Trial reportThe International journal of eating disorders2020
Comparing integrative cognitive-affective therapy and guided self-help cognitive-behavioral therapy to treat binge-eating disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial.
Trial report in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Emotion-Related Treatments in Patients With Binge Eating Episodes-a Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- The Efficacy of Individual Cognitive Behavioral Therapy for Eating Disorders: A Meta-Analysis of Randomized Controlled Trials.The International journal of eating disorders · 2025Pooled it
- A systematic review of sociodemographic reporting and representation in eating disorder psychotherapy treatment trials in the United States.The International journal of eating disorders · 2022Pooled it
- Changes in evening-shifted loss of control eating severity following treatment for binge-eating disorder.Psychological medicine · 2024Trial
- Effectiveness of a Web-Based Cognitive Behavioral Self-Help Intervention for Binge Eating Disorder: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Dialectical behavior therapy compared to cognitive behavior therapy in binge-eating disorder: An effectiveness study with 6-month follow-up.The International journal of eating disorders · 2022Trial
- BED-online: Acceptance and efficacy of an internet-based treatment for binge-eating disorder: A randomized clinical trial including waitlist conditions.European eating disorders review : the journal of the Eating Disorders Association · 2021Trial
- Treatment outcomes of psychotherapy for binge-eating disorder in a randomized controlled trial: Examining the roles of childhood abuse and post-traumatic stress disorder.European eating disorders review : the journal of the Eating Disorders Association · 2021Trial
- Mindfulness and acceptance-based behavioral treatment for bulimia-spectrum disorders: A pilot feasibility randomized trial.The International journal of eating disorders · 2021Trial
- Predictors and moderators of treatment outcome in a randomized clinical trial for binge-eating disorder.Journal of consulting and clinical psychology · 2020Trial
- Article
- Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- A path model linking emotion regulation difficulties to disturbed eating and compensatory behavior in young females.Journal of eating disorders · 2025Article
- Applying Ecological Momentary Assessment (EMA) to Understand Overweight and Obesity: A Systematic Review.Journal of personalized medicine · 2025Review
- Ecological Momentary Assessment as a Measure of Intervention Change: Evaluation in 4 Digital Mental Health Trials.Journal of medical Internet research · 2025Article
- Integrating maintaining theories for addiction and binge-eating pathology: A review of affective and reward-based theories.Clinical psychology review · 2025Review
- Momentary Mediational Associations Among Affect, Emotion Dysregulation, and Different Types of Loss of Control Eating Among Adults With Binge Eating Disorder.The International journal of eating disorders · 2025Article
- A latent profile analysis of the functions of binge eating.Journal of eating disorders · 2025Article
- Understanding tinnitus symptom dynamics and clinical improvement through intensive longitudinal data.NPJ digital medicine · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveInnovative treatments and outcome measures are needed for binge-eating disorder (BED). This randomized controlled trial compared Integrative Cognitive-Affective Therapy (ICAT-BED), an individual psychotherapy targeting momentary behavioral and emotional precipitants of binge eating, with an established cognitive-behavioral guided self-help (CBTgsh) treatment using standard and ecological momentary assessment (EMA) outcome measures.
methodA total of 112 participants were randomized to 17 weeks of treatment (21 sessions for ICAT-BED and 10 sessions for CBTgsh). Binge-eating frequency was assessed with the Eating Disorder Examination (EDE) as well as EMA using cell phone-based real-time, naturalistic assessment at end of treatment (EOT) and 6-month follow-up. Hypothesized maintenance mechanisms were assessed using self-report questionnaires.
resultsBinge-eating frequency as measured by the EDE and real-time assessment showed significant reductions at EOT and follow-up, with no significant differences between treatments. Hypothesized maintenance mechanisms, including emotion regulation, cognitive self-discrepancy, self-directed style, as well as measures of associated eating disorder psychopathology, depression, anxiety, impulsivity, and negative affect, showed similar improvement at EOT and follow-up with no differences between treatments. Abstinence rates at EOT (ICAT-BED: 57.1%; CBTgsh: 42.9%) and 6-month follow-up (ICAT-BED: 46.4%; CBTgsh: 42.9%) were not significantly different. Treatment retention was significantly higher for ICAT-BED (87.5%) than CBTgsh (71.4%). DISCUSSION: These findings suggest that ICAT-BED and CBTgsh were associated with similar improvements in binge eating, psychopathology, and putative maintenance mechanisms as measured by traditional self-report and momentary, naturalistic assessments and that these changes were generally sustained at 6-month follow-up.
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Registered trials
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.