التفاصيل البيبلوغرافية
| العنوان: |
Correcting the reward imbalance in binge eating: A pilot randomized trial of reward re-training treatment. |
| المؤلفون: |
Juarascio, Adrienne S.1,2 (AUTHOR), Presseller, Emily K.1,2 (AUTHOR) ekp55@drexel.edu, Wilkinson, Megan L.1,2 (AUTHOR), Kelkar, Apoorva1 (AUTHOR), Srivastava, Paakhi2 (AUTHOR), Chen, Joanna Y.1 (AUTHOR), Dengler, Julia3 (AUTHOR), Manasse, Stephanie M.2 (AUTHOR), Medaglia, John1 (AUTHOR) |
| المصدر: |
Appetite. Sep2022, Vol. 176, pN.PAG-N.PAG. 1p. |
| مصطلحات موضوعية: |
*BINGE-eating disorder, *COMPULSIVE eating, *PSYCHOTHERAPY, *COMPULSIVE behavior, *EATING disorders, *SUBSTANCE abuse |
| مستخلص: |
Behavioral treatments for psychological disorders characterized by reward-driven maladaptive behaviors (e.g., substance use disorder, eating disorders, behavioral addictions) primarily seek to reduce hyper-reward response to disorder-specific stimuli. Suboptimal outcomes for these treatments highlight the need to also target hypo-reward response to day-to-day life activities. The present study sought to conduct an initial test of a novel behavioral treatment, Reward Re-Training (RRT) to target hyper- and hypo-reward response in individuals with binge eating. Individuals with binge eating (N = 23) were randomly assigned to either 10 weeks of outpatient, group-based RRT treatment or a waitlist control. RRT was found to be feasible and acceptable, demonstrated large impacts on both hypo- and hyper-reward response (measured by self-report (pre-to post-treatment η p 2 range 0.38–0.58) and neural activation via fMRI), and was efficacious in reducing eating disorder pathology (η p 2 range 0.40–0.64, including binge eating, η p 2 = 0.64) compared to waitlist control (η p 2 range 0.00–0.04). This pilot data provides preliminary support for the feasibility, acceptability, and effectiveness of a novel treatment targeting reward imbalance for individuals with binge eating. Future evaluations of RRT may benefit from an active treatment comparison condition and a follow-up assessment to examine persistence of positive outcomes. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
