Evidence map›Paper›PMID 27230611›Full record

Trial reportAppetite2016

Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation.

Stephanie M Manasse, Hallie M Espel, Leah M Schumacher, Stephanie G Kerrigan, Fengqing Zhang, Evan M Forman, Adrienne S Juarascio

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Appetite, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Impulsivity and compulsivity in binge eating disorder: A systematic review of behavioral studies.Progress in neuro-psychopharmacology & biological psychiatry · 2021
    Pooled it
  3. Mechanisms and moderators in mindfulness- and acceptance-based treatments for binge eating spectrum disorders: A systematic review.European eating disorders review : the journal of the Eating Disorders Association · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Testing a Reward-Processing Model of Negative Urgency in Women With and Without Binge Eating.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stephanie M ManasseDrexel University, Department of Psychology, Philadelphia, PA, USA. Electronic address: smm522@drexel.edu.
Hallie M EspelDrexel University, Department of Psychology, Philadelphia, PA, USA.
Leah M SchumacherDrexel University, Department of Psychology, Philadelphia, PA, USA.
Stephanie G KerriganDrexel University, Department of Psychology, Philadelphia, PA, USA.
Fengqing ZhangDrexel University, Department of Psychology, Philadelphia, PA, USA.
Evan M FormanDrexel University, Department of Psychology, Philadelphia, PA, USA.
Adrienne S JuarascioDrexel University, Department of Psychology, Philadelphia, PA, USA.

Funding

Addressing Weight History to Improve Behavioral Treatments for Bulimia NervosaK23MH105680 · NIMH · DREXEL UNIVERSITY · PI JUARASCIO, ADRIENNE SARAH · 2015 to 2018
$644k
Novel assessment of affective distress intolerance in binge eatingF31MH108279 · NIMH · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2015 to 2017
$87k
NIMH NIH HHS F31 MH108279NIMH NIH HHS K23 MH105680
6 · The paper itself

Abstract

Multiple dimensions of impulsivity (e.g., affect-driven impulsivity, impulsive inhibition - both general and food-specific, and impulsive decision-making) are associated with binge eating pathology cross-sectionally, yet the literature on whether impulsivity predicts treatment outcome is limited. The present pilot study explored impulsivity-related predictors of 20-week outcome in a small open trial (n = 17) of a novel treatment for binge eating disorder. Overall, dimensions of impulsivity related to emotions (i.e., negative urgency) and food cues emerged as predictors of treatment outcomes (i.e., binge eating frequency and global eating pathology as measured by the Eating Disorders Examination), while more general measures of impulsivity were statistically unrelated to global eating pathology or binge frequency. Specifically, those with higher levels of negative urgency at baseline experienced slower and less pronounced benefit from treatment, and those with higher food-specific impulsivity had more severe global eating pathology at baseline that was consistent at post-treatment and follow-up. These preliminary findings suggest that patients high in negative urgency and with poor response inhibition to food cues may benefit from augmentation of existing treatments to achieve optimal outcomes. Future research will benefit from replication with a larger sample, parsing out the role of different dimensions of impulsivity in treatment outcome for eating disorders, and identifying how treatment can be improved to accommodate higher levels of baseline impulsivity.

Indexed as

Acceptance and Commitment TherapyImpulsive BehaviorPsychotherapy, GroupAdultBinge-Eating DisorderCombined Modality TherapyCuesDelay DiscountingDiagnostic and Statistical Manual of Mental DisordersFemaleFollow-Up StudiesFood PreferencesHumansMiddle AgedPilot ProjectsPrognosisBinge eatingImpulsivityInhibitory controlNegative urgency

Identifiers

PMID27230611
PMCPMC4980181

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.