Treatment preferences of patients with binge eating disorder.
OBJECTIVE
The current study examined the treatment preferences of obese patients with binge eating disorder (BED).


METHODS
Participants were 103 consecutive patients with BED who responded to advertisements for treatment studies looking for persons who wanted to "stop binge eating and lose weight." In addition to completing comprehensive assessment batteries, participants were provided descriptions of cognitive-behavioral therapy (CBT) and behavioral weight loss therapy (BWL) after which they were asked to choose and rate their preferred treatment.


RESULTS
Sixty-three percent of participants stated they preferred CBT. Treatment preferences were not associated with (1) histories of obesity, dieting, binge eating, or weight cycling, (2) current obesity or eating disorder features, or (3) psychological features such as depression or self-esteem levels. In contrast, participants' stated treatment preferences were aligned with their perception of their primary problem (eating disorder vs. obesity) and their primary goals for treatment (stop binge eating vs. lose weight). The patients who preferred CBT based their treatment selection more on their problem perception than on their primary treatment goal, whereas the patients who preferred BWL selected treatment based more on their primary treatment goal (weight loss) than on their problem perception.


CONCLUSIONS
Obese patients with BED express treatment preferences that are not associated with variability in their clinical characteristics but are aligned with their perception of their primary problem and with their primary goals for treatment.
Brody
Michelle L
ML
Graduate Institute of Professional Psychology, University of Hartford, Hartford, Connecticut, USA.
Masheb
Robin M
RM
Grilo
Carlos M
CM
D000328:Adult; D001521:Behavior Therapy; D002032:Bulimia / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012647:Self-Assessment; D012737:Sex Factors; D018709:Statistics, Nonparametric; D015431:Weight Loss