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Updated: Mar 9, 2026

Control of Eating Behavior Using a Novel Feedback System

Control of Eating Behavior Using a Novel Feedback System

Published on: May 8, 2018

Wise Eating: A Guided Dialectical Behavior Therapy-Based APP for Binge Eating-A Randomized Controlled Trial.

Wanqing Huang^1,2, Zheng Zhang¹, Hui Han¹

¹Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

The International Journal of Eating Disorders

|March 8, 2026

Summary

A digital dialectical behavior therapy (DBT) program significantly reduced binge-eating symptoms in Chinese adults. This WeChat-based intervention showed lasting effects and high user satisfaction, indicating its potential for widespread use.

Keywords:

binge eating dialectical behavior therapy digital self‐help intervention eating disorders guided self‐help randomized controlled trial

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Area of Science:

Psychiatry
Digital Health
Behavioral Therapy

Background:

Binge eating is a significant concern among adults.
Digital interventions offer scalable solutions for mental health challenges.
Dialectical Behavior Therapy (DBT) principles have shown promise in treating eating disorders.

Purpose of the Study:

To evaluate the effectiveness of a digital self-help intervention based on DBT principles for reducing binge-eating symptoms.
To assess the intervention's impact on eating disorder psychopathology, emotion regulation, impulsivity, depression, and anxiety.
To explore user experience and perceived helpfulness of the digital intervention.

Main Methods:

A randomized controlled trial involving 101 adult females with binge-eating-related disorders.
Participants were assigned to a 4-week DBT-based WeChat mini-program or a psychoeducation control group.
Primary outcome: binge-eating severity (BES). Secondary outcomes: EDE-Q, DERS-16, BIS-11, PHQ-9, GAD-7. Follow-up at 1 and 3 months.

Main Results:

The DBT intervention group showed significantly greater reductions in binge-eating severity compared to the control group (Cohen's d = 1.07, p = 0.013).
Both groups improved in eating disorder cognitions, but emotion regulation, impulsivity, and mood symptoms did not significantly change.
Intervention effects on binge-eating and EDE-Q were maintained at 1 and 3-month follow-ups. Qualitative data indicated high usability and perceived helpfulness.

Conclusions:

The "Wise Eating" program, a low-intensity DBT-based intervention delivered via WeChat, is a feasible, scalable, and culturally relevant option for binge eating in China.
Preliminary evidence supports its effectiveness in reducing binge-eating severity.
Future research should focus on diverse samples, longer intervention durations, and enhanced engagement strategies.