Thesis
Baseline characteristics and treatment outcomes of binge-spectrum eating disorders: a comparison of emerging adults to other adults
Master of Science (M.S.), Drexel University
Jun 2024
DOI:
https://doi.org/10.17918/00001938
Abstract
Cognitive behavioral therapy (CBT) for Binge-spectrum eating disorders (BSED) yields suboptimal outcomes. It is crucial to identify subgroups for whom novel treatment interventions are warranted. Emerging adults (ages 18-24) may demonstrate higher impulsivity, poorer emotion regulation, heightened reward sensitivity, and life management difficulties compared to other (25+ years) adults. Therefore, emerging adults may enter treatment with greater BSED severity and experience worse treatment outcomes. Using data from 4 studies of women (N=167) who received CBT-E for BSED, we compared emerging adults to other adults on baseline impulsivity, emotion dysregulation, food reward sensitivity and eating pathology. We examined whether age group predicted post-treatment eating pathology, remission, and dropout rate. Compared to other adults, emerging adults had significantly higher impulsivity (t(150) = 3.37, p < .001) and emotion dysregulation (p < .001 to p = .013) at baseline. Emerging adults displayed no post- treatment differences in binge eating frequency or eating pathology severity. They had significantly lower odds of achieving remission from LOC eating and/or compensatory behaviors (p = .039, OR = 2.57). Emerging adults with BSED may benefit from an increased treatment focus on emotion regulation skills. Future research is warranted to optimize BSED treatment for emerging adults.
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Details
- Title
- Baseline characteristics and treatment outcomes of binge-spectrum eating disorders
- Creators
- Lucy Wetherall
- Contributors
- Stephanie M. Manasse (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- iii, 22 pages
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 991021867713004721