Comparing integrative cognitive-affective therapy and guided self-help cognitive-behavioral therapy to treat binge-eating disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial.
dc.contributor.author | Peterson, Carol B | |
dc.contributor.author | Engel, Scott G | |
dc.contributor.author | Crosby, Ross D | |
dc.contributor.author | Strauman, Timothy | |
dc.contributor.author | Smith, Tracey L | |
dc.contributor.author | Klein, Marjorie | |
dc.contributor.author | Crow, Scott J | |
dc.contributor.author | Mitchell, James E | |
dc.contributor.author | Erickson, Ann | |
dc.contributor.author | Cao, Li | |
dc.contributor.author | Bjorlie, Kayla | |
dc.contributor.author | Wonderlich, Stephen A | |
dc.date.accessioned | 2024-06-14T15:11:00Z | |
dc.date.available | 2024-06-14T15:11:00Z | |
dc.date.issued | 2020-09 | |
dc.description.abstract | ObjectiveInnovative treatments and outcome measures are needed for binge-eating disorder (BED). This randomized controlled trial compared Integrative Cognitive-Affective Therapy (ICAT-BED), an individual psychotherapy targeting momentary behavioral and emotional precipitants of binge eating, with an established cognitive-behavioral guided self-help (CBTgsh) treatment using standard and ecological momentary assessment (EMA) outcome measures.MethodA total of 112 participants were randomized to 17 weeks of treatment (21 sessions for ICAT-BED and 10 sessions for CBTgsh). Binge-eating frequency was assessed with the Eating Disorder Examination (EDE) as well as EMA using cell phone-based real-time, naturalistic assessment at end of treatment (EOT) and 6-month follow-up. Hypothesized maintenance mechanisms were assessed using self-report questionnaires.ResultsBinge-eating frequency as measured by the EDE and real-time assessment showed significant reductions at EOT and follow-up, with no significant differences between treatments. Hypothesized maintenance mechanisms, including emotion regulation, cognitive self-discrepancy, self-directed style, as well as measures of associated eating disorder psychopathology, depression, anxiety, impulsivity, and negative affect, showed similar improvement at EOT and follow-up with no differences between treatments. Abstinence rates at EOT (ICAT-BED: 57.1%; CBTgsh: 42.9%) and 6-month follow-up (ICAT-BED: 46.4%; CBTgsh: 42.9%) were not significantly different. Treatment retention was significantly higher for ICAT-BED (87.5%) than CBTgsh (71.4%).DiscussionThese findings suggest that ICAT-BED and CBTgsh were associated with similar improvements in binge eating, psychopathology, and putative maintenance mechanisms as measured by traditional self-report and momentary, naturalistic assessments and that these changes were generally sustained at 6-month follow-up. | |
dc.identifier.issn | 0276-3478 | |
dc.identifier.issn | 1098-108X | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Wiley | |
dc.relation.ispartof | The International journal of eating disorders | |
dc.relation.isversionof | 10.1002/eat.23324 | |
dc.rights.uri | ||
dc.subject | Humans | |
dc.subject | Treatment Outcome | |
dc.subject | Psychotherapy | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Middle Aged | |
dc.subject | Self-Help Groups | |
dc.subject | Female | |
dc.subject | Male | |
dc.subject | Young Adult | |
dc.subject | Binge-Eating Disorder | |
dc.subject | Cognitive Behavioral Therapy | |
dc.subject | Outcome Assessment, Health Care | |
dc.title | Comparing integrative cognitive-affective therapy and guided self-help cognitive-behavioral therapy to treat binge-eating disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial. | |
dc.type | Journal article | |
duke.contributor.orcid | Strauman, Timothy|0000-0002-0310-4505 | |
pubs.begin-page | 1418 | |
pubs.end-page | 1427 | |
pubs.issue | 9 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | Sanford School of Public Policy | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Trinity College of Arts & Sciences | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Institutes and Centers | |
pubs.organisational-group | Psychiatry & Behavioral Sciences | |
pubs.organisational-group | Psychology & Neuroscience | |
pubs.organisational-group | University Initiatives & Academic Support Units | |
pubs.organisational-group | University Institutes and Centers | |
pubs.organisational-group | Duke Institute for Brain Sciences | |
pubs.organisational-group | Duke-UNC Brain Imaging and Analysis Center | |
pubs.organisational-group | Initiatives | |
pubs.organisational-group | Duke Science & Society | |
pubs.organisational-group | Center for Child and Family Policy | |
pubs.organisational-group | Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology | |
pubs.publication-status | Published | |
pubs.volume | 53 |
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