The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study
Rémi Neveu1,2, Dorine Neveu3,4,5, Guillaume Barbalat6
1CNRS, UMR5292, INSERM, U1028, Université Lyon 1, Université de Lyon, Neuroscience Research Center, Team Olfaction: from coding to memory, Lyon, F-69366, France.
Plos One
|November 11, 2016
Summary
Sequential Binge (SB) shows promise for binge eating disorder patients unresponsive to cognitive behavioral therapy (CBT). This novel intervention significantly reduced food intake and binge frequency, with many achieving abstinence.
Area of Science:
- Behavioral psychology
- Eating disorder treatment
Background:
- Cognitive Behavioral Therapy (CBT) is a common treatment for binge eating, but a significant portion of patients do not respond.
- A novel behavioral intervention, Sequential Binge (SB), has been developed to complement CBT.
Purpose of the Study:
- To introduce the Sequential Binge (SB) intervention.
- To evaluate the preliminary effects of SB on binge eating episodes and food intake.
Main Methods:
- A prospective pilot study involving 15 patients with a history of unsuccessful intensive CBT.
- SB was administered as an adjunct to ongoing treatment, with follow-up assessments at 16 weeks post-admission and an average of 47 weeks post-discharge.
Main Results:
- SB was linked to a 44% reduction in planned food intake during binges (p<0.001).
- Patients experienced a significantly longer refractory period after SB (median 48 hours vs. 4 hours, p=0.002).
- A 26% average reduction in daily binge frequency was observed the day after SB (p=0.004), with 47% achieving four weeks of binge abstinence.
Conclusions:
- This case series suggests SB is a promising intervention for individuals with treatment-refractory binge eating.
- Further investigation through a prospective randomized controlled trial is warranted to confirm these findings.
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