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Titre du document / Document title

A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder

Auteur(s) / Author(s)

WILFLEY Denise E. (1) ; WELCH R. Robinson (1) ; STEIN Richard I. (1) ; SPURRELL Emily Borman (2) ; COHEN Lisa R. (3) ; SAELENS Brian E. (4) ; DOUNCHIS Jennifer Zoler (1) ; FRANK Mary Ann (5) ; WISEMAN Claire V. (6) ; MATT Georg E. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California, San Diego, ETATS-UNIS
(2) Brown University, Providence, ETATS-UNIS
(3) Anxiety and Traumatic Stress Program, Payne Whitney Clinic, New York Presbyterian Hospital, New York City, ETATS-UNIS
(4) Division of Psychology, Children's Hospital Medical Center, Cincinnati, Ohio, ETATS-UNIS
(5) Department of Psychology, Yale University, New Haven, Conn., ETATS-UNIS
(6) Department of Psychology, Trinity College, Hartford, Conn., ETATS-UNIS

Résumé / Abstract

Background: Cognitive-behavioral therapy (CBT) has documented efficacy for the treatment of binge-eating disorder (BED). Interpersonal psychotherapy (IPT) has been shown to reduce binge eating but its long-term impact and time course on other BED-related symptoms remain largely unknown. This study compares the effects of group CBT and group IPT across BED-related symptoms among overweight individuals with BED. Methods: One hundred sixty-two overweight patients meeting DSM-IV criteria for BED were randomly assigned to 20 weekly sessions of either group CBT or group IPT. Assessments of binge eating and associated eating disorder psychopathology, general psychological functioning, and weight occurred before treatment, at posttreatment, and at 4-month intervals up to 12 months following treatment. Results: Binge-eating recovery rates were equivalent for CBT and IPT at posttreatment (64 [79%] of 81 vs 59 [73%] of 81) and at 1-year follow-up (48 [59% of 81 vs 50 [62%] of 81). Binge eating increased slightly through follow-up but remained significantly below pretreatment levels. Across treatments, patients had similar significant reductions in associated eating disorders and psychiatric symptoms and maintenance of gains through follow-up. Dietary restraint decreased more quickly in CBT but IPT had equivalent levels by later follow-ups. Patients' relative weight decreased significantly but only slightly, with the greatest reduction among patients sustaining recovery from binge eating from posttreatment to 1-year follow-up. Conclusions: Group IPT is a viable alternative to group CBT for the treatment of overweight patients with BED. Although lacking a nonspecific control condition limits conclusions about treatment specificity, both treatments showed initial and long-term efficacy for the core and related symptoms of BED.

Revue / Journal Title

Archives of general psychiatry    ISSN  0003-990X   CODEN ARGPAQ 

Source / Source

2002, vol. 59, no8, pp. 713-721 (42 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Medical Association, Chicago, IL, ETATS-UNIS  (1960-2012) (Revue)

Mots-clés anglais / English Keywords

Eating disorder

;

Human

;

Follow up study

;

Treatment efficiency

;

Symptomatology

;

Evolution

;

Behavior therapy

;

Cognitive therapy

;

Comparative study

;

Interpersonal relation

;

Group psychotherapy

;

Treatment

;

Overweight

;

Binge eating

;

Mots-clés français / French Keywords

Trouble comportement alimentaire

;

Homme

;

Etude longitudinale

;

Efficacité traitement

;

Symptomatologie

;

Evolution

;

Thérapie comportementale

;

Thérapie cognitive

;

Etude comparative

;

Relation interpersonnelle

;

Psychothérapie groupe

;

Traitement

;

Surcharge pondérale

;

Frénésie alimentaire

;

Mots-clés espagnols / Spanish Keywords

Trastorno conducta alimentaria

;

Hombre

;

Estudio longitudinal

;

Eficacia tratamiento

;

Sintomatología

;

Evolución

;

Terapia conductual

;

Terapia cognitiva

;

Estudio comparativo

;

Relación interpersonal

;

Psicoterapia grupal

;

Tratamiento

;

Sobrecarga ponderal

;

Frenesí alimenticio

;

Localisation / Location

INIST-CNRS, Cote INIST : 2048 A, 35400010907286.0040

Nº notice refdoc (ud4) : 13845445



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