The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study.
A sizeable proportion of patients experiencing binge eating do not respond to cognitive behavioral therapy (CBT). We present the sequential binge (SB), a new behavioral intervention that complements CBT, and preliminary results of its effects. SB breaks up the binge into repeated identical sequences...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5104394?pdf=render |
| _version_ | 1818290395033894912 |
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| author | Rémi Neveu Dorine Neveu Guillaume Barbalat Ulrike Schmidt Giorgio Coricelli Alain Nicolas |
| author_facet | Rémi Neveu Dorine Neveu Guillaume Barbalat Ulrike Schmidt Giorgio Coricelli Alain Nicolas |
| author_sort | Rémi Neveu |
| collection | DOAJ |
| description | A sizeable proportion of patients experiencing binge eating do not respond to cognitive behavioral therapy (CBT). We present the sequential binge (SB), a new behavioral intervention that complements CBT, and preliminary results of its effects. SB breaks up the binge into repeated identical sequences of eating separated by incremental pauses. This pattern of ingestion aims at facilitating boredom toward the ingested foods and at turning cognitive control away from binge food restriction. SB is hypothesized to reduce food intake during the binge and the number of daily binges.Prospective pilot study. Fifteen binging patients with previous unsuccessful intensive CBT were given SB as an adjunct to their treatment and were followed up for 16 weeks from admission. All patients were reassessed 47 weeks on average after discharge.SB was associated with a 44% relative reduction in the planned food intake (p<0.001), a longer consecutive binge refractory period compared to regular binges (median: 48 hours versus 4 hours, p = 0.002) and an average relative reduction by 26% of binge number the day after each SB (p = 0.004). 47% of patients reached binge abstinence for four consecutive weeks 16 weeks after the first SB.This case series shows promising evidence for the use of SB in patients with refractory binge eating. Further evaluation in a prospective randomized controlled trial would be justified. |
| first_indexed | 2024-12-13T02:27:29Z |
| format | Article |
| id | doaj.art-f629509ea441480a9612403df8b5959e |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T02:27:29Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-f629509ea441480a9612403df8b5959e2022-12-22T00:02:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011111e016569610.1371/journal.pone.0165696The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study.Rémi NeveuDorine NeveuGuillaume BarbalatUlrike SchmidtGiorgio CoricelliAlain NicolasA sizeable proportion of patients experiencing binge eating do not respond to cognitive behavioral therapy (CBT). We present the sequential binge (SB), a new behavioral intervention that complements CBT, and preliminary results of its effects. SB breaks up the binge into repeated identical sequences of eating separated by incremental pauses. This pattern of ingestion aims at facilitating boredom toward the ingested foods and at turning cognitive control away from binge food restriction. SB is hypothesized to reduce food intake during the binge and the number of daily binges.Prospective pilot study. Fifteen binging patients with previous unsuccessful intensive CBT were given SB as an adjunct to their treatment and were followed up for 16 weeks from admission. All patients were reassessed 47 weeks on average after discharge.SB was associated with a 44% relative reduction in the planned food intake (p<0.001), a longer consecutive binge refractory period compared to regular binges (median: 48 hours versus 4 hours, p = 0.002) and an average relative reduction by 26% of binge number the day after each SB (p = 0.004). 47% of patients reached binge abstinence for four consecutive weeks 16 weeks after the first SB.This case series shows promising evidence for the use of SB in patients with refractory binge eating. Further evaluation in a prospective randomized controlled trial would be justified.http://europepmc.org/articles/PMC5104394?pdf=render |
| spellingShingle | Rémi Neveu Dorine Neveu Guillaume Barbalat Ulrike Schmidt Giorgio Coricelli Alain Nicolas The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. PLoS ONE |
| title | The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. |
| title_full | The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. |
| title_fullStr | The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. |
| title_full_unstemmed | The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. |
| title_short | The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study. |
| title_sort | sequential binge a new therapeutic approach for binge eating a pilot study |
| url | http://europepmc.org/articles/PMC5104394?pdf=render |
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