The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study

Neveu, Rémi; Neveu, Dorine; Barbalat, Guillaume; Schmidt, Ulrike; Coricelli, Giorgio; Nicolas, Alain

doi:10.1371/journal.pone.0165696

Cited by 4 publications

(24 citation statements)

References 48 publications

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“…The differences observed between patients viewed as impulsive, like BN, and healthy individuals in tasks assessing cognitive control abilities may be due to a difference in the goals pursued at the time of assessment: BN may have two goals (one for managing binge craving present before the task and the other one to achieve the task), while healthy participants only have one goal (to achieve the task). Second, interventions might be more efficient if clinicians would tackle goal-oriented processes occurring specifically during binges as we have suggested [ 39 ]. Accordingly, the mixed results obtained in BN and in addictions with neurostimulation techniques targeting the left dlPFC [ 40 , 41 ] only, might be explained by the fact that this region is also involved in the execution of maladaptive behavior and is a subpart of the dysfunctional network built at least of the vmPFC, the left dlPFC and the connectivity between these two brain regions, this later having been highlighted in other anxio-depressive disorders [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Goal Directed and Self-Control Systems in Bulimia Nervosa: An fMRI Study

Neveu

Carrier

et al. 2018

EBioMedicine

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BackgroundBinge eating is apparently the opposite of the strict control over food intake typically set by “maladaptive dieters”. Using functional magnetic resonance imaging (fMRI), we investigated the role of goal-directed behaviors, and the related use of self-control, in binge-related food choices in patients with Bulimia Nervosa (BN).MethodWhile undergoing fMRI, women aged 18–35 with BN (N = 35) and healthy control women (N = 26) rated foods for healthiness and tastiness and then made food choices on a 5 points Likert scale between two conflicting options: one food with lower healthiness and higher tastiness (defined as uncontrolled choice) than the other food (defined as controlled choice).ResultsBN and healthy participants made more uncontrolled than controlled choices (63% vs 24% and 65% vs 18% respectively). While healthy participants used only food tastiness (chose tastier foods more often) to make food choices (p < .001), BN patients used both food healthiness (chose unhealthy food more often, p < .001) and food tastiness (p < .001) to make binge-related food choices. Activity in the ventromedial prefrontal cortex (vmPFC), which correlated with food choices (pFWE = 0.02), reflected this difference in the integration of food healthiness and food tastiness into a decision value. Functional connectivity analysis showed that the activity in the dorsolateral prefrontal cortex was coupled with vmPFC activity in uncontrolled food choices (pFWE = 0.03).InterpretationContrary to what might be expected, not only food tastiness but also unhealthiness (a more abstract cognitive-based attribute than food tastiness) plays a role in uncontrolled choices in BN. These choices are likely goal-directed behaviors and recruit self-control.

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Section: Discussionmentioning

confidence: 99%

Goal Directed and Self-Control Systems in Bulimia Nervosa: An fMRI Study

Neveu

Carrier

et al. 2018

EBioMedicine

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“…In terms of ED diagnoses, eight out of the 12 selected studies (66.7%) focused exclusively on a single diagnostic group while four studies (33.3%) examined mixed ED samples (Allen et al, 2012;Dean et al, 2008;MacDonald et al, 2021;Neveu et al, 2016). Among the studies on single diagnostic groups, more than half (n = 5, 62.5%) investigated BED patients (Agras et al, 1994(Agras et al, , 1995(Agras et al, , 1997Grilo et al, 2011;Tasca et al, 2018) and a third (n = 3, 37.5%) investigated BN patients (Mitchell et al, 2002;Treasure et al, 1996Treasure et al, , 1999.…”

Section: Study Sample Characteristicsmentioning

confidence: 99%

“…Most studies, (n = 9, 75%) included group treatment modalities either in outpatient settings (Agras et al, 1994(Agras et al, , 1995(Agras et al, ,1997Grilo et al, 2011;MacDonald et al, 2021;Tasca et al, 2018;Treasure et al, 1999) or in inpatient treatment (Dean et al, 2008;Neveu et al, 2016). The remaining three studies (25%) exclusively tested therapies delivered in individual format in all treatment modalities offered (Allen et al, 2012;Mitchell et al, 2002;Treasure et al, 1996).…”

Section: Study Design Characteristicsmentioning

confidence: 99%

The sequential approach in eating disorders: A scoping systematic review

Tomba

Tecuta

2023

Euro Eating Disorders Rev

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ObjectiveThe sequential model has been defined as an intensive, two‐stage approach that comprises administering two types of treatment consecutively to improve treatment outcomes in cases of non‐optimal or absence of treatment response. A psychiatric population that would potentially benefit from the application of the sequential model is the eating disorders (EDs) population. The current scoping review aimed to explore the emerging literature on the application of sequential treatments in EDs.MethodUsing PRISMA and Population intervention comparison outcomes study guidelines, Pubmed and PsycINFO were systematically searched for studies which applied temporally sequential treatments in patients diagnosed with EDs from inception to April 2022 using a combination of keywords. Studies utilising combined or integrated approaches were excluded.ResultsA total of 12 studies were selected and reviewed. Studies included Bulimia Nervosa, Binge Eating Disorder (BED), or mixed ED samples with a majority of female patients. No studies on AN samples were identified. The majority of studies contained a Cognitive‐Behavioural Therapy module of treatment, were conducted on BED patients, were in outpatient settings, and included a group format in one or more treatment conditions. Studies varied in number of comparison groups and study design. Secondary and sequentially applied treatment modules were consistent with treatment recommendations of clinical guidelines.ConclusionsThe available data on sequential treatments in EDs is scarce and exhibits methodological limitations that should be addressed in future studies. Definition of sequential treatments in EDs should be further developed to guide robust clinical research and improve empirical support of sequential treatment for complex ED cases and for non‐optimal ED treatment response.

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“…The SB intervention consists in replacing patients’ usual pattern of food ingestion during a binge by a repeated monotonous food ingestion sequence, interspersed with short incremental pauses. 75 …”

Section: Strategies For Weight Loss In Addition To Cbt: Cbt-e Cbt-efmentioning

confidence: 99%

Cognitive behavioral therapy to aid weight loss in obese patients: current perspectives

Castelnuovo¹,

Pietrabissa²,

Manzoni³

et al. 2017

PRBM

137

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Obesity is a chronic condition associated with risk factors for many medical complications and comorbidities such as cardiovascular diseases, some types of cancer, osteoarthritis, hypertension, dyslipidemia, hypercholesterolemia, type-2 diabetes, obstructive sleep apnea syndrome, and different psychosocial issues and psychopathological disorders. Obesity is a highly complex, multifactorial disease: genetic, biological, psychological, behavioral, familial, social, cultural, and environmental factors can influence in different ways. Evidence-based strategies to improve weight loss, maintain a healthy weight, and reduce related comorbidities typically integrate different interventions: dietetic, nutritional, physical, behavioral, psychological, and if necessary, pharmacological and surgical ones. Such treatments are implemented in a multidisciplinary context with a clinical team composed of endocrinologists, nutritionists, dietitians, physiotherapists, psychiatrists, psychologists, and sometimes surgeons. Cognitive behavioral therapy (CBT) is traditionally recognized as the best established treatment for binge eating disorder and the most preferred intervention for obesity, and could be considered as the first-line treatment among psychological approaches, especially in a long-term perspective; however, it does not necessarily produce a successful weight loss. Traditional CBT for weight loss and other protocols, such as enhanced CBT, enhanced focused CBT, behavioral weight loss treatment, therapeutic education, acceptance and commitment therapy, and sequential binge, are discussed in this review. The issue of long-term weight management of obesity, the real challenge in outpatient settings and in lifestyle modification, is discussed taking into account the possible contribution of mHealth and the stepped-care approach in health care.

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The Sequential Binge, a New Therapeutic Approach for Binge Eating: A Pilot Study

Cited by 4 publications

References 48 publications

Goal Directed and Self-Control Systems in Bulimia Nervosa: An fMRI Study

Goal Directed and Self-Control Systems in Bulimia Nervosa: An fMRI Study

The sequential approach in eating disorders: A scoping systematic review

Cognitive behavioral therapy to aid weight loss in obese patients: current perspectives

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