title: Short-term cognitive-behavioral therapy for binge eating disorder: long-term efficacy and predictors of long-term treatment success.
abstract: The present study evaluates the long-term efficacy (four years after treatment) of a short-term Cognitive-Behavioral Treatment (CBT) of Binge Eating Disorder (BED). We examined patient characteristics, mostly measured at the end of treatment, for their predictive value of long-term success. Forty-one BED-patients between 18 and 70 years took part in a randomized controlled trial (RCT) for a short-term treatment and were evaluated until 4 years after treatment. Assessments comprised structured interviews on comorbid mental disorder/eating disorder pathology and questionnaires on eating disorder pathology/general psychopathology. BED core symptoms and associated psychopathology improved substantially during treatment phase and further improved or at least remained stable during the follow-up period. End of treatment predictors for long term success were elevated weight and eating concern and higher frequency of objective binges. Tailoring additional interventions to patients' individual needs could further improve treatment efficacy.
authors.affiliation: Department of Child and Adolescent Psychiatry of the University of Basel (UPK Basel), Switzerland; University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland.
authors.forename: Sophia
authors.initials: S
authors.lastname: Fischer
authors.affiliation: University of Basel, Department of Psychology, Division of Clinical Psychology and Epidemiology, Switzerland. Electronic address: andrea.meyer@unibas.ch.
authors.forename: Andrea H
authors.initials: AH
authors.lastname: Meyer
authors.affiliation: University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland.
authors.forename: Daniela
authors.initials: D
authors.lastname: Dremmel
authors.affiliation: Psychiatric Women's Clinic of Meissenberg, Switzerland.
authors.forename: Barbara
authors.initials: B
authors.lastname: Schlup
authors.affiliation: University of Fribourg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Switzerland. Electronic address: simone.munsch@unifr.ch.
authors.forename: Simone
authors.initials: S
authors.lastname: Munsch
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000150:complications / Q000628:therapy; D056912:Binge-Eating Disorder / Q000150:complications / Q000628:therapy*; D015992:Body Mass Index; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000150:complications / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011614:Psychotherapy, Brief; D011788:Quality of Life; D020377:Self Efficacy; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Binge Eating Disorder; Efficacy; Long-term outcome; Predictor; Short-term CBT