4.3 Review

Psychotherapies for eating disorders: findings from a rapid review

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Article Psychology, Clinical

Reward retraining: A pilot randomized controlled trial of a novel treatment approach for transdiagnostic binge eating

Adrienne S. Juarascio et al.

Summary: This study evaluates the effectiveness of a novel treatment approach called Reward Re-Training (RRT) for binge eating. The results suggest that RRT has an indirect effect on reducing binge eating symptoms, but no significant differences were found compared to supportive psychotherapy (ST) in terms of treatment mechanisms and outcomes.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2023)

Article Psychology, Clinical

Effectiveness of delivering evidence-based eating disorder treatment via telemedicine for children, adolescents, and youth

Dori Steinberg et al.

Summary: Enhanced Family-Based Treatment (FBT+) delivered using telemedicine is effective for children and adolescents with eating disorders, overcoming geographical and psychosocial treatment barriers and expanding access to evidence-based treatment.

EATING DISORDERS (2023)

Article Psychology, Clinical

A Randomized Controlled Trial of CBT plus : A Clinician-Controlled, Just-In-Time, Adjunctive Intervention for Bulimia-Spectrum Disorders

Adrienne S. Juarascio et al.

Summary: Cognitive Behavior Therapy (CBT) for bulimia nervosa (BN) requires patients to utilize and acquire treatment skills. However, current treatment outcomes are not satisfactory due to poor skill acquisition and utilization after treatment. Just-in-time adaptive interventions (JITAIs) may improve skill acquisition and utilization by providing momentary interventions during opportunities for skill practice. The study found that JITAIs are feasible and acceptable during CBT for BN, but there were no differences in treatment outcomes and target engagement between the JITAIs and non-JITAIs conditions.

BEHAVIOR MODIFICATION (2023)

Article Psychology, Clinical

Internet-based cognitive behavioral therapy for bulimic eating disorders in a clinical setting: Results from a randomized trial with one-year follow-up

Louise Hogdhal et al.

Summary: The study evaluated the effects of two types of internet-based cognitive behavioral therapy and a structured day patient program on individuals with eating disorders. Results showed that both internet treatments and the day program significantly improved eating disorder pathology, self-image, and clinical impairment. Internet treatment was found to be a feasible alternative to standard treatment.

INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH (2023)

Article Psychology, Clinical

Targeting binge eating in bulimia nervosa and binge eating disorder using inhibitory control training and implementation intentions: a feasibility trial

Rayane Chami et al.

Summary: This study found that the combination of ICT and if-then planning can reduce binge eating frequency and eating disorder psychopathology. The feasibility of ICT is promising, but improvements may be needed in the conditions of if-then planning.

PSYCHOLOGICAL MEDICINE (2022)

Article Psychology, Developmental

Long-term follow-up of a randomized controlled trial comparing systemic family therapy (FT-S) added to treatment as usual (TAU) with TAU alone in adolescents with anorexia nervosa

Nathalie Godart et al.

Summary: This study compared the long-term effects of standard treatment with the addition of systemic family therapy for adolescents with anorexia nervosa. The results showed that adding systemic family therapy to multidimensional outpatient treatment led to better outcomes in terms of global outcome categories, body mass index, resumption of menses, and mental state score at 54 months follow-up.

JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY (2022)

Review Public, Environmental & Occupational Health

Effectiveness of non-pharmacological interventions on individuals with anorexia nervosa: A systematic review and meta-analysis

Javeil Ke En Gan et al.

Summary: Behavioral family system therapy (BFST) was found to enhance BMI, while conjoint family therapy (CFT) was more effective in ameliorating depression. Studies implementing combined family and individual therapy and those with longer therapeutic durations produced larger effect sizes.

PATIENT EDUCATION AND COUNSELING (2022)

Article Psychiatry

The First Episode Rapid Early Intervention for Eating Disorders - Upscaled study: Clinical outcomes

Amelia Austin et al.

Summary: The study assessed the scalability of the FREED service model and care pathway for emerging adults with a recent onset eating disorder. Results showed substantial improvements in clinical outcomes, reduction in inpatient or day-patient admissions, and cost-savings for FREED patients compared to treatment-as-usual.

EARLY INTERVENTION IN PSYCHIATRY (2022)

Article Psychiatry

Physical and mental health outcomes of an integrated cognitive behavioural and weight management therapy for people with an eating disorder characterized by binge eating and a high body mass index: a randomized controlled trial

Phillipa Hay et al.

Summary: This study explored the efficacy of a novel intervention integrating Cognitive Behavioural Therapy- Enhanced (CBT-E) and weight management for people with recurrent binge eating episodes and high BMI. The results showed that this intervention can improve stress, mental health-related quality of life, binge eating severity, and global ED symptoms scores, but has no significant effect on metabolic outcomes.

BMC PSYCHIATRY (2022)

Article Medicine, General & Internal

Randomized Clinical Trial Evaluating AcceptME-A Digital Gamified Acceptance and Commitment Early Intervention Program for Individuals at High Risk for Eating Disorders

Maria Karekla et al.

Summary: Eating disorders (ED), particularly affecting women in adolescence or early adulthood, constitute a serious public health issue. A randomized controlled trial evaluating an innovative digital gamified Acceptance and Commitment early-intervention program (AcceptME) found that it effectively reduces weight and shape concerns in young females showing signs and symptoms of an ED and at high risk for an ED.

JOURNAL OF CLINICAL MEDICINE (2022)

Article Psychology, Clinical

Text based internet intervention of Binge Eating Disorder (BED): Words per message is associated with treatment adherence

Jakob Linnet et al.

Summary: This study found that the number of words written by patients in internet-based cognitive behavioral therapy (iCBT) is closely associated with treatment completion. Each additional word written per message increased the likelihood of treatment completion by 1.5%. This finding has important implications for treatment adherence and improving adherence rates.

INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH (2022)

Review Psychology, Clinical

Informing the development of Australia's National Eating Disorders Research and Translation Strategy: a rapid review methodology

Phillip Aouad et al.

Summary: This article introduces the development of the Australian Eating Disorder Research and Translation Strategy and uses rapid reviews to map the current state of knowledge and research gaps in eating disorders. It aims to guide further research and investment in the field.

JOURNAL OF EATING DISORDERS (2022)

Article Psychology, Clinical

The efficacy of a transdiagnostic emotion regulation skills training in the treatment of binge-eating disorder-Results from a randomized controlled trial

Matthias Berking et al.

Summary: This study demonstrates that systematically enhancing ER skills can effectively reduce symptoms of BED, and these effects are stable during the follow-up period.

BRITISH JOURNAL OF CLINICAL PSYCHOLOGY (2022)

Article Psychology, Clinical

Randomized controlled trial of cognitive remediation therapy in adolescent inpatients with anorexia nervosa: Neuropsychological outcomes

Laura Herbrich-Bowe et al.

Summary: This study found that Cognitive Remediation Therapy (CRT) was not superior to non-specific cognitive-training (NSCT) in adolescent inpatients with anorexia nervosa (AN). Both groups showed improvement in central coherence and self-reported flexibility over time, but not in some specific tests. NSCT was superior to CRT regarding self-reported planning/organisation ability.

EUROPEAN EATING DISORDERS REVIEW (2022)

Article Psychology, Clinical

Dialectical behavior therapy compared to cognitive behavior therapy in binge-eating disorder: An effectiveness study with 6-month follow-up

Mirjam W. Lammers et al.

Summary: This study evaluated the effectiveness of dialectical behavior therapy (DBT) and cognitive behavior therapy (CBT) for individuals with binge-eating disorder. The results showed that both treatments led to significant improvements in patients' symptoms and psychological well-being, with CBT producing faster results. However, the findings favoring CBT in the original trial were not replicated. DBT can be considered a relevant and cost-effective treatment option for everyday clinical practice.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2022)

Review Psychology, Clinical

Cognitive behavioral therapy for eating disorders: A map of the systematic review evidence base

Milla Kaidesoja et al.

Summary: This study provides a comprehensive assessment of the effects of cognitive-behavioral therapy (CBT) for eating disorders (EDs), particularly in comparison to other active interventions. The findings suggest that high intensity one-to-one CBT produces better short-term effects compared to other active controls in BED, BN, and transdiagnostic samples. However, there is limited evidence supporting group CBT or low intensity CBT against other active interventions, as well as for the long-term effects of CBT. The study highlights gaps in the current evidence base and provides guidance for future research and clinical innovation.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2022)

Review Behavioral Sciences

Treatment of eating disorders: A systematic meta-review of meta-analyses and network meta-analyses

Alessio Maria Monteleone et al.

Summary: This study systematically reviewed the treatment efficacy for eating disorders, finding that family-based therapy was more effective in adults and adolescents with anorexia nervosa, while individual cognitive behavioural therapy had the broadest efficacy in adults with bulimia nervosa.

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS (2022)

Review Psychology, Clinical

Acceptance and commitment therapy (ACT) for eating disorders: A systematic review of intervention studies and call to action

Carly M. Onnink et al.

Summary: This study reviews the evidence for the effectiveness of Acceptance and Commitment Therapy (ACT) in treating eating disorders. The findings suggest that ACT may present reasonable efficacy for improving symptoms of eating disorders. However, most of the studies lack methodological rigor and fail to adequately assess the quality of psychological interventions.

JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE (2022)

Article Psychiatry

Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in female outpatients with anorexia nervosa (ANTOP study): 5-year follow-up of a randomised controlled trial in Germany

Wolfgang Herzog et al.

Summary: The ANTOP study is the largest randomised controlled trial globally that examines psychotherapy in outpatients with anorexia nervosa. The study found that different treatment methods improved the BMI, eating pathology, and global outcome of patients with anorexia nervosa, but a substantial proportion of patients had a poor global outcome. Predictors for the long-term course of anorexia nervosa included baseline BMI, illness duration, and depression.

LANCET PSYCHIATRY (2022)

Article Psychiatry

Experiencing eight psychotherapy approaches devoted to eating disorders in a single-day workshop increases insight and motivation to engage in care: a pilot study

Elisabetta Scanferla et al.

Summary: A study investigated how a single-day intervention of experiential exposure to psychotherapy approaches improved motivation and commitment to change in patients with eating disorders. The findings showed significant improvements in motivation, commitment to change, and insight capacity after the intervention, suggesting potential benefits for patients' active engagement in care. Further research is needed to explore specific processes and approaches that contribute to patients' motivation for care, as well as the clinical characteristics associated with better outcomes.

EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY (2022)

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Effects of cognitive-behavioral and psychodynamic-interpersonal treatments for eating disorders: a meta-analytic inquiry into the role of patient characteristics and change in eating disorder-specific and general psychopathology in remission

Leif Tore Moberg et al.

Summary: CBT is consistently effective in treating eating disorders, with about 1/3 of patients achieving remission for various EDs, while the effectiveness of PIT remains uncertain due to a lack of studies. CBT may be more successful in engaging motivated patients with lower levels of depression and anxiety, while patients with more severe symptoms may benefit less. Additional interventions aimed at strengthening self-functions may be necessary for long-term recovery.

JOURNAL OF EATING DISORDERS (2021)

Review Psychiatry

Third-wave interventions for eating disorders in adolescence - systematic review with meta-analysis

Arne Buerger et al.

Summary: This study aimed to evaluate the efficacy of third-wave therapies on eating disorder symptoms in adolescents, showing moderate effects on EDE total score for all eating disorder patients, particularly in those with BN and BED. However, at this stage, there is still a lack of high-quality empirical evidence to support the efficacy of third-wave interventions for adolescents with eating disorders. Most studies predominantly focused on dialectical behavior therapy.

BORDERLINE PERSONALITY DISORDER AND EMOTION DYSREGULATION (2021)

Review Psychology, Clinical

Early response to psychological treatment for eating disorders: A systematic review and meta-analysis

Peter G. R. Y. Chang et al.

Summary: Early response is a well-established predictor of positive outcomes in the treatment of eating disorders, with about half of patients showing this change. Significant evidence of an association between early response and post-treatment outcomes was found.

CLINICAL PSYCHOLOGY REVIEW (2021)

Article Information Science & Library Science

PRISMA-S: an extension to the PRISMA statement for reporting literature searches in systematic reviews

Melissa L. Rethlefsen et al.

Summary: This document presents the PRISMA-S checklist, developed through a Delphi survey process and public review. The checklist includes sixteen reporting items, with exemplar reporting and rationale, aiming to ensure complete reporting of literature search components for reproducibility.

JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION (2021)

Review Health Care Sciences & Services

Defining Rapid Reviews: a systematic scoping review and thematic analysis of definitions and defining characteristics of rapid reviews

Candyce Hamel et al.

Summary: Through a systematic scoping review, definitions from 216 rapid reviews and 90 rapid review methods articles were thematically analyzed, identifying eight key themes that can help inform the systematic review community in defining rapid review products.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2021)

Review Psychology, Clinical

Central coherence and set-shifting between nonunderweight eating disorders and anorexia nervosa: A systematic review and meta-analysis

Ella Keegan et al.

Summary: This systematic review and meta-analysis compared central coherence and set-shifting inefficiencies between different types of eating disorder patients, finding that individuals with anorexia nervosa and bulimia nervosa showed significantly poorer performance compared to healthy controls, while those with binge-eating disorder did not exhibit significant differences. Therefore, individuals with anorexia nervosa and bulimia nervosa may benefit from adjunctive interventions such as cognitive remediation therapy to address these inefficiencies.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2021)

Review Psychology, Clinical

Multi-family therapy for eating disorders: A systematic scoping review of the quantitative and qualitative findings

Julian Baudinet et al.

Summary: Multi-family therapy (MFT) shows positive effects in improving eating disorder symptoms and some individual and family factors, although the results are somewhat mixed. MFT is generally considered a helpful and challenging treatment approach, and larger, higher-quality studies are needed to validate its efficacy.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2021)

Article Psychiatry

The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment

Heather Thompson-Brenner et al.

Summary: This study found that patients treated with UT showed more significant improvements in depression, experiential avoidance, anxiety sensitivity, and mindfulness compared to those receiving treatment-as-usual. Additionally, the UT treatment produced more improvement in eating disorder severity particularly for patients with high levels of experiential avoidance. These effects remained consistent over the 5-year follow-up period.

FRONTIERS IN PSYCHIATRY (2021)

Article Psychology, Clinical

Clinical and cost-effectiveness of two ways of delivering guided self-help for people with an eating disorder: A multi-arm randomized controlled trial

Paul E. Jenkins et al.

Summary: This study compared the effectiveness and cost-effectiveness of guided self-help via face-to-face meetings and email support for individuals with binge-eating disorders. Both forms of guided self-help were found to be superior to a waiting list condition in reducing eating psychopathology. While email support may be more convenient, it also had a higher attrition rate.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2021)

Review Psychology, Clinical

A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

Emily N. Vogel et al.

Summary: This review summarizes the current literature on the feasibility, acceptability, effectiveness, and efficacy of CBT and DBT for adolescent eating disorders. While both treatments show promise in treating adolescent eating disorders, there is a lack of efficacy trials to establish their effectiveness. Further research is needed to compare CBT and DBT with other leading approaches for adolescent eating disorders.

JOURNAL OF EATING DISORDERS (2021)

Article Psychology, Clinical

An evaluation of family-based treatment for restrictive-type eating disorders, delivered as standard care in a public mental health service

Mette Bentz et al.

Summary: The study evaluated the outcomes of family-based treatment for young people with anorexia nervosa and similar restrictive-type eating disorders in a public mental health service setting. More than half of participants successfully completed treatment within 12 months, with three quarters achieving weight restoration within the same time frame. However, one in five participants required more intensive treatment. The findings suggest that family-based treatment is effective outside of research trials and can be successfully implemented in diverse settings, though further research is needed to better understand the needs of those who may not benefit sufficiently from this form of treatment.

JOURNAL OF EATING DISORDERS (2021)

Article Psychology, Clinical

Cognitive Remediation Therapy in Anorexia Nervosa-A Randomized Clinical Trial

Timo Brockmeyer et al.

Summary: This study aimed to evaluate the efficacy of cognitive remediation therapy (CRT) as adjunctive treatment for anorexia nervosa (AN), and the results showed that CRT was not effective in improving clinical and cognitive outcomes for adult patients with AN.

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY (2021)

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Does a Skills Intervention for Parents Have a Positive Impact on Adolescents' Anorexia Nervosa Outcome? Answers from a Quasi-Randomised Feasibility Trial of SUCCEAT

Julia Philipp et al.

Summary: Caregiver skills trainings, delivered as workshops or online modules, have been shown to effectively improve caregiver skills and positively impact adolescents with anorexia nervosa. Results from the study demonstrate significant improvements in all outcome variables across both SUCCEAT groups, sustained at 12-month follow-up.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Psychology, Clinical

Change in eating-disorder psychopathology network structure in patients with anorexia nervosa treated with intensive cognitive behavior therapy

Simona Calugi et al.

Summary: The study compared changes in eating-disorder feature networks in anorexia nervosa patients after treatment with intensive CBT-E. Results showed significant improvements in BMI and eating-disorder psychopathology among treated patients. Network analysis revealed reductions in global and connection strengths at the end of treatment, with central nodes shifting from drive for thinness to body image concerns.

INTERNATIONAL JOURNAL OF EATING DISORDERS (2021)

Review Health Care Sciences & Services

The Efficacy of eHealth Interventions for the Treatment of Adults Diagnosed With Full or Subthreshold Binge Eating Disorder: Systematic Review and Meta-analysis

Elnaz Moghimi et al.

Summary: This meta-analysis examined the efficacy of eHealth interventions for treating binge eating disorder, finding that individuals enrolled in these interventions experienced a reduction in binge episodes and eating disorder psychopathology. The study supports the use of internet-based cognitive behavioral therapy for treating binge eating disorder and calls for further research to explore the efficacy of these eHealth interventions.

JOURNAL OF MEDICAL INTERNET RESEARCH (2021)

Review Health Care Sciences & Services

Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis

Natalia Rozakou-Soumalia et al.

Summary: This study found that Dialectical Behavior Therapy (DBT) was more effective than the control group in improving emotion dysregulation, Eating Disorder (ED) psychopathology, and Body Mass Index (BMI) in patients with ED.

JOURNAL OF PERSONALIZED MEDICINE (2021)

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Comparative efficacy and acceptability of psychological interventions for the treatment of adult outpatients with anorexia nervosa: a systematic review and network meta-analysis

M. Solmi et al.

Summary: This study aimed to compare different psychological interventions for adult outpatients with anorexia nervosa, showing that CBT had a lower dropout rate compared to psychodynamic-oriented psychotherapies. However, there is still no clear evidence of the superiority or inferiority of specific treatments for this patient population.

LANCET PSYCHIATRY (2021)

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Treatment outcomes of psychotherapy for binge-eating disorder in a randomized controlled trial: Examining the roles of childhood abuse and post-traumatic stress disorder

Vivienne M. Hazzard et al.

Summary: The study examined childhood abuse and PTSD as predictors and moderators of BED treatment outcomes. Results indicate that PTSD predicted binge-eating frequency at the end of treatment, while childhood abuse predicted binge-eating frequency at follow-up. PTSD moderated the association between childhood abuse and binge-eating frequency at follow-up.

EUROPEAN EATING DISORDERS REVIEW (2021)

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Integrated weight loss and cognitive behavioural therapy (CBT) for the treatment of recurrent binge eating and high body mass index: a randomized controlled trial

Marly Amorim Palavras et al.

Summary: This study found that in treating adults with disorders of recurrent binge eating and high BMI, HAPIFED was not significantly better than CBT-E in promoting weight loss and reducing most ED symptoms. However, HAPIFED showed greater improvement in reducing purging behavior and binge remission rates at the 12-month follow-up.

EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY (2021)

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Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder*

Jennifer J. Thomas et al.

Summary: This study evaluated the acceptability, feasibility, and proof-of-concept of cognitive-behavioral therapy for ARFID (CBTAR) in adults, showing promising results in the treatment of ARFID with high patient satisfaction and significant improvements. Randomized controlled trials are needed to further verify these findings.

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The role of embodiment in the treatment of patients with anorexia and bulimia nervosa: a 2-year follow-up study proposing an integration between enhanced cognitive behavioural therapy and a phenomenological model of eating disorders

Eleonora Rossi et al.

Summary: This study demonstrates the pivotal role of embodiment disorder in eating disorders, with higher levels predicting increased diagnostic instability. Improvement of embodiment disorder was found to reduce ED-specific psychopathology and body uneasiness, highlighting the importance of integrating CBT-E with a phenomenological model of EDs.

EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY (2021)

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Tian Ling Low et al.

Summary: The study found that virtual reality-enhanced cognitive behavioural therapy is more effective than traditional CBT in treating binge-purging type eating disorders, showing significant reductions in binge frequency and situation-induced body dissatisfaction.

EUROPEAN EATING DISORDERS REVIEW (2021)

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Outpatient therapy for adult anorexia nervosa: Early weight gain trajectories and outcome

Tracey D. Wade et al.

Summary: The study identified four latent classes of trajectory of change in body mass index (BMI) during outpatient treatment for adult anorexia nervosa. Patients with the greatest early weight gain showed significantly higher levels of remission compared to those with lower initial weight. Higher BMI at baseline without substantial early weight gain did not lead to higher levels of remission.

EUROPEAN EATING DISORDERS REVIEW (2021)

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Long-term effectiveness of web-based cognitive behavioral therapy for patients with eating disorders

Elke D. ter Huurne et al.

Summary: The study evaluated the long-term effectiveness of web-based therapist-delivered cognitive behavioral therapy (CBT) for patients with eating disorders (ED). Results showed sustained treatment effects up to 1-year post-treatment, with significant improvements in ED psychopathology and body dissatisfaction, and moderate improvements in physical and mental health, self-esteem, social functioning, and quality of life. Treatment effects were consistent across bulimia nervosa (BN), binge eating disorder (BED), and ED not otherwise specified (EDNOS) subgroups, except for long-term improvements in self-esteem and quality of life among BN and EDNOS participants.

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