Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder
Hilbert A, Herpertz S, Zipfel S, Tuschen-Caffier B, Friederich HC, Mayr A, Crosby RD, De Zwaan M (2019)
Publication Type: Journal article
Publication year: 2019
Journal
Book Volume: 50
Journal Issue: 1
DOI: 10.1016/j.beth.2018.03.013
Abstract
Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change including moderate and low decreasing as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (>= 10% reduction in binge eating at week 1, >= 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.
Authors with CRIS profile
Involved external institutions
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Sanford Research
United States (USA) (US)
Universität Leipzig
Germany (DE)
Albert-Ludwigs-Universität Freiburg
Germany (DE)
Universitätsklinikum Tübingen
Germany (DE)
Heinrich-Heine-Universität Düsseldorf
Germany (DE)
Ruhr-Universität Bochum (RUB)
Germany (DE)
Germany (DE)
Sanford Research
United States (USA) (US)
Universität Leipzig
Germany (DE)
Albert-Ludwigs-Universität Freiburg
Germany (DE)
Universitätsklinikum Tübingen
Germany (DE)
Heinrich-Heine-Universität Düsseldorf
Germany (DE)
Ruhr-Universität Bochum (RUB)
Germany (DE)
How to cite
APA:
Hilbert, A., Herpertz, S., Zipfel, S., Tuschen-Caffier, B., Friederich, H.-C., Mayr, A.,... De Zwaan, M. (2019). Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder. Behavior Therapy, 50(1). https://doi.org/10.1016/j.beth.2018.03.013
MLA:
Hilbert, Anja, et al. "Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder." Behavior Therapy 50.1 (2019).
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