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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.
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, with patients being randomly allocated in both groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DBT (Group A) | Experimental | DBT to be applied over 20 weeks |
|
| TAU (Group B) | Active Comparator | TAU to be applied over 20 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DBT | Behavioral | Applying DBT modules in group format over 20 weeks |
| |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 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 | 30 weeks (20 weeks intervention and 10 weeks follow up) |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma Ghrelin Level | Measure Plasma Ghrelin levels in ng/mL in both arms pre and post treatment, using enzyme-linked immunosorbent assay technique | 20 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Alexandria University | Alexandria | Alexandria Governorate | 21521 | Egypt |
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| ID | Term |
|---|---|
| D056912 | Binge-Eating Disorder |
| ID | Term |
|---|---|
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
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| TAU |
| Drug |
Giving TAU (usual pharmacotherapy in BED) over 20 weeks |
|
| Plasma Ghrelin | Diagnostic Test | Measuring fasting plasma ghrelin pre and post treatment in both arms |
|