Binge Eating, Binge Eating Behaviour, Binge Eating/Loss of Control Eating, Body Image, Body Image Disturbance
Conditions
Keywords
single session, single-session consultation, single-session intervention, binge eating, disordered eating, binge-spectrum disorder, body image, body image concerns, weight/shape concerns, overvaluation, loss of control eating
Brief summary
The goal of this controlled trial is to learn whether a brief single-session intervention (SSI) can reduce binge eating symptoms by targeting overvaluation of weight/shape in women with recurrent binge eating. The main questions it aims to answer are: * Does assessment alone reduce binge eating severity and overvaluation of weight/shape compared to a control group undergoing minimal assessment? * Does adding a values-based reflection and goal-setting component (the full SHAPE intervention) add benefits beyond the assessment alone? Researchers will compare three groups: 1. assessment-only, 2. full SHAPE intervention, and 3. minimal assessment control to see if both active conditions outperform the control, and whether the full intervention adds any benefits beyond the assessment itself Participants will: * Complete a semi-structured eating disorder assessment (Eating Disorder Examination) * Depending on assignment, also complete a values-based reflection and goal-setting exercise with psychoeducation * Complete follow-up assessments evaluating binge eating severity, overvaluation of weight/shape, clinical impairment, binge frequency, and related outcomes.
Interventions
BEHAVIORALAssessment-only
Diagnostic items of the Eating Disorder Examindation (EDE)
BEHAVIORALvalues-based reflection and goal-setting/action-planning exercises
Assessment-only intervention + values-based reflection and goal-setting/action-planning exercises
BEHAVIORALMinimal-Assessment Control
Invovles completing only the Intro/Eating Pattern + Bulimic Episodes/Overeating Sections of Eating Disorder Examination (EDE)
Sponsors
Ohio University
Taylor Rezeppa
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ≥ 18 years old * Identify as cisgender female * self-reported BMI ≥ 18.5 kg/m² * Rate the extent to which their weight or shape influences how they feel about themselves as a 4 or higher on a 7-point Likert scale on screening measures * ≥1 binge eating episode every 2 weeks (i.e., ≥ six episodes over 3 months) at the time of screening
Exclusion criteria
* \< 18 years old * Assigned male at birth * Gender identity different from biological sex indicated on birth certificate * Purging behaviors (i.e., self-induced vomiting, laxative misuse, or diuretic misuse) ≥ 1x/week in the last 3 months at the time of screening. * Engaged in structured psychological therapy or counseling (defined as attending sessions \> 1x/month in the past 3 months) * Prior participation in studies that include administration of the EDE interview at Ohio University (IRB-FY24-403, IRB-FY25-330, and IRB-21-F-14).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in overvaluation of weight/shape | 1 month | Changes in Shape/weight overvaluation subscale score on 7-Item Eating Disorder Examination Questionnaire |
| Change in binge eating severity | 1 month | Change in scores on Binge Eating Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in readiness to change eating disorder symptoms | 1 month | Change in Eating Disorder Readiness Ruler scores |
| Change in eating disorder-related clinical impairment | 1 month | Score change on Clinical Impairment Assessment |
| Change in Body Image Flexibility | 1 month | 5-item Body Image Acceptance and Action Questionnaire |
| Change in binge eating frequency | 1 month | Change in binge episode count on Eating Disorder Examination Questionnaire |
| Change in depressive symtpoms | 1 month | Change in Patient Health Questionnaire-8 scores |
| Change in eating self-efficacy | 1 month | Score change on Eating Self-Efficacy Brief Scale |
Countries
United States
Contacts
Primary ContactTaylor L Rezeppa, Master of Science
Outcome results
None listed