Addressing Cessation of Binge Eating and Weight Loss: A new integrated and personalized treatment for binge-eating disorder:

Dalle Grave, R. (2020).

 Addressing cessation of binge eating and weight loss. Psychology Today

Binge-eating disorder (BED) is the most common of the specific eating disorders, occurring across ethnic and racial groups, among both men and women and in adults of all ages. It is accompanied by high levels of distress, psychiatric morbidity, and psychosocial impairment. The majority of patients who seek treatment for BED are also overweight or obese, although the diagnostic criteria do not require that that be the case.

The best available psychological treatments for BED, such as cognitive behavior therapy (CBT), interpersonal psychotherapy (IPT), guided self-help based on CBT (CBTgsh), produce good and lasting outcomes with regard to control over eating but virtually no weight loss. However both control over eating and weight loss are important and valued goals of those who seek treatment.  Traditional behavioral weight-loss interventions (BWL) produces a reduction in binge eating as well as modest weight loss. Unfortunately, the effects of BWL in terms of cessation of binge eating are not as well maintained as in CBT and the weight lost is generally regained.

The data on the treatment outcome of BED indicate there is need for a new therapeutic approach that produces clinically significant, albeit modest, weight loss as well as the remission of binge eating. Available data indicate that patients abstinent from binge eating maintain their end-of-treatment weight, including any modest weight loss that may have been achieved during treatment.
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