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Behav Res Ther. 2014 Jul;58:36-42. doi: 10.1016/j.brat.2014.04.007. Epub 2014 May 24.

Short-term cognitive-behavioral therapy for binge eating disorder: long-term efficacy and predictors of long-term treatment success.

Author information

1
Department of Child and Adolescent Psychiatry of the University of Basel (UPK Basel), Switzerland; University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland.
2
University of Basel, Department of Psychology, Division of Clinical Psychology and Epidemiology, Switzerland. Electronic address: andrea.meyer@unibas.ch.
3
University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland.
4
Psychiatric Women's Clinic of Meissenberg, Switzerland.
5
University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland. Electronic address: simone.munsch@unifr.ch.

Abstract

The present study evaluates the long-term efficacy (four years after treatment) of a short-term Cognitive-Behavioral Treatment (CBT) of Binge Eating Disorder (BED). We examined patient characteristics, mostly measured at the end of treatment, for their predictive value of long-term success. Forty-one BED-patients between 18 and 70 years took part in a randomized controlled trial (RCT) for a short-term treatment and were evaluated until 4 years after treatment. Assessments comprised structured interviews on comorbid mental disorder/eating disorder pathology and questionnaires on eating disorder pathology/general psychopathology. BED core symptoms and associated psychopathology improved substantially during treatment phase and further improved or at least remained stable during the follow-up period. End of treatment predictors for long term success were elevated weight and eating concern and higher frequency of objective binges. Tailoring additional interventions to patients' individual needs could further improve treatment efficacy.

KEYWORDS:

Binge Eating Disorder; Efficacy; Long-term outcome; Predictor; Short-term CBT

PMID:
24929926
DOI:
10.1016/j.brat.2014.04.007
[Indexed for MEDLINE]
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