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Randomized Controlled Trial of Weight Management Versus Weight Management With Concurrent Cognitive-Behavioral
Robin M Masheb1,2, Eugenia Buta2, Jennifer L Snow1
1VA Connecticut Healthcare System, West Haven, Connecticut, USA.
The International Journal of Eating Disorders
|June 9, 2025
Summary
Adding cognitive-behavioral therapy (CBT) to weight management significantly reduced eating disorder psychopathology in Veterans with binge-eating disorder (BED). While CBT improved specific outcomes, it did not enhance weight loss.
Area of Science:
- Psychiatry
- Behavioral Science
- Clinical Psychology
Background:
- Binge-eating disorder (BED) is prevalent among US military Veterans with high weight.
- Effective interventions are needed to address BED within weight management programs.
Purpose of the Study:
- To evaluate the effectiveness of adding brief cognitive-behavioral therapy (CBT) to a weight management program for Veterans with BED.
- To assess the impact on eating disorder psychopathology, binge eating frequency, and weight outcomes.
Main Methods:
- 109 Veterans with DSM-5 BED were randomized to either a weight management program (MOVE!) or MOVE! plus brief CBT.
- Outcomes including eating disorder psychopathology, binge eating, mental health, quality of life, and weight were assessed at baseline, 3, 9, and 15 months.
Main Results:
- The MOVE! + CBT group showed significantly lower eating disorder psychopathology at all post-randomization time points compared to MOVE! alone.
- No significant differences were found between groups in binge-eating frequency.
- MOVE! + CBT demonstrated higher remission rates and superiority in eating-, weight-, and shape-related outcomes, though weight loss was not significantly enhanced.
Conclusions:
- Concurrent CBT with weight management significantly improves eating disorder psychopathology and related outcomes in Veterans with BED.
- The findings support the integration of CBT into weight management for this population.
- Evidence-based guidance is provided for addressing BED in high-weight Veterans.
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