Examination of predictors and moderators for self-help treatments of binge-eating disorder.
Predictors and moderators of outcomes were examined in 75 overweight patients with binge-eating disorder (BED) who participated in a randomized clinical trial of guided self-help treatments. Age variables, psychiatric and personality disorder comorbidity, and clinical characteristics were tested as predictors and moderators of treatment outcomes. Current age and age of BED onset did not predict outcomes. Key dimensional outcomes (binge frequency, eating psychopathology, and negative affect) were predominately predicted, but not moderated, by their respective pretreatment levels. Presence of personality disorders, particularly Cluster C, predicted both posttreatment negative affect and eating disorder psychopathology. Negative affect, but not major depressive disorder, predicted attrition, posttreatment negative affect, and eating disorder psychopathology. Despite the prognostic significance of these findings for dimensional outcomes, none of the variables tested were predictive of binge remission (i.e., a categorical outcome). No moderator effects were found. The present study found poorer prognosis for patients with negative affect and personality disorders, suggesting that treatment outcomes may be enhanced by attending to the cognitive and personality styles of these patients.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520-8098, USA. robin.masheb@yale.edu
Robin M
RM
Masheb
Carlos M
CM
Grilo
D000328:Adult; D001521:Behavior Therapy; D015992:Body Mass Index; D052018:Bulimia Nervosa / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D010352:Patient Dropouts / Q000523:psychology; D010554:Personality Disorders / Q000453:epidemiology / Q000523:psychology; D011379:Prognosis; D012648:Self Care / Q000523:psychology*; D055815:Young Adult