The efficacy of a transdiagnostic emotion regulation skills training in the treatment of binge-eating disorder-Results from a randomized controlled trial
Berking M, Eichler E, Naumann E, Svaldi J (2022)
Publication Type: Journal article
Publication year: 2022
Journal
DOI: 10.1111/bjc.12371
Abstract
Objectives Deficits in emotion regulation (ER) have been shown to be associated with binge-eating disorder (BED). To further clarify the causal nature of this association, we tested whether systematically enhancing ER skills would reduce symptoms of BED. Methods We randomly allocated N = 101 individuals meeting the criteria for BED to a transdiagnostic ER skills training or to a waitlist control condition (WLC). Primary outcome was the reduction in binges during the treatment-vs.-waiting period as assessed with the Eating Disorder Examination (EDE) interview. Results Mixed-model ANOVAs indicated that the average pre-to-post decrease in binges assessed with the EDE was significantly greater in the ER skills training condition than in the WLC (d = 0.66). These effects were stable over the 6-month follow-up period (d = 0.72). Remission rates at post/follow-up were 34.4/45.0% in the skills training and 7.5/20.0% in the WLC. Additionally, we found a greater reduction in general eating disorder psychopathology, of food consumption in a bogus taste test and of depression in the ER skills training condition. Moreover, the greater reduction in binge-eating episodes in the training condition was (partially) mediated by a greater increase in ER skills. Conclusions The findings provide further support for the assumed importance of deficits in ER as a maintaining factor and, hence, as a target in the treatment of BED. As ER skills trainings have been shown to also reduce other kinds of psychopathology, they might be considered a promising transdiagnostic add-on component to disorder-specific interventions.
Authors with CRIS profile
Matthias Berking
Lehrstuhl für Klinische Psychologie und Psychotherapie
Eva Eichler
Lehrstuhl für Klinische Psychologie und Psychotherapie
Additional Organisation(s)
Involved external institutions
Germany (DE)How to cite
APA:
Berking, M., Eichler, E., Naumann, E., & Svaldi, J. (2022). The efficacy of a transdiagnostic emotion regulation skills training in the treatment of binge-eating disorder-Results from a randomized controlled trial. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12371
MLA:
Berking, Matthias, et al. "The efficacy of a transdiagnostic emotion regulation skills training in the treatment of binge-eating disorder-Results from a randomized controlled trial." British Journal of Clinical Psychology (2022).
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