Evidence map›Paper›PMID 39659158›Full record

Trial reportThe American journal of psychiatry2025

Cognitive Behavioral Therapy and Lisdexamfetamine, Alone and Combined, for Binge-Eating Disorder With Obesity: A Randomized Controlled Trial.

Carlos M Grilo, Valentina Ivezaj, Cenk Tek, Sydney Yurkow, Ashley A Wiedemann, Ralitza Gueorguieva

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carlos M GriloDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).
Valentina IvezajDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).
Cenk TekDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).
Sydney YurkowDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).
Ashley A WiedemannDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).
Ralitza GueorguievaDepartment of Psychiatry, Yale University School of Medicine, New Haven (Grilo, Ivezaj, Tek, Yurkow, Wiedemann); Department of Biostatistics, Yale School of Public Health, New Haven (Gueorguieva).

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Cognitive-Behavioral and Pharmacologic Treatment of Binge Eating DisorderR01DK114075 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2018 to 2022
$3.6M
Neurocognitive fMRI Mechanisms of CBT and Lisdexamfetamine Outcomes in Obesity and BEDR01DK121551 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M, POTENZA, MARC N · 2019 to 2023
$1.8M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS R01 DK114075NIDDK NIH HHS R01 DK121551
6 · The paper itself

Abstract

objectiveBinge-eating disorder (BED) is a prevalent, costly public health problem associated with serious functional impairments and heightened rates of psychiatric and medical comorbidities. Few evidence-based treatments are currently available for BED. We tested the effectiveness of cognitive-behavioral therapy (CBT), lisdexamfetamine (LDX), and combined CBT+LDX, for BED comorbid with obesity.

methodsRandomized controlled trial was conducted March 2019 to September 2023 at a single site. N=141 patients with BED (83.7% women, mean age 43.6, mean BMI 38.6 kg/m

resultsMixed models revealed binge-eating frequency decreased significantly in all treatments, with CBT+LDX having the largest reduction and significantly outperforming CBT and LDX, which did not differ. Intention-to-treat binge-eating remission rates differed significantly between treatments, with CBT+LDX having the highest remission rate (70.2%) followed by CBT (44.7%) and LDX (40.4%). Mixed models revealed percent weight loss increased significantly throughout treatment with LDX and CBT+LDX but remained unchanged in CBT. LDX and CBT+LDX had significantly greater percent weight loss than CBT starting after one month and through posttreatment. Intention-to-treat rates of attaining ≥5% weight loss differed across treatments, with LDX having the highest (53.2%), followed by CBT+LDX (42.6%) and CBT (4.3%). Analyses revealed significant reductions in eating-disorder psychopathology; CBT+LDX had largest reductions and significantly outperformed CBT and LDX.

conclusionsCBT, LDX, and CBT+LDX showed significant improvements in BED, with a consistent pattern of the combined CBT+LDX being superior to the two individual treatments, which differed little.

Indexed as

Binge-Eating DisorderCentral Nervous System StimulantsCognitive Behavioral TherapyLisdexamfetamine DimesylateObesityAdultCombined Modality TherapyFemaleHumansMaleMiddle AgedTreatment OutcomeCentral Nervous System StimulantsLisdexamfetamine Dimesylatebinge eatingCognitivecognitive behavioral therapyeating disordersobesitypharmacotherapyPsychotherapyweight loss

Identifiers

PMID39659158
PMCPMC11786997

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.