The Efficacy of Psychological Therapies in Reducing Weight and Binge Eating in People with Bulimia Nervosa and Binge Eating Disorder Who Are Overweight or Obese—A Critical Synthesis and Meta-Analyses

نویسندگان

  • Marly Amorim Palavras
  • Phillipa Hay
  • Celso Alves dos Santos Filho
  • Angélica Claudino
چکیده

Recurrent binge eating episodes, the core feature of Bulimia Nervosa (BN) and Binge Eating Disorder (BED), are frequently comorbid with obesity. Psychological interventions, notably Cognitive Behavioural Therapy (CBT), are effective for binge eating reduction in BED or BN but less so for weight loss. Behavioural Weight Loss Therapy (BWLT) shows effectiveness for binge eating reduction and weight loss but the latter appears poorly sustained over time. Our aim was to review evidence for efficacy of psychological therapies for BN/BED associated with overweight or obesity in reducing binge frequency and weight. A systematic search for randomized controlled trials with adult samples who had BN or BED was conducted considering articles in English, French, Spanish and Portuguese with no restrictions for the timeline publication ending in March 2016. A quality appraisal of the trials and meta-analyses comparing BWLT to CBT were done. This review identified 2248 articles for screening and 19 published articles were selected. No trials of BN were identified. This review found CBT was favoured compared to BWLT with regard to short-term binge eating reduction. However, insufficient evidence was found for superiority for BWLT efficacy compared to CBT considering binge eating remission, reduction of binge eating frequency and weight loss. More research is needed to test the efficacy of psychological treatments for BED or BN with co-morbid overweight or obesity, including trials evaluating binge eating remission and weight loss in the long-term.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparing cognitive behavioural therapy for eating disorders integrated with behavioural weight loss therapy to cognitive behavioural therapy-enhanced alone in overweight or obese people with bulimia nervosa or binge eating disorder: study protocol for a randomised controlled trial

BACKGROUND Around 40 % of individuals with eating disorders of recurrent binge eating, namely bulimia nervosa and binge eating disorder, are obese. In contrast to binge eating disorder, currently there is no evidence base for weight management or weight loss psychological therapies in the treatment of bulimia nervosa despite their efficacy in binge eating disorder. Thus, a manualised therapy ca...

متن کامل

The Effectiveness of Cognitive-Behavioral Therapy on Psychological Distress in People with Bulimia Nervosa

Introduction & Objective: Eating disorders are one of the most common mental/psychological disorders that cause many problems in physical health and mental function and also impair the quality of life of the sufferer and cause death. Eating disorders can cause eating disorders and threaten a person's health by altering their diet and receiving poor nutrients. Overeating disorder is an eating an...

متن کامل

Effectiveness of Lifestyle Intervention with Choice Theory on Weight Management in Women Suffering from Binge Eating

     Introduction: Overweight and obesity is one of the physical consequences of binge eating disorder. The aim of this study was to determine the effectiveness of life style intervention on  weight management using choice theory to reduce the severity of binge eating in women who suffered from binge eating. Methods: In this experimental study with pretest and posttest design, 45 women who suf...

متن کامل

The Effectiveness of Acceptance and Commitment Based Therapy on Psychological Well-Being in Men with Bulimia Nervosa

Introduction & Objective: Eating disorders are one of the most common mental/psychological disorders that cause many problems in physical health and mental function and also impair the quality of life of the sufferer and cause death. Eating disorders can cause nutrition-related disorders and threaten a person's health by changing their eating patterns and undesirable intake of nutrients. Eating...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 9  شماره 

صفحات  -

تاریخ انتشار 2017