Format

Send to

Choose Destination
J Consult Clin Psychol. 2015 Jun;83(3):649-54. doi: 10.1037/ccp0000018. Epub 2015 Apr 13.

Rapid response in psychological treatments for binge eating disorder.

Author information

1
Department of Medical Psychology and Medical Sociology, Integrated Research and Treatment Center for Adiposity Diseases, University of Leipzig Medical Center.
2
Eating and Weight Disorder Program, Icahn School of Medicine at Mount Sinai.
3
Department of Psychiatry, Stanford University School of Medicine.
4
Department of Psychiatry, Washington University School of Medicine.
5
Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey.

Abstract

OBJECTIVE:

Analysis of short- and long-term effects of rapid response across 3 different treatments for binge eating disorder (BED).

METHOD:

In a randomized clinical study comparing interpersonal psychotherapy (IPT), cognitive-behavioral therapy guided self-help (CBTgsh), and behavioral weight loss (BWL) treatment in 205 adults meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; APA, 1994) criteria for BED, the predictive value of rapid response, defined as ≥70% reduction in binge eating by Week 4, was determined for remission from binge eating and global eating disorder psychopathology at posttreatment, 6-, 12-, 18-, and 24-month follow-ups.

RESULTS:

Rapid responders in CBTgsh, but not in IPT or BWL, showed significantly greater rates of remission from binge eating than nonrapid responders, which was sustained over the long term. Rapid and nonrapid responders in IPT and rapid responders in CBTgsh showed a greater remission from binge eating than nonrapid responders in CBTgsh and BWL. Rapid responders in CBTgsh showed greater remission from binge eating than rapid responders in BWL. Although rapid responders in all treatments had lower global eating disorder psychopathology than nonrapid responders in the short term, rapid responders in CBTgsh and IPT were more improved than those in BWL and nonrapid responders in each treatment. Rapid responders in BWL did not differ from nonrapid responders in CBTgsh and IPT.

CONCLUSION:

Rapid response is a treatment-specific positive prognostic indicator of sustained remission from binge eating in CBTgsh. Regarding an evidence-based, stepped-care model, IPT, equally efficacious for rapid and nonrapid responders, could be investigated as a second-line treatment in case of nonrapid response to first-line CBTgsh.

PMID:
25867446
PMCID:
PMC4446220
DOI:
10.1037/ccp0000018
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for American Psychological Association Icon for PubMed Central
Loading ...
Support Center