Related Experiment Video
Updated: May 11, 2026

04:48
Control of Eating Behavior Using a Novel Feedback System
Published on: May 8, 2018
Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial
Lynn L Debar1, G Terence Wilson, Bobbi Jo Yarborough
1Kaiser Permanente Center for Health Research, Portland.
Cognitive and Behavioral Practice
|May 7, 2013
Summary
This study shows that cognitive behavioral therapy (CBT) significantly reduced binge eating in adolescent girls. A high percentage of participants remained abstinent after treatment, indicating CBT
Area of Science:
- Clinical Psychology
- Adolescent Psychiatry
- Eating Disorder Treatment
Background:
- Disordered eating, particularly binge eating, is prevalent in adolescents and young adults.
- Effective, targeted interventions are needed for this demographic.
Purpose of the Study:
- To develop and test an adolescent-specific manualized cognitive behavioral therapy (CBT) protocol for recurrent binge eating.
- To assess the feasibility, acceptability, and preliminary efficacy of this CBT protocol in a pilot randomized controlled trial.
Main Methods:
- A pilot randomized controlled trial was conducted with female adolescents diagnosed with recurrent binge eating.
- Participants were randomized to either the adolescent-specific CBT protocol or a treatment as usual/delayed treatment (TAU-DT) control group.
- Data on eating binges, treatment acceptability, and recruitment challenges were collected.
Main Results:
- The CBT group showed significantly fewer posttreatment eating binges compared to the TAU-DT group.
- 100% of participants in the CBT group achieved abstinence from binge eating at follow-up.
- The intervention demonstrated a large, robust effect size (NNT=2), comparable to major mental health interventions.
Conclusions:
- The adolescent-specific CBT protocol is a promising, evidence-based treatment for recurrent binge eating in female adolescents.
- The findings support the efficacy and acceptability of this adapted CBT approach.
- This intervention represents a significant advancement in addressing adolescent disordered eating.
Related Concept Videos
Binge Eating Disorders
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
Bulimia Nervosa
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
Rational Emotive Behavior Therapy
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert Ellis's...
Operant Conditioning Intervention
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
Cognitive Therapy
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
Behavior Therapy
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...

