Emotion focused therapy for binge-eating disorder

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.

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

10.21203/rs.3.rs-30265/v1 ◽

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

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

Journal of Eating Disorders ◽

10.1186/s40337-020-00358-5 ◽

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.

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

Iranian Journal of Psychiatry and Clinical Psychology ◽

10.32598/ijpcp.27.1.3246.1 ◽

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.

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Emotion‐focused therapy for binge‐eating disorder: A review of six cases

Clinical Psychology & Psychotherapy ◽

10.1002/cpp.2319 ◽

2018 ◽

Vol 25 (6) ◽

pp. 842-855 ◽

Cited By ~ 2

Author(s):

Kevin Glisenti ◽

Esben Strodl ◽

Robert King

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Emotion Focused Therapy

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Klassifikation von Essstörungen im Zuge von DSM-V mit besonderem Fokus auf der Diagnostik von Essanfällen bei der Binge-Eating-Störung

Zeitschrift für Psychiatrie Psychologie und Psychotherapie ◽

10.1024/1661-4747/a000081 ◽

2011 ◽

Vol 59 (4) ◽

pp. 267-274 ◽

Cited By ~ 1

Author(s):

Anja Hilbert

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Klinische Relevanz ◽

Dsm V

Zusammenfassung.Die Klassifikation von Essstörungen steht im Zentrum aktuellen Forschungsinteresses. Gerade relativ rezente diagnostische Kategorien wie die Binge-Eating- oder Essanfallsstörung (Binge Eating Disorder, BED) und diagnostische Hauptmerkmale wie Essanfälle bedürfen im Zuge der Überarbeitungen des DSM einer Überprüfung. In dem vorliegenden Artikel werden zunächst die für das DSM-V vorgeschlagenen Veränderungen der diagnostischen Kriterien der BED und anderer Essstörungen beschrieben. Anschließend wird das Essanfallsmerkmal der Größe der verzehrten Nahrungsmenge in einer Forschungsübersicht hinsichtlich seiner klinischen Relevanz für die BED betrachtet. Dabei zeigt sich, dass sowohl objektive als auch subjektive Essanfälle psychopathologisch relevant sind. Jedoch sind objektive Essanfälle aufgrund ihrer Assoziation mit einem geringeren Behandlungserfolg, einer größeren residualen Symptomatik und vermehrten Rückfalltendenzen das vergleichsweise stringentere Erfolgskriterium in der Therapieerfolgsforschung der BED. Vor diesem Hintergrund erscheint es für die BED zentral, neben objektiven Essanfällen zusätzlich auch subjektive Essanfälle zu erfassen. Für das DSM-V wird empfohlen, ein Schema zu entwerfen, um das Auftreten und die Häufigkeit dieser Formen von Essanfällen für die BED sowie für andere klinische und subklinische Formen von Essanfällen systematisch zu erheben. Eine sorgfältige Erfassung der Essanfallsgröße in Studien zur Psychopathologie, zum Verlauf und zur Behandlung, wird es erlauben, die klinische Relevanz dieses Merkmals über das Essstörungsspektrum hinweg weiter zu klären.

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