Therapy for binge eating?

lithezebra

From the article:
Certain Medications, Psychological Therapy May Help Adults with Binge-Eating Disorder
By Amy Orciari Herman

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD

Lisdexamfetamine, cognitive-behavioral therapy (CBT), and second-generation antidepressants may help treat adults with binge-eating disorder, suggests a meta-analysis in the Annals of Internal Medicine.

Researchers examined data from 34 trials in which adults with binge-eating disorder were randomized to psychological treatment (e.g., CBT, self-help) versus a waitlist control group, or to medication (with or without psychological therapy) versus placebo. Among the findings:

Abstinence from binge eating was significantly more common with therapist-led CBT versus waitlist (59% vs. 11%), with the central nervous system stimulant lisdexamfetamine versus placebo (40% vs. 15%), and with second-generation antidepressants (e.g., fluoxetine) versus placebo (40% vs. 24%).

Eating-related obsessions and compulsions were reduced significantly with lisdexamfetamine and second-generation antidepressants, compared with placebo.

Weight loss was significantly greater with lisdexamfetamine and topiramate than with placebo.

Dr. Joel Yager of NEJM Journal Watch Psychiatry points to limitations of the analysis, including the mostly white, female population; some authors' ties to industry; and lack of long-term data. He concludes, "Within these constraints, clinicians can use this information to advise patients of their options and make clinical decisions."

http://www.jwatch.org/fw111736/2016/06/28/certain-medications-psychological-therapy-may-help-adults