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Updated: May 13, 2025

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
Combining Cognitive-Behaviour Therapy With Mindfulness Training in a Digital Intervention for Binge Eating Disorder:
Margaret Sala1, Corey R Roos2, Hedy Kober3
1Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
A digital single-session intervention for binge-eating disorder (BED) combining cognitive behavioral therapy and mindfulness training showed high acceptability and feasibility. Participants experienced significant reductions in binge eating episodes and eating disorder symptoms after the intervention.
Area of Science:
- Psychiatry and Behavioral Science
- Digital Health Interventions
- Eating Disorders
Background:
- Digital interventions offer increased accessibility for mental health treatment.
- Binge-eating disorder (BED) is a prevalent eating disorder requiring accessible treatment options.
- Combining cognitive behavioral therapy (CBT) and mindfulness training may enhance therapeutic outcomes.
Purpose of the Study:
- To develop and test a single-session digital intervention for BED.
- To evaluate the acceptability and feasibility of the digital intervention.
- To assess the preliminary efficacy of the intervention in reducing binge eating and eating disorder symptoms.
Main Methods:
- A national sample of English-speaking adults meeting BED criteria participated.
- Participants completed a 60-minute digital single-session intervention.
- Acceptability, feasibility, binge eating episodes (EDE-Q), and eating disorder symptoms (EDE-Q, BES) were assessed pre-treatment and at 1-month follow-up.
Main Results:
- All 21 participants completed the intervention, indicating high feasibility.
- Acceptability ratings were excellent across all measured dimensions.
- Significant reductions were observed in binge eating episodes (d=0.86) and BES scores (d=0.91), with medium reductions in global eating disorder symptoms (d=0.55).
Conclusions:
- The single-session digital intervention for BED, Mindful Courage, demonstrates promising acceptability and feasibility.
- This pilot study suggests the intervention is preliminarily efficacious in reducing binge eating.
- Digital single-session interventions hold potential for accessible BED treatment.
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