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Accepted (AM)Open Access (License Unspecified), Open
Journal article
A pilot study of an acceptance-based behavioral treatment for binge eating disorder
Journal of contextual behavioral science, v 6(1)
01 Jan 2017
PMID: 28966910
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
While existing treatments produce remission in a relatively large percentage of individuals with binge eating disorder (BED), room for improvement remains. Interventions designed to increase emotion regulation skills and clarify one's chosen values may be well-suited to address factors known to maintain BED. The current study examined the preliminary efficacy of a group-based treatment, Acceptance-based Behavioral Therapy (ABBT), in a small open trial (n=19), as well as the relationship between changes in hypothesized mechanisms of action and outcomes. ABBT includes the behavioral components of cognitive behavioral treatment for BED and emotion-focused strategies from acceptance and commitment therapy and dialectical behavioral therapy. Results from generalized linear multilevel modeling revealed significant fixed linear effects of time on depression, quality of life, global eating pathology, and binge frequency (all ps < .05). Global eating disorder symptoms appeared to improve rapidly from pre- to mid-treatment, and continued to improve toward post-treatment and follow-up, but at a slower rate. Binge frequency decreased rapidly from pre- to mid-treatment, followed by a slight increase at post-treatment and a reduction again by follow-up. Improvements in experiential acceptance were strongly and consistently related to decreases in overall eating pathology across several measures (rs=.35-.54). Additionally, greater access to emotion regulation strategies was strongly related to decreases in overall eating pathology (r=.67). Preliminary results support the efficacy of this novel treatment approach and indicate that additional research on ABBT for BED is warranted.
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Details
- Title
- A pilot study of an acceptance-based behavioral treatment for binge eating disorder
- Creators
- Adrienne S. Juarascio - Drexel UniversityStephanie M. Manasse - Drexel UniversityHallie M. Espel - Drexel Univ, Dept Psychol, Stratton Hall,3141 Chestnut St, Philadelphia, PA 19104 USALeah M. Schumacher - Drexel UniversityStephanie Kerrigan - Drexel UniversityEvan M. Forman - Drexel University
- Publication Details
- Journal of contextual behavioral science, v 6(1)
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- K23MH105680; F31MH108279 / National Institutes of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) F31MH108279 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) EMF 041013 / Innovation Lab
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000404437400001
- Scopus ID
- 2-s2.0-85010934346
- Other Identifier
- 991019167564404721
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- Web of Science research areas
- Psychology, Clinical