Evidence map›Paper›PMID 36879078›Full record

Trial reportEating and weight disorders : EWD2023

Fear of weight gain during cognitive behavioral therapy for binge-spectrum eating disorders.

Rachel M Butler, Elizabeth Lampe, Claire Trainor, Stephanie M Manasse

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04076553 (Augmenting Cognitive Behavioral Therapy for Binge Eating Disorder and Bulimia Nervosa With Inhibitory Control Training), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT04076553 naunknown statusnot on this map

Augmenting Cognitive Behavioral Therapy for Binge Eating Disorder and Bulimia Nervosa With Inhibitory Control Training

TypeinterventionalSponsorDrexel UniversityRan2019 to 2022Enrolled60ConditionsBinge-Eating Disorder, Bulimia NervosaArmsCBT, ICT
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

4 authors.

Rachel M ButlerDepartment of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA.ORCID http://orcid.org/0000-0003-3108-6794
Elizabeth LampeDepartment of Psychology, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-6737-7027
Claire TrainorDepartment of Psychology, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8342-7362
Stephanie M ManasseCenter for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA. smm522@drexel.edu.ORCID http://orcid.org/0000-0002-4666-588X

Funding

Does aberrant decision-making prevent success in adolescent behavioral weight loss treatment?K23DK124514 · NIDDK · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2020 to 2024
$897k
Augmenting cognitive behavioral therapy with inhibitory control trainingR34MH118353 · NIMH · DREXEL UNIVERSITY · PI MANASSE, STEPHANIE · 2019 to 2021
$704k
National Institute of Mental Health and Neurosciences R34MH118353NIDDK NIH HHS K23 DK124514NIDDK NIH HHS K23DK124514NIMH NIH HHS R34 MH118353
6 · The paper itself

Abstract

purposeFear of weight gain may play a central role in maintaining eating disorders (EDs), but research on the role of fear of weight gain during cognitive behavioral therapy (CBT-E) for binge-spectrum EDs is sparse. We examined changes in fear of weight gain during CBT-E for binge-spectrum EDs. We investigated whether fear of weight gain predicted loss of control (LOC) eating or weight change.

methodsParticipants (N = 63) were adults of any gender recruited as part of a larger trial. Participants received 12 sessions of CBT-E, completed diagnostic assessments at pre-, mid-, and post-treatment, and completed brief surveys before sessions.

resultsFear of weight gain decreased across treatment, moderated by diagnosis. Those with bulimia nervosa spectrum EDs (BN-spectrum), compared to binge eating disorder, reported higher fear of weight gain at baseline and experienced a larger decrease in fear across treatment. Those reporting higher fear of weight gain at a given session experienced more frequent LOC episodes the following week. Fear of weight gain was not associated with session-by-session changes in BMI.

conclusionCBT-E results in decreases in fear of weight gain, but levels remain high at post-treatment, especially for those with BN-spectrum EDs. Future interventions should consider targeting fear of weight gain as a maintaining factor for LOC episodes

trial registrationNCT04076553. LEVEL OF EVIDENCE: Level II controlled trial without randomization.

Indexed as

Binge-Eating DisorderBulimia NervosaCognitive Behavioral TherapyFeeding and Eating DisordersAdultFearHumansPhobic DisordersWeight GainBinge eating disorderBulimia nervosaCognitive behavioral therapyEating disordersFear of weight gain

Identifiers

PMID36879078
PMCPMC9988191

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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.