Binge-Eating Disorder Clinical Trial
Official title:
Deficits in Emotion Regulation Skills as a Maintaining Factor in Binge Eating Disorder
The effectiveness of a systematic affect regulation training (ART; Berking, 2010) is evaluated with regard to reducing symptoms of binge eating disoder in a randomized controlled trial.
Evidence suggests that deficits in affect regulation play an important role in the
development and maintenance of binge eating disorder (BED). Thus, we aim to clarify whether
BED symptoms can be reduced with the help of a training of general affect regulation skills.
For this purpose, we randomly allocated N = 99 individuals meeting criteria for BED either to
an affect regulation training (ART) or to a wait list control condition (WLC). Primary
outcome is the reduction of binges during the treatment-vs.-waiting period as assessed with
the Eating Disorder Examination (EDE) interview. Secondary outcomes include BED symptom
severity at follow-up and change in emotion regulation skills. To clarify whether potential
differences between groups regarding change in binge eating result from a greater increase of
affect regulation skills in ART, we will test whether potential group differences regarding
binges will be mediated by differences between groups regarding change in affect regulation
skills.
Change of randomization procedure: Over the course of the study, serious difficulties
occurred with regard to recruiting participants as quickly as necessary to avoid drop-outs
due to participants' unwillingness to wait until eight individuals were recruited for
randomization. To solve the problem, we switched from the original block randomization to a
procedure in which the next patient eligible for the study was allocated to the treatment
condition until the minimum group size of four was reached.
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