Cognitive Behavioral Therapy for Adolescent Binge Eating and Loss of Control Eating

  • End date
    Apr 30, 2024
  • participants needed
  • sponsor
    Yale University
Updated on 23 February 2022
behavior therapy
cognitive therapy


This study will develop and test a cognitive-behavioral intervention for adolescents with binge/loss-of-control eating.


Youth who engage in binge eating or loss-of-control eating are at high risk for physical and mental health impairment, as well as excess weight gain. As there are few evidence-based treatments for adolescents with binge/loss-of-control eating, assessment and treatment have received minimal attention for adolescent patients. Among adults, cognitive-behavioral therapy (CBT) has a strong evidence base for binge-eating disorder. Adolescents have unique social, cognitive and emotional needs because of their developmental stage; unique treatment approaches are essential to meet these unique needs. This study will develop a new CBT treatment for adolescents with binge eating or loss-of-control eating (modifying adult CBT for binge-eating disorder, conducting interviews with adolescents about aspects of treatment that need to be modified, conducting an open series of patients who receive the active treatment). This study will also test the efficacy of the newly-developed CBT for adolescents with binge/loss-of-control eating versus a control group in a randomized controlled trial.

Condition Binge Eating, Eating Disorders in Adolescence, Overweight and Obesity
Treatment Control Condition, Cognitive-Behavioral Therapy for Adolescent Binge/Loss-of-Control Eating
Clinical Study IdentifierNCT04088097
SponsorYale University
Last Modified on23 February 2022


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Inclusion Criteria

To be included, adolescents must
Be in the age range 12 years old and 17 years old
Have a BMI that places them above the 85th percentile based on their age and sex
Report 2 episodes of binge/LOC eating (feeling a loss of control while eating) per month for the past 3 months
Be otherwise-healthy youth (i.e., no uncontrolled or serious medical conditions)
Read, comprehend, and write English at a sufficient level to complete study-related materials
Be available for participation in the study for 7 months

Exclusion Criteria

Prospective participants will be excluded if the
Has a medical or psychiatric condition that would require hospitalization or intensive care (e.g., neurological disorder, psychotic disorders, suicidality)
Has a medical or psychiatric condition that would prohibit them from engaging in behavioral treatment or moderate physical activity (e.g., cardiovascular problems)
Has uncontrolled medical condition(s) (e.g., uncontrolled diabetes or hypertension)
Is pregnant or breastfeeding
Is taking medication(s) or participating in treatment(s) that could influence weight or appetite
Began taking hormonal contraceptives less than 3 months prior
Has a developmental or cognitive disorder (e.g., autism spectrum disorder)
Has a concurrent feeding/eating disorder (e.g., bulimia nervosa); or
Is participating in another clinical research study
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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