The aim of the proposed study is to improve treatments for binge eating disorder, which is characterized by episodes of binge eating with perceived loss of control. Binge eating is associated with relatively severe obesity and is accompanied by psychological symptoms that resemble those in bulimia nervosa. Improved treatment may reduce these psychological risks as well as the physiological risks associated with obesity and weight cycling. The proposed study will test the additive effects of different intervention components for binge eating disorder; cognitive-behavioral treatment, an exercise component, and a posttreatment maintenance component. A total of 200 overweight females who meet DSM-IV criteria for binge eating disorder will be assigned to five intervention groups; (1) cognitive behavioral treatment (CBT) with exercise and maintenance treatment; (20 CBT with exercise and no maintenance; (3) CBT without exercise but with maintenance; (4) CBT with neither exercise nor maintenance; and (5) waiting list control. The treatment phase will last for 4 months and the maintenance phase will last for 6 months. All subjects will be assessed 6 months after the maintenance period ends. The main hypotheses are: (1) Interventions with an exercise component will reduce binge eating frequency and improve psychological state to a greater extend than interventions without an exercise component; and (2) Interventions with a maintenance component will improve long-term outcomes compared to a no-contact condition.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK046816-03
Application #
2331444
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1995-02-01
Project End
1998-01-31
Budget Start
1997-02-01
Budget End
1998-01-31
Support Year
3
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Baylor College of Medicine
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
074615394
City
Houston
State
TX
Country
United States
Zip Code
77030
Goodrick, G K; Poston 2nd, W S; Foreyt, J P (1996) Methods for voluntary weight loss and control: update 1996. Nutrition 12:672-6