Problem Area: Binge Eating Disorder
Treatment: Cognitive Behavioral Therapy for Binge Eating Disorder
EST Status: Strong Research SupportStrong: Support from two well-designed studies conducted by independent investigators.
Modest: Support from one well-designed study or several adequately designed studies.
Controversial: Conflicting results, or claims regarding mechanisms are unsupported.
- Basic premise: Dietary restraint leads to binge eating, which leads to further dietary restraint. Thus, reducing dietary restriction via cognitive and behavioral interventions can reduce binge eating.
- Essence of therapy: Dietary restraint promotes and maintains binge eating pathology; thus, the treatment is designed to reduce dietary restraint through behavioral strategies (e.g., self-monitoring of behaviors, normalizing patterns of eating). The treatment also includes modifying dysfunctional thoughts and beliefs about one’s body shape and weight, which is also designed to reduce eating disorder pathology.
- Length: Approx. 16 sessions
Editors: Evan Forman, PhD; Stephanie Manasse, MS
Note: The resources provided below are intended to supplement not replace foundational training in mental health treatment and evidence-based practice
Treatment Manuals / Outlines
- CBT for BED Group Treatment Manual (Mitchell)
Measures, Handouts and Worksheets
- CBT for BED Self-Help Manual (Mitchell)
- Overcoming Binge Eating: The Proven Program to Learn Why You Binge and How You Can Stop (Fairburn)
Important Note: The books listed above are based on empirically-supported in-person treatments. They have not necessarily been evaluated empirically either by themselves or in conjunction with in-person treatment. We list them as a resource for clinicians who assign them as an adjunct to conducting in-person treatment.
- A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders (Fairburn et al., 2015)
- Efficacy of cognitive behavioral therapy and fluoxetine for the treatment of binge eating disorder: A randomized double-blind placebo-controlled comparison (Grilo, Masheb, & Wilson, 2005)
- A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder (Wilfley et al., 2002)
- A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder (Munsch et al., 2007)
- Weight loss, cognitive-behavioral, and desipramine treatments in binge eating disorder: An additive design (Agras et al., 1994)
Other Treatment Resources
- Psychological treatments for binge eating disorder (Iacovino et al., 2012)
- Body image interventions in cognitive-behaviourial therapy of binge eating disorder: A component analysis (Hilbert & Tuschen-Caffier, 2004)
- Effectiveness of spouse involvement in cognitive behavioral therapy for binge eating disorder (Gorin, le Grange, & Stone, 2003)