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Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder / Andrea B. GOLDSCHMIDT in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.64-74 Titre : Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder Type de document : texte imprimé Auteurs : Andrea B. GOLDSCHMIDT, Auteur ; Kwonho JEONG, Auteur ; Lan YU, Auteur ; Amy H. EGBERT, Auteur ; Ricarda SCHMIDT, Auteur ; Anja HILBERT, Auteur Article en page(s) : p.64-74 Langues : Anglais (eng) Mots-clés : Executive functioning  binge eating  loss of control eating  adolescent  cognitive-behavioral therapy Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) is an evidence-supported treatment for adolescents with binge-eating disorder (BED). Executive dysfunctions, which are associated with binge eating and elevated body weight in youth, may undermine CBT outcomes by making it difficult for youth to engage with or adhere to treatment, including recalling and/or implementing intervention strategies in real-world contexts. Methods We assessed 73 adolescents [82.2% female; Mage 15.0+2.5 year; M baseline standardized body mass index (zBMI) 1.9+1.0 kg/m2] with BED at baseline, posttreatment, 6-, 12-, and 24-month follow-up. Linear mixed models examined the effects of baseline executive functioning (EF) on loss of control (LOC) eating and weight change following CBT. Linear and logistic regressions probed associations between EF, attendance, and attrition. Results More impulsive decision-making, as reflected in higher baseline scores on the Iowa Gambling Task, predicted better attendance (? .07; p .019) and more frequent LOC eating following treatment (? .12; p .017). Lower cognitive flexibility, as reflected in lower baseline T-scores on the Comprehensive Trail Making Test complex sequencing index, predicted higher zBMI following treatment (? ?.03; p .003). Inhibition, concentration, attention, and parent-reported EF behavior symptoms were not associated with outcome, attendance, or attrition. Conclusions More impulsive decision-making and lower cognitive flexibility were associated with suboptimal response to CBT for BED, although findings should be interpreted with caution in light of the sample size and waitlist control design. Future research should examine whether strengthening EF could improve eating and weight outcomes among adolescents with BED who have lower pre-treatment EF. En ligne : https://dx.doi.org/10.1111/jcpp.14031 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder [texte imprimé] / Andrea B. GOLDSCHMIDT, Auteur ; Kwonho JEONG, Auteur ; Lan YU, Auteur ; Amy H. EGBERT, Auteur ; Ricarda SCHMIDT, Auteur ; Anja HILBERT, Auteur . - p.64-74. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.64-74 Mots-clés : Executive functioning  binge eating  loss of control eating  adolescent  cognitive-behavioral therapy Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) is an evidence-supported treatment for adolescents with binge-eating disorder (BED). Executive dysfunctions, which are associated with binge eating and elevated body weight in youth, may undermine CBT outcomes by making it difficult for youth to engage with or adhere to treatment, including recalling and/or implementing intervention strategies in real-world contexts. Methods We assessed 73 adolescents [82.2% female; Mage 15.0+2.5 year; M baseline standardized body mass index (zBMI) 1.9+1.0 kg/m2] with BED at baseline, posttreatment, 6-, 12-, and 24-month follow-up. Linear mixed models examined the effects of baseline executive functioning (EF) on loss of control (LOC) eating and weight change following CBT. Linear and logistic regressions probed associations between EF, attendance, and attrition. Results More impulsive decision-making, as reflected in higher baseline scores on the Iowa Gambling Task, predicted better attendance (? .07; p .019) and more frequent LOC eating following treatment (? .12; p .017). Lower cognitive flexibility, as reflected in lower baseline T-scores on the Comprehensive Trail Making Test complex sequencing index, predicted higher zBMI following treatment (? ?.03; p .003). Inhibition, concentration, attention, and parent-reported EF behavior symptoms were not associated with outcome, attendance, or attrition. Conclusions More impulsive decision-making and lower cognitive flexibility were associated with suboptimal response to CBT for BED, although findings should be interpreted with caution in light of the sample size and waitlist control design. Future research should examine whether strengthening EF could improve eating and weight outcomes among adolescents with BED who have lower pre-treatment EF. En ligne : https://dx.doi.org/10.1111/jcpp.14031 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545