abstain, and dropout rates continue to be problematic. The experience of negative emotions is among the most accurate predictors for the occurrence of binge eating episodes in BED, suggesting benefits to exploring psychological treatments with a more specific focus on the role of emotion. The present study aimed to explore the feasibility of individual emotion-focused therapy (EFT) as a treatment for BED by examining the outcomes of a pilot randomised wait-list controlled trial. Methods Twenty-one participants were assessed using a variety of feasibility measures relating to recruitment, credibility and expectancy, therapy retention, objective binge episodes and days, and binge eating psychopathology outcomes. The treatment consisted of 12 weekly one-hour sessions of EFT for maladaptive emotions over 3 months. A mixed model approach was utilised with one between effect (group) using a one-way analysis of variance (ANOVA) to test the hypothesis that participants immediately receiving the EFT treatment would demonstrate a greater degree of improvement on outcomes relating to objective binge episodes and days, and binge eating psychopathology, compared to participants on the EFT wait-list; and one within effect (time) using a repeated-measures ANOVA to test the hypothesis that participation in the EFT intervention would result in significant improvements in outcome measures from pre to post-therapy and then maintained at follow-up. Results Recruitment, credibility and expectancy, therapy retention outcomes indicated EFT is a feasible treatment for BED. Further, participants receiving EFT demonstrated a greater degree of improvement in objective binge episodes and days, and binge eating psychopathology compared to EFT wait-list control group participants. When participants in the EFT wait-list control group then received treatment and outcomes data were combined with participants who initially received the treatment, EFT demonstrated significant improvement in objective binge episodes and days, and binge eating psychopathology for the entire sample. Conclusions These findings provide further preliminary evidence for the feasibility of individual EFT for BED and support more extensive randomised control trials to assess efficacy. Trial registration The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000563965) on 14 May 2020.

scholarly journals Emotion-Focused Therapy for Binge-Eating Disorder: A Pilot Randomized Control Trial

2020 ◽  
Author(s):  
Kevin Glisenti ◽  
Esben Strodl ◽  
Robert King ◽  
Leslie Greenberg
Keyword(s):  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Outcome Measures ◽  
Binge Eating Disorder ◽  
Repeated Measures ◽  
Primary Outcome ◽  
Secondary Outcome ◽  
Emotion Focused Therapy ◽  
Randomized Control

Abstract Background:Research into psychotherapy for binge-eating disorder (BED) has focused mainly on cognitive behavioral therapies, but efficacy, failure to abstain, and dropout rates continue to be problematic. The experience of negative emotions is among the most accurate predictors for the occurrence of binge eating episodes in BED, suggesting benefits to exploring other psychological treatments with a more specific focus on the role of emotion. The present study aimed to build upon the emerging evidence for emotion-focused therapy (EFT) as a treatment for BED by examining the outcomes of a pilot randomized waitlist-controlled trial of individual EFT for BED.Methods:Twenty-one participants were assessed on the primary outcome measures of objective binge episodes, the number of days on which objective binge episodes occurred, and binge eating symptoms and the secondary outcome measures of anxiety and depressive symptoms. The treatment consisted of 12 weekly one-hour sessions of EFT for maladaptive emotions over three months. A series of between groups repeated measures analyses of variance (ANOVA) was used to test the hypothesis that those receiving the treatment would demonstrate a greater degree of improvement in primary outcome measures compared to participants on the waitlist. A series of within-groups repeated-measures ANOVA was then used to test the hypothesis that participation in the EFT intervention would result in significant improvements in the primary and secondary outcome measures from pre to post-therapy, and then maintained at each follow-up period.Results:Participants receiving the EFT demonstrated a greater degree of improvement in primary outcome measures compared to participants on the waitlist. Participation in the EFT intervention resulted in significant improvements in all primary outcome measures and anxiety, but not depressive symptoms. The intervention also demonstrated a relatively low dropout rate when compared to other psychological therapy interventions for BED.Conclusions:These findings provide further preliminary evidence that individual EFT may be an efficacious treatment for BED and provide support for more extensive randomized control trials to test the efficacy and effectiveness of EFT for BED further.Trial registration: The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000563965) on the 14 May 2020https://www.anzctr.org.au/ACTRN12620000563965.aspx

scholarly journals Effect of Emotion-focused Therapy on Anxiety, Depression and Difficulty in Emotion Regulation in Women With Binge Eating Disorder

2021 ◽  
Vol 27 (1) ◽  
pp. 2-15
Author(s):  
Yousef Asmari Bardezard ◽  
◽  
Sajad Khanjani ◽  
Esmaeil Mousavi Asl ◽  
Behrouz Dolatshahi ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Intervention Group ◽  
Repeated Measure ◽  
Control Group ◽  
Emotion Focused Therapy ◽  
Anxiety Depression

Objectives: This study aims to investigate the effect of Emotion-Focused Therapy (EFT) on depression, anxiety, and Difficulty in Emotion Regulation (DER) in women with Binge Eating Disorder (BED). Methods: This is a quasi-experimental study with pre-test/post-test/follow-up design using a control group. Study population consists of all women referred to the obesity clinics in Tehran in 2019. Of these, 40 were selected using a purposive sampling method and were randomly divided into two groups of intervention (n=20) and control (n=20). The intervention group received 10 sessions of EFT, each session for 90 minutes. Data collection tools were the Beck Anxiety Inventory (BAI), the Beck Depression Inventory II (BDI-II), Difficulties in Emotion Regulation Scale (DERS), and Binge Eating Scale (BES), which were completed before and after the intervention. Data were analyzed using descriptive statistics and repeated measure ANIVA in SPSS v. 21 software. Results: Group EFT significantly reduced the mean anxiety, depression, DER and severity of binge eating after intervention and over the 2-month follow-up period in BED women (P<0.05). Conclusion: The EFT can reduce anxiety, depression, DER and binge eating severity in BED women, and its effect remains constant after two months. It can be useful in the treatment of BED.

scholarly journals Orthorexia Nervosa: differences between clinical and non-clinical samples

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Novara ◽  
E. Maggio ◽  
S. Piasentin ◽  
S. Pardini ◽  
S. Mattioli
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Diet Group ◽  
Orthorexia Nervosa ◽  
Clinical Samples ◽  
Control Group ◽  
Obsessive Compulsive

Abstract Background Orthorexia Nervosa (ON) is a construct characterized by behaviors, emotions, and beliefs on eating healthy food and excessive attention to diet; moreover, dieting has been considered a risk factor in ON symptoms development. The principal aim of this study was to investigate the differences in clinical and non-clinical groups most at risk of ON. Aspects that could be associated with ON (Eating Disorders [EDs], obsessive-compulsive symptomatology, perfectionistic traits, anxiety, depression, Body Mass Index [BMI]) were investigated in all groups. Methods The sample consisted of 329 adults belonging to four different groups. Three were on a diet: Anorexia/Bulimia Nervosa group (N = 90), Obesity/Binge Eating Disorder group (N = 54), Diet group (N = 91). The Control group consisted of people who were not following a diet (N = 94). Participants completed several self-administered questionnaires (EHQ-21, EDI-3, OCI-R, MPS, BAI, BDI-II) to assess ON-related features in different groups. Results Analyses highlighted higher orthorexic tendencies in Anorexia/Bulimia Nervosa, Obesity/BED, and Diet groups than in the Control group. Moreover, results have shown that in the AN/BN group, eating disorders symptomatology and a lower BMI were related to ON and that in Obesity/Binge Eating Disorder and Diet groups, perfectionism traits are associated with ON. Conclusion Individuals who pursue a diet share some similarities with those who have an eating disorder regarding emotions, behaviors, and problems associated with orthorexic tendencies. Moreover, perfectionistic traits seem to predispose to higher ON tendencies. In general, these results confirm the ON as an aspect of the main eating disorders category.

Teaching about Near-Death Experiences: The Effectiveness of Using the Day I Died

2011 ◽  
Vol 63 (4) ◽  
pp. 373-388 ◽  
Author(s):  
Janice Miner Holden ◽  
Kathy Oden ◽  
Kelly Kozlowski ◽  
Bert Hayslip
Keyword(s):  
Repeated Measures ◽  
Future Research ◽  
Control Group ◽  
Waitlist Control ◽  
Before And After ◽  
Waitlist Control Group ◽  
Quasi Experimental ◽  
The Mind ◽  
Near Death Experiences ◽  
The Brain

In this article, we reviewed results of research on near-death experiences (NDEs) over the past 3 decades and examined the effect of viewing the hour-long 2002 BBC documentary The Day I Died: The Mind, the Brain, and Near-Death Experiences on accurate knowledge about near-death experiences among advanced undergraduates at a southwestern university. In a quasi-experimental research design, the experimental group completed a 20-item questionnaire before and after viewing the documentary ( n = 66; 45 females, 21 males), and the waitlist control group completed the questionnaire as pre- and posttest before viewing the documentary ( n = 39; 36 female, 3 male). The two groups' scores at pretest were not significantly different ( p > .05). Group by occasion repeated measures ANOVA revealed the experimental group's posttest scores moved significantly in the direction of correctness with a large effect size ( p < .001; η2= .56), whereas waitlist control group posttest scores remained similar to pretest scores. We discuss two exceptions to the effectiveness of the documentary and recommendations for educators using it as well as for future research.

Emotion-Focused Therapy and Dietary Counseling for Obese Patients with Binge Eating Disorder: A Propensity Score-Adjusted Study

2013 ◽  
Vol 82 (3) ◽  
pp. 193-194 ◽  
Author(s):  
Angelo Compare ◽  
Simona Calugi ◽  
Giulio Marchesini ◽  
Enrico Molinari ◽  
Riccardo Dalle Grave
Keyword(s):  
Eating Disorder ◽  
Propensity Score ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Obese Patients ◽  
Dietary Counseling ◽  
Emotion Focused Therapy

scholarly journals Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 11 (9) ◽  
pp. 931
Author(s):  
Natalia Rozakou-Soumalia ◽  
Ştefana Dârvariu ◽  
Jan Magnus Sjögren
Keyword(s):  
Systematic Review ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Emotion Dysregulation ◽  
Meta Analysis ◽  
Control Group ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy

Emotion dysregulation is a transdiagnostic phenomenon in Eating Disorders (ED), and Dialectical Behaviour Therapy (DBT) (which was developed for reducing dysregulated emotions in personality disorders) has been employed in patients with ED. This systematic review and meta-analysis investigated whether the effect of DBT was stronger on emotion dysregulation, general psychopathology, and Body Mass Index (BMI) in participants with ED, when compared to a control group (active therapy and waitlist). Eleven studies were identified in a systematic search in accordance with PRISMA guidelines. Most studies included participants with Binge Eating Disorder (BED) (n = 8), some with Bulimia Nervosa (BN) (n = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = −0.69, p = 0.01), depressive symptoms (g = −0.33, p < 0.00001), ED psychopathology (MD = −0.90, p = 0.005), Objective Binge Episodes (OBE) (MD = −0.27, p = 0.003), and BMI (MD = −1.93, p = 0.01) compared to the control group. No improvement was detected in eating ER following DBT (p = 0.41). DBT demonstrated greater efficacy compared with the control group in improving emotion dysregulation, ED psychopathology, and BMI in ED. The limitations included the small number of studies and high variability.

Theory of mind in binge eating disorder: an exploratory study

2017 ◽  
Vol 41 (S1) ◽  
pp. S555-S555
Author(s):  
A. Legnani ◽  
R.M. Martoni ◽  
C. Brombin ◽  
F. Cugnata ◽  
R. Porta ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Theory Of Mind ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Central Coherence ◽  
Control Group ◽  
Clinical Group ◽  
Healthy Controls ◽  
Axis I ◽  
The Relationship

Introductionto date, studies on the relationship between Theory of Mind (ToM) and eating disorders (ED) have never considered binge eating disorder (BED).Aims a) to assess ToM abilities in a sample of patients suffering from BED comparing them with healthy controls; b) to evaluate the influence of several variables (demographic, clinical and neuropsychological dimensions, attachment styles, traumatic events, comorbid Axis I and II disorders) on ToM abilities.Methodswe assessed ToM in a sample of 20 BED patients and 22 women from the general population using the Reading the Mind in the Eyes Test (RMET) and the Faux Pas Test (FPT).Resultsregarding the first aim, the comparison between groups showed that the clinical group scored significantly lower than the control group on the RMET as well as on FPT. Regarding the second aim, two different multiple regression models were performed: one for the RMET and one for the FPT. Both of them led to significant results. When modeling RMET score, it emerged that age and Binge Eating Scale significantly reduce the score, while vocabulary and drive for thinness have a positive effect (r2 = 0.62). When modeling FPT score, we found that central coherence and binge eating significantly reduce the total score (r2 = 0.33).Conclusionsour study begins to shed light on the relationship between ToM and BED; in particular, it suggests that BED patients have lower mentalization skills than healthy controls and ToM abilities are partially influenced by clinical variables related to eating pathology.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Executive Functioning in Obesity, Food Addiction, and Binge-Eating Disorder

Nutrients ◽  
2018 ◽  
Vol 11 (1) ◽  
pp. 54 ◽  
Author(s):  
Marie Blume ◽  
Ricarda Schmidt ◽  
Anja Hilbert
Keyword(s):  
Eating Disorder ◽  
Executive Functioning ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Food Addiction ◽  
Reaction Times ◽  
Future Research ◽  
Control Group ◽  
Neuropsychological Profile ◽  
Neuropsychological Tasks

This study aimed to investigate food addiction (FA) and binge-eating disorder (BED) in their association to executive dysfunctions in adults with obesity. Data on response inhibition, attention, decision-making, and impulsivity were derived from four groups of adults with obesity: obesity and FA (n = 23), obesity and BED (n = 19), obesity and FA plus BED (FA/BED, n = 23), and a body mass index-, age-, and sex-stratified control group of otherwise healthy individuals with obesity (n = 23, OB), using established computerized neuropsychological tasks. Overall, there were few group differences in neuropsychological profiles. Individuals of the FA group did not differ from the OB group regarding executive functioning. Individuals with BED presented with significantly higher variability in their reaction times and a deficient processing of feedback for performance improvement compared to individuals of the OB group. Strikingly, individuals with FA/BED did not present neuropsychological impairments, but higher levels of depression than all other groups. The results indicated the presence of a BED-specific neuropsychological profile in the obesity spectrum. The additional trait FA was not related to altered executive functioning compared to the OB or BED groups. Future research is needed to discriminate FA and BED further using food-specific tasks.

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