January 20, 2010 The first randomized controlled trial to compare psychological treatments for binge eating disorder shows that, for most patients, guided self-help based on cognitive behavior therapy (CBTgsh) should be considered first-line treatment.

The study, led by G. Terence Wilson, PhD, Rutgers, The State University of New Jersey, Piscataway, compared 2-year results with CBTgsh, behavioral weight loss treatment (BWL), and interpersonal psychotherapy (IPT) in 205 patients with a body mass index (BMI) between 27 and 45 who met Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria for binge eating disorder. The main outcome variable was binge eating, assessed by the Eating Disorder Examination (EDE) semistructured interview.
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