Evidence map›Paper›PMID 38940077›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2025

Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder.

Andrea B Goldschmidt, Kwonho Jeong, Lan Yu, Amy H Egbert, Ricarda Schmidt, Anja Hilbert

Abstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

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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

6 authors.

Andrea B GoldschmidtDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kwonho JeongDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lan YuDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Amy H EgbertDepartment of Psychological Sciences, University of Connecticut, Storz, CT, USA.
Ricarda SchmidtDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.ORCID 0000-0001-7794-2897
Anja HilbertDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.

Funding

Executive Functioning, Weight Trajectories, and Loss of Control Eating in Children with Overweight/Obesity: A Prospective StudyR01DK120597 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOLDSCHMIDT, ANDREA BETH · 2020 to 2024
$2.3M
Designing a mobile intervention for dysregulated eating and weight gain prevention in adolescentsR01DK136540 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOLDSCHMIDT, ANDREA BETH, GRAHAM, ANDREA KASS · 2023 to 2025
$954k
German Federal Ministry of Education and Research 01EO1501NIDDK NIH HHS R01 DK120597NIDDK NIH HHS R01-DK120597NIDDK NIH HHS R01 DK136540NIDDK NIH HHS R01-DK136540
6 · The paper itself

Abstract

backgroundCognitive-behavioral therapy (CBT) is an evidence-supported treatment for adolescents with binge-eating disorder (BED). Executive dysfunctions, which are associated with binge eating and elevated body weight in youth, may undermine CBT outcomes by making it difficult for youth to engage with or adhere to treatment, including recalling and/or implementing intervention strategies in real-world contexts.

methodsWe assessed 73 adolescents [82.2% female; M

resultsMore impulsive decision-making, as reflected in higher baseline scores on the Iowa Gambling Task, predicted better attendance (β = .07; p = .019) and more frequent LOC eating following treatment (β = .12; p = .017). Lower cognitive flexibility, as reflected in lower baseline T-scores on the Comprehensive Trail Making Test complex sequencing index, predicted higher zBMI following treatment (β = -.03; p = .003). Inhibition, concentration, attention, and parent-reported EF behavior symptoms were not associated with outcome, attendance, or attrition.

conclusionsMore impulsive decision-making and lower cognitive flexibility were associated with suboptimal response to CBT for BED, although findings should be interpreted with caution in light of the sample size and waitlist control design. Future research should examine whether strengthening EF could improve eating and weight outcomes among adolescents with BED who have lower pre-treatment EF.

Indexed as

Binge-Eating DisorderCognitive Behavioral TherapyExecutive FunctionAdolescentFemaleFollow-Up StudiesHumansImpulsive BehaviorMaleOutcome Assessment, Health CareTreatment Outcomeadolescentbinge eatingcognitive‐behavioral therapyExecutive functioningloss of control eating

Identifiers

PMID38940077
PMCPMC11652412

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Registered trials

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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.