Dialectical Behavioral Therapy As A Therapeutic Tool In Patients With Binge Eating Disorder

Alexandria University60 enrolled

Overview

Binge eating disorder (BED) is one of the recently acknowledged eating disorders, with many theories underlying its pathology whether biological or psychological. From the biological perspective, changes in plasma ghrelin were hypothesized to have a major role in developing and maintaining the disorder, while from the psychopathological perspectives, abnormalities in emotion regulation were found in many patients. Since Dialectical Behavioral Therapy (DBT) is known to target emotion dysregulation, the main aim of this study is to assess the efficacy of DBT versus treatment as usual (TAU) in BED patients, and whether plasma ghrelin level will be affected after treatment in both arms.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Binge Eating Disorder

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age above 18 years. 2. Patients diagnosed as BED according to the Diagnostic and Statistical Manual of Mental Disorders- Fifth Version (DSM-5), after providing a written informed consent 3. Overweight or obese patients (body mass index ≥ 25), or patients with a history of overweight or obesity Exclusion Criteria: 1. Patients with known psychotic disorders or substance use disorders 2. Patients diagnosed with current major depressive or anxiety disorders 3. Patients diagnosed with borderline personality disorder 4. Patients who are actively suicidal 5. Patients with medical conditions that can affect or alter the frequency of eating and metabolism (e.g., Thyroid disorders, Diabetes Mellitus, Malignancy) 6. Patients presenting with medical complications of BED 7. The presence of purging or compensatory behaviors 8. Current pregnancy or breastfeeding

Outcomes

Primary Outcomes

Binge Eating Severity

measure the change in BED severity using binge eating scale, with range of scores from 0 to 46. A score of 17 is a cut-off for mild or no binge eating, while 27 or more represents severe binge eating

Time frame: 30 weeks (20 weeks intervention and 10 weeks follow up)

Emotion regulation

measure the change in emotion regulation using Difficulties in Emotion Regulation Scale. Higher scores reflect worse emotional regulation

Time frame: 30 weeks (20 weeks intervention and 10 weeks follow up)

Secondary Outcomes

Plasma Ghrelin Level

Measure Plasma Ghrelin levels in ng/mL in both arms pre and post treatment, using enzyme-linked immunosorbent assay technique

Time frame: 20 weeks