Residential cognitive‐behavioral weight‐loss intervention for obesity with and without binge‐eating disorder: A prospective case–control study with five‐year follow‐up. Issue 7 (20th May 2016)

• Record Type: Journal Article
• Authors: Calugi, Simona; Ruocco, Antonella; El Ghoch, Marwan; Andrea, Coppini; Geccherle, Eleonora; Sartori, Federica; Dalle Grave, Riccardo
• Is Part Of: International journal of eating disorders. Volume 49:Issue 7(2016)
• Page Start: 723
• Page End: 730
• Publication Date: 2016-05-20
• Subjects: binge‐eating disorder -- residential treatment -- obesity -- weight loss -- cognitive‐behavioral treatment; Appetite disorders -- Periodicals; Ingestion disorders -- Periodicals; Eating disorders -- Periodicals; 616.8526
• DOI: 10.1002/eat.22549
• Languages: English
• ISSNs: 0276-3478

Abstract

ABSTRACT: Objective: The aim of this prospective case–control study was to compare the long‐term effects of a residential cognitive‐behavioral treatment (CBT) for weight loss in severely obese patients with and without binge‐eating disorder (BED). Methods: We assessed weight‐loss outcomes and psychological impairment in 54 severely obese female patients with BED and 54 patients matched by age, gender, and body mass index (BMI) without BED admitted to a residential CBT program. Body weight was measured at baseline and at 6‐month follow‐up and was reported by patients in a telephone interview at 5‐year follow‐up. Depression, eating disorder psychopathology, general psychopathology, and quality of life were assessed using validated instruments at baseline and at 6‐month follow‐up. Results: Obese patients with and without BED had similar weight loss at 6‐month and 5‐year follow‐ups. Although both groups showed improved psychosocial variables, at 6 months the BED group maintained higher psychological impairment. Nevertheless, at 5‐year follow‐up more than half of the BED participants were no longer classifiable as having BED. Discussion: The presence of BED does not affect weight‐loss outcome in obese patients treated with the residential CBT for weight loss program considered. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:723–730)