An Open Trial Targeting Food Cue Reactivity and Satiety Sensitivity in Overweight and Obese Binge Eaters. Issue 3 (August 2017)

• Record Type: Journal Article
• Authors: Boutelle, Kerri N.; Knatz, Stephanie; Carlson, Jordan; Bergmann, Kristie; Peterson, Carol B.
• Is Part Of: Cognitive and behavioral practice. Volume 24:Issue 3(2017)
• Page Start: 363
• Page End: 373
• Publication Date: 2017-08
• Subjects: binge eating -- obesity -- appetite -- cue reactivity; Behavior therapy -- Periodicals; Cognitive therapy -- Periodicals; Behavior Therapy -- Periodicals; Cognitive Therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.cbpra.2016.08.003
• Languages: English
• ISSNs: 1077-7229

Abstract

Abstract: Data suggests that individuals who binge eat are more responsive to food cues in the environment and less sensitive to satiety cues. The aim of this open trial was to evaluate the feasibility, acceptability, and initial effectiveness of a novel treatment grounded in Schachter's externality theory targeting food cue reactivity and satiety responsiveness with obese adults who binge eat. Treatment was provided in groups, and utilized appetite monitoring, cue-exposure treatment, in vivo exercises, self-monitoring, and coping skills. Twenty-eight overweight and obese adults who binge eat (82% female; mean age = 47.5 years [SD = 12.8]; BMI = 38.9 [SD = 10.3]; 79% White non-Hispanic) participated in a 4-month group-based treatment program. Assessments were conducted at baseline, posttreatment, and 3-month follow-up time points. Results indicated that this treatment was well accepted and had high retention at posttreatment. Initial effectiveness showed significant decreases in BMI, and improvements in loss of control and overeating episodes, food responsiveness, and power of food. The majority of results were maintained at the 3-month follow-up time point. This open trial provides preliminary evidence for the feasibility, acceptability, and initial effectiveness of this treatment on both eating disorder symptoms and weight in obese adults who binge eat. Because these data are preliminary, further treatment development and randomized controlled studies are needed. Highlights: We tested a 4-month treatment targeting cue reactivity and satiety in binge eaters There was high retention, completion and acceptability Differences were seen on all study outcome pre- to post-treatment This model may offer an alternative model for treating binge eating