title: Binge abstinence is associated with reduced energy intake after treatment in patients with binge eating disorder and obesity.
abstract: OBJECTIVE
  Binge eating disorder (BED) is strongly associated with obesity and related medical and psychiatric morbidities. Cognitive behavioral therapy (CBT) has consistently been shown to reduce binge eating frequency and improve psychological functioning, as well as to produce abstinence rates of roughly 50%. This study examined the relationship between binge abstinence and dietary and psychological outcomes after CBT for BED.
  
  
  METHODS
  Fifty adult patients with BED received 6-month treatments using a combination of CBT and dietary counseling. Trained interviewers conducted two 24-hour dietary recall interviews on randomly selected days at baseline and at 6 months.
  
  
  RESULTS
  Participants had significant reductions in energy, macronutrient, and sugar intake and an increase in fruit intake. They reported significant reductions in BMI and binge eating frequency (from mean = 14.24 to mean = 1.90 binge eating episodes during the previous 28 days), as well as improvements in psychological functioning. Those who became binge abstinent reported eating roughly 400 fewer calories per day and experienced greater improvements in psychological functioning than those who did not.
  
  
  CONCLUSIONS
  Findings from this study suggest that individuals who achieve complete cessation from binge eating have significantly improved dietary and psychological outcomes that could potentially improve weight status, compared with those who continue to binge eat post-treatment.
authors: Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.|VA Connecticut Healthcare System, West Haven, Connecticut, USA.
authors: Robin M
authors: RM
authors: Masheb
authors: Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.|VA Connecticut Healthcare System, West Haven, Connecticut, USA.
authors: Lindsey M
authors: LM
authors: Dorflinger
authors: Department of Nutritional Sciences, The Pennsylvania State University, Pennsylvania, USA.
authors: Barbara J
authors: BJ
authors: Rolls
authors: Department of Nutritional Sciences, The Pennsylvania State University, Pennsylvania, USA.
authors: Diane C
authors: DC
authors: Mitchell
authors: Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
authors: Carlos M
authors: CM
authors: Grilo
mesh_terms: D000328:Adult; D056912:Binge-Eating Disorder / Q000523:psychology / Q000628:therapy*; D001835:Body Weight; D002032:Bulimia / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D004032:Diet; D019422:Dietary Sucrose / Q000008:administration & dosage; D004435:Eating / Q000523:psychology; D002149:Energy Intake; D005221:Fatigue; D005260:Female; D005638:Fruit; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D019422:Dietary Sucrose