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Cognitive behavioural therapy does not improve outcome in obese women with binge eating disorder receiving a comprehensive very low calorie diet programme

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Q Does cognitive behavioural therapy improve the outcome of a comprehensive very low calorie diet programme in obese women with binge eating disorder?


Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


Embedded ImageFollow up period:

Twelve months.

Embedded ImageSetting:

University of Minnesota, USA.

Embedded ImagePatients:

Seventy one women aged 18–55 years with binge eating disorder (DSM-IV; mean BMI 36.1 kg/m2). Exclusions: serious medical comorbidity; psychotropic medication; psychosis, suicidal tendencies or substance abuse; current psychiatric or obesity treatment.

Embedded ImageIntervention:

Control group: very low calorie diet programme involving a 12 week fasting phase (800 kcal/day in rehydrated powdered supplement form) …

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  • For correspondence: Martina de Zwaan, MD, Department of Psychosomatic Medicine and Psychotherapy, University of Erlangen-Nuremberg, Scwabachanlage 6, 51054 Erlangen, Germany; martina.dezwaan{at}

  • Sources of funding: not stated.

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