Development and preliminary effectiveness of an innovative treatment for binge eating in racially diverse adolescent girls

Suzanne E. Mazzeo, Janet Lydecker, Megan Harney, Allison A. Palmberg, Nichole R. Kelly, Rachel W. Gow, Melanie K. Bean, Laura M. Thornton, Marian Tanofsky-Kraff, Cynthia M. Bulik, Yael Latzer, Marilyn Stern

Research output: Contribution to journalArticlepeer-review


Introduction: Binge and loss of control (LOC) eating are significant concerns among many adolescents and are associated with poor physical, social, and psychological functioning. Black girls appear to be particularly vulnerable to binge and LOC eating. Yet, empirically validated, culturally sensitive treatments for these disordered eating behaviors are not well established. This investigation examined satisfaction, feasibility, and preliminary outcomes of a binge eating intervention for ethnically diverse adolescent girls. Methods: Participants were 45 girls (age 13-17 years; 44.4% white, 42.2% black) randomized into a dialectical behavior therapy (DBT)-based intervention (Linking Individuals Being Emotionally Real, LIBER8) or a weight management group (2BFit). Following each meeting, participants completed satisfaction measures, and therapists assessed intervention feasibility. Participants also completed assessments of eating behavior and related psychological constructs at baseline, immediately following the intervention, and at 3-month follow-up. Results: Descriptive statistics indicated that LIBER8 was feasible, and participants were highly satisfied with this intervention. Significant reductions in eating disorder cognitions, dietary restraint, and eating in response to negative affect were observed for participants in both groups, with no differences between LIBER8 and 2BFit. Discussion: The acceptability and feasibility of LIBER8 and associated reductions in emotional eating show promise in ameliorating binge eating and provide insight into multiple options for treating this challenging eating concern.

Original languageEnglish
Pages (from-to)199-205
Number of pages7
JournalEating Behaviors
StatePublished - 1 Aug 2016

Bibliographical note

Funding Information:
Work on this project was supported by National Institutes of Health Grant R34 MH086922 (Mazzeo, PI). NIH had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

Funding Information:
Supported by a grant from the National Institutes of Health ( R34 MH-086922 , Mazzeo, PI).

Publisher Copyright:
© 2016 Elsevier Ltd.


  • Adolescents
  • Binge eating
  • Dialectical behavior therapy
  • Intervention
  • Race

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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