Psychopathological networks in cognitive-behavioral treatments for binge-eating disorder

Abstract: Introduction: Network approaches to psychopathology posit that mental disorders emerge from interrelated symp- toms, and thus connectivity among symptoms are assumed to negatively predict the treatment response and decrease with efficacious treatment. Objective: This study uniquely sought to elucidate the network structure, its change, and its predictive value in cognitive-behavioral therapy (CBT) for binge-eating disorder (BED). Methods: In a multicenter ran- domized trial of face-to-face and Internet-based guided self- help CBT, 178 individuals with full syndrome and subsyndro- mal BED, eating disorder and general psychopathology, and body mass index (BMI) were subjected to Gaussian Graphical Network and Exploratory Graph Analyses before and after
treatment and at 6-month follow-up. Results: At pretreat- ment, 3 network communities of: eating disorder psychopa- thology; general psychopathology; and restraint and BMI were identified, with the latter community included in the first thereafter. Eating disorder-related impairment and self- esteem were the most central symptoms, while BMI and binge eating had the lowest centrality. Network connectivity significantly increased from pre- to posttreatment, with the greatest increases in strength centrality found in binge eat- ing and shape concern, but it did not predict remission from binge eating. Conclusions: With decreasing symptom sever- ity, CBT resulted in a greater integration and connectivity of the psychopathology network in BED, suggesting an in- creased patient understanding of relations between binge eating and other symptoms. Network connectivity was not a negative prognostic indicator of treatment outcome. These results indicate a need for further research on the predictive value of network variables in the explanation of therapeutic change for patients with BED

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch
• Notes: Psychotherapy and psychosomatics. - 89, 6 (2020) , 379-385, ISSN: 1423-0348

Classification and Topics

• Keyword: Binge-eating Disorder ; Essstörung ; Kognitive Verhaltenstherapie

Contributors, Places and Time

• Event: Veröffentlichung
• (where): Freiburg
• (who): Universität
• (when): 2022
• Creator: Hilbert, Anja ; Herpertz, Stephan ; Zipfel, Stephan ; Tuschen-Caffier, Brunna ; Friederich, Hans-Christoph ; Mayr, Andreas

Further information

• DOI: 10.1159/000509458
• URN: urn:nbn:de:bsz:25-freidok-2243002
• Rights: Kein Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 25.03.2025, 1:45 PM CET