{"doi":"10.1002/eat.23324","title":"Comparing integrative <scp>cognitive‐affective</scp> therapy and guided self‐help <scp>cognitive‐behavioral</scp> therapy to treat <scp>binge‐eating</scp> disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial","abstract":"OBJECTIVE: Innovative treatments and outcome measures are needed for binge-eating disorder (BED). This randomized controlled trial compared Integrative Cognitive-Affective Therapy (ICAT-BED), an individual psychotherapy targeting momentary behavioral and emotional precipitants of binge eating, with an established cognitive-behavioral guided self-help (CBTgsh) treatment using standard and ecological momentary assessment (EMA) outcome measures. METHOD: A total of 112 participants were randomized to 17 weeks of treatment (21 sessions for ICAT-BED and 10 sessions for CBTgsh). Binge-eating frequency was assessed with the Eating Disorder Examination (EDE) as well as EMA using cell phone-based real-time, naturalistic assessment at end of treatment (EOT) and 6-month follow-up. Hypothesized maintenance mechanisms were assessed using self-report questionnaires. RESULTS: Binge-eating frequency as measured by the EDE and real-time assessment showed significant reductions at EOT and follow-up, with no significant differences between treatments. Hypothesized maintenance mechanisms, including emotion regulation, cognitive self-discrepancy, self-directed style, as well as measures of associated eating disorder psychopathology, depression, anxiety, impulsivity, and negative affect, showed similar improvement at EOT and follow-up with no differences between treatments. Abstinence rates at EOT (ICAT-BED: 57.1%; CBTgsh: 42.9%) and 6-month follow-up (ICAT-BED: 46.4%; CBTgsh: 42.9%) were not significantly different. Treatment retention was significantly higher for ICAT-BED (87.5%) than CBTgsh (71.4%). DISCUSSION: These findings suggest that ICAT-BED and CBTgsh were associated with similar improvements in binge eating, psychopathology, and putative maintenance mechanisms as measured by traditional self-report and momentary, naturalistic assessments and that these changes were generally sustained at 6-month follow-up.","journal":"International Journal of Eating Disorders","year":2020,"id":55441,"datarank":1.8166499228456319,"base_score":4.543294782270004,"endowment":4.543294782270004,"self_citation_contribution":0.6814942173405006,"citation_network_contribution":1.1351557055051313,"self_endowment_contribution":0.6814942173405006,"citer_contribution":1.1351557055051313,"corpus_percentile":null,"corpus_rank":null,"citation_count":93,"citer_count":54,"citers_with_citation_signal":40,"citers_with_endowment":40,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9544,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT02043496"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":287442,"name":"Scott G. Engel","orcid":null,"position":1,"is_corresponding":false},{"id":274180,"name":"Ross D. Crosby","orcid":"0000-0001-9131-1629","position":2,"is_corresponding":false},{"id":286533,"name":"Timothy J. Strauman","orcid":"0000-0002-0310-4505","position":3,"is_corresponding":false},{"id":286534,"name":"Tracey L. Smith","orcid":"0000-0002-4374-0506","position":4,"is_corresponding":false},{"id":287443,"name":"Marjorie H. Klein","orcid":null,"position":5,"is_corresponding":false},{"id":286535,"name":"Scott J. Crow","orcid":"0000-0002-1827-5075","position":6,"is_corresponding":false},{"id":286536,"name":"James E. Mitchell","orcid":"0000-0001-5434-6021","position":7,"is_corresponding":false},{"id":287444,"name":"Ann L. Erickson","orcid":null,"position":8,"is_corresponding":false},{"id":286537,"name":"Li Cao","orcid":"0009-0002-2131-2276","position":9,"is_corresponding":false},{"id":286538,"name":"Kayla Bjorlie","orcid":"0000-0002-2604-7769","position":10,"is_corresponding":false},{"id":262121,"name":"Stephen A. Wonderlich","orcid":"0000-0002-0659-153X","position":11,"is_corresponding":false},{"id":286532,"name":"Carol B. Peterson","orcid":"0000-0001-9152-4552","position":0,"is_corresponding":true}],"reference_count":51,"raw_metadata":null,"created_at":"2026-07-18T21:04:59.506324Z","pmid":"32583478","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}