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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Evaluation of a combined, online intervention for binge-type eating disorders and high body weight in young adults
EATING BEHAVIORS, v 50, 101789
Aug 2023
PMID: 37536225
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Binge-type eating disorders (EDs; i.e., bulimia nervosa, binge eating disorder) are common among young adults with high body weight, yet few interventions target both conditions. This study tested an online guided self-help intervention that provided cognitive behavioral therapy (CBT) tools for EDs and behavioral weight loss (BWL) content to young adults with binge-type EDs and high body weight.Method: 60 adults aged 18-39 with clinical/subclinical binge-type EDs and high body weight were randomized to a combined condition or a CBT-only condition. Participants received self-help content for 8 weeks and self reported ED attitudes, frequency of binge eating and compensatory behaviors, and weight at baseline, 4 weeks, and 8-weeks. Linear mixed models and negative binomial models compared changes between conditions in ED attitudes, ED behaviors, and weight at each timepoint. Chi-square test and independent samples t-test compared program completion and session engagement between conditions.Results: No significant differences in weight change or ED symptom change emerged between the conditions. Both conditions achieved significant reductions in ED attitudes, binge episodes, and compensatory behaviors from baseline to 8-weeks (ps < .05). Neither condition demonstrated significant weight loss from baseline to 8 weeks. Program completion (47 %) and session engagement (57 %) were equally high across conditions.Discussion: Both conditions achieved ED symptom change; however, neither condition was associated with weight change. Research is needed to identify the types of strategies and doses of BWL that promote clinically significant weight and ED symptom change in young adults.
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Details
- Title
- Evaluation of a combined, online intervention for binge-type eating disorders and high body weight in young adults
- Publication Details
- EATING BEHAVIORS, v 50, 101789
- Publisher
- ELSEVIER; AMSTERDAM
- Grant note
- This work was supported by the NIH grants R01 MH100455 (Drs. Taylor and Wilfley) , T32 HL130357 (Dr. Wilfley) , K08 MH120341 (Dr. Fitzsimmons-Craft) , K01 DK120778 (Dr. Balantekin) , and F31 HL158000 (Ms. Grammer) . The funding sources had no involvement in study design, in the collection, analysis and interpretation of data, in the writing of the report, or in the decision to submit the article for publication.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001051401500001
- Scopus ID
- 2-s2.0-85166524580
- Other Identifier
- 991021861167404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology, Clinical