Medication Only
|
Brennan et al., 2008 |
Memantine (5–20 mg/d) open label for 12 weeks |
Memantine associated with decreased binge frequency and related psychological features of binge eating (BE) in open label trial |
Guerdjikova et al., 2008 |
Escitalopram 10–30 mg/d vs. placebo for 12 weeks |
Escitalopram significantly better than placebo in reducing weight, BMI, illness severity |
Guerdjikova et al. 2009 |
Lamotrigine 50–400 mg/d vs. placebo for 16 weeks |
Lamotrigine not significantly different from placebo |
McElroy et al., 2006 |
Zonisamide 100–600 mg/d vs. placebo for 16 weeks |
Zonasamide significantly better than placebo in reducing BE, weight, BMI, various aspects of unhealthy eating behavior |
McElroy, Guerdjikova et al., 2007 |
Atomoxetine 40–120 mg/d vs. placebo for 10 weeks |
Atomoxetine significantly better than placebo in reducing BE, weight, BMI, obsessive-compulsive features of binge eating, and in remission |
McElroy, Hudson et al., 2007 |
Topiramate 25–400 mg/d vs. placebo for 16 weeks |
Topiramate significantly better than placebo in reducing BE, weight, BMI, and related psychological features of BE |
Wilfley et al., 2008 |
Sibutramine 15 mg/d vs. placebo for 24 weeks |
Sibutramine significantly better than placebo in reducing BE, weight, BMI, and related psychological features of BE |
|
Behavioral Only
|
Annunziato et al., 2009 |
2 Groups received CBT and hypocaloric diet for 8 weeks followed by 14 weeks of either: Group 1: Enhanced nutritional program (i.e., reduced consumption of high energy density foods and once daily liquid meal replacement) G2: Control (normal diet) |
Enhanced nutritional program not significantly different than control in reducing weight, BE, or related psychological features of BE; variability in adherence to the enhanced nutritional program was identified as a significant effect modifier |
Ashton et al., 2009 |
4 sessions of group CBT in open trial |
CBT associated with significant reductions in BE and related psychological features of BE in post-bariatric surgery patients |
Cassin et al., 2008 |
Self-help book + motivational interviewing (SH-MI) vs. Self-help book alone (SH) for 16 weeks |
SH-MI significantly better than SH in reducing BE and depression |
Dingemans et al., 2007 |
CBT vs. waitlist control |
CBT significantly better than waitlist in reducing BE and related psychological features of BE, and in achieving abstinence from BE |
Friederich et al., 2007 |
15-session CBT supplemented with nutritional counseling and supervised walking program; no control group |
Treatment significantly reduced weight, BE, and related psychological features of BE in patients meeting sub-threshold and full criteria for BE disorder |
Grilo & Masheb, 2005 |
Guided self-help CBT (CBTgsh) vs. Guided self-help behavioral weight loss (BWLgsh) vs. non-specific attention control for 12 weeks |
CBTgsh significantly better than BWLgsh and control in BE remission; CBTgsh significantly better than BWLgsh, which was significantly better than control, in reducing cognitive restraint; CBTgsh significantly better than control in reducing depression and eating related psychopathology; no differences between groups in BMI change |
Ricca et al., 2010 |
Individual (I-CBT) vs. group CBT (G-CBT) for 24 weeks in patients meeting sub-threshold and full criteria for BE disorder |
BE and BMI significantly reduced in both groups at 24 weeks and 3-yr follow up. I-CBT not better than G-CBT in reducing BE or weight at 24 weeks or 3-yr follow up; I-CBT significantly better than G-CBT in reducing eating related psychopathology at 24 weeks and 3-yr follow up; I-CBT significantly better than G-CBT in recovery (i.e., no longer meeting full BE disorder criteria) at 24 weeks but not at 3-yr follow up |
Schlup et al., 2009 |
8 weekly sessions of group CBT vs. waitlist control |
CBT significantly better than waitlist control in reducing BE and eating concerns and in achieving abstinence at end of treatment; CBT not different than control in reducing BMI; treatment-related reductions in BE and eating concerns maintained at 12-month follow up |
Shapiro et al., 2007 |
10 weekly sessions of group CBT (G-CBT) vs. CD-ROM delivered CBT (CD-CBT) vs. waitlist control |
G-CBT and CD-DBT not different from each other but both significantly better than waitlist control in reducing BE |
Tasca et al., 2006 |
Group CBT (G-CBT) vs. Group psychodynamic interpersonal therapy (G-IPT) vs. waitlist control for 16 weeks |
G-CBT and G-IPT not different from each other; G-CBT and G-IPT significantly better than waitlist control in reducing BE, cognitive restraint, and interpersonal problems but not BMI; depression significantly reduced in both groups at 6 months but only in G-IPT at 12-month follow up; reductions in BE maintained at 12-month follow up |
Wilson et al., 2010 |
10 sessions of guided self-help CBT (CBTgsh) vs. 20 sessions of interpersonal therapy (IPT) vs. 20 sessions of behavioral weight loss (BWL) over 6 months |
BWL significantly better than IPT and CBTgsh in reducing BMI and in number of patients achieving 5% weight loss at post-treatment but effects not sustained over time; BWL significantly better than CBTgsh in increasing dietary restraint |
|
Medication Plus Behavioral
|
Brambilla et al., 2009 |
3 Groups treated for 6 months:
Group 1: CBT + topiramate (25–150 mg/d) + reduced calorie diet
Group 2: CBT + sertraline (50–150 mg/d) + reduced calorie diet
Group 3: CBT + nutritional counseling
|
Weight, BMI, and related psychological features of BE reduced significantly in Group 1 only |
Claudino et al., 2007 |
|
Significant reductions in BE and depression in both groups; topiramate significantly better than placebo in reducing weight and in BE remission |
Devlin et al., 2005 |
4 Groups, all received behavioral weight control intervention for 16 weeks plus either:
|
CBT (group 1 and 2) significantly better than non-CBT groups (3 and 4) in reducing BE and achieving abstinence from BE; fluoxetine significantly better than placebo in reducing depression |
Golay et al., 2005 |
Hypocaloric diet + orlistat (120 mg/d) vs. Hypocaloric diet + placebo for 24 weeks |
Orlistat not different from placebo in reducing the number of patients classified with BED; orlistat significantly better than placebo in reducing weight and body fat |
Molinari et al., 2005 |
3 Groups, all received nutritional and diet counseling for 12 months plus either:
|
At 12 months, CBT (Group 1 and 3) associated with lower BE frequency and greater % weight loss than fluoxetine |