The use of a manual-driven group cognitive behavior therapy in a Brazilian sample of obese individuals with binge-eating disorder

Author:

Duchesne Mônica1,Appolinario José Carlos1,Rangé Bernard Pimentel2,Fandiño Julia1,Moya Tatiana3,Freitas Silvia R3

Affiliation:

1. Universidade Federal do Rio de Janeiro, Brazil; State Institute of Diabetes and Endocrinology of Rio de Janeiro, Brazil

2. Universidade Federal do Rio de Janeiro, Brazil

3. State Institute of Diabetes and Endocrinology of Rio de Janeiro, Brazil

Abstract

OBJECTIVE: To assess the effectiveness of a manual-based cognitive behavior therapy adapted to a group format in a sample of Brazilian obese subjects with binge-eating disorder. METHOD: In an open trial, 21 obese subjects with binge-eating disorder received a group cognitive-behavioral therapy program. Changes in binge-eating frequency, weight, body shape concerns, and depressive symptoms were compared between baseline and the end of the study. RESULTS: The mean frequency of binge-eating episodes significantly decreased from baseline to post-treatment (p < 0.001), with a binge eating remission rate of 76.1% at the end of the trial. Depressive symptoms and body shape concern also improved (p < 0.001). In addition, weight loss was statistically and clinically significant. CONCLUSION: The use of this adapted manual-based cognitive behavior therapy in this sample resulted in a marked improvement in binge-eating, weight, body shape concern, and depressive symptoms related to binge-eating disorder.

Publisher

FapUNIFESP (SciELO)

Subject

Psychiatry and Mental health

Reference17 articles.

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3. O transtorno do comer compulsivo no consultório endocrinológico: comunicação preliminar;Appolinario JC;J Bras Psiquiatr,1995

4. Practice guideline for the treatment of patients with eating disorders,2006

5. Relationship between binge-eating episodes and self-perception of body weight in a nonclinical sample of five Brazilian cities;Siqueira KS;Rev Bras Psiquiatr,2005

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