Paper
MINDFULNESS-BASED EATING AWARENESS TRAINING: WEIGHT LOSS AND IMPROVEMENT IN EATING REGULATION
Published Apr 1, 2010 · J. Kristeller, Kevin Bolinskey
Annals of Behavioral Medicine
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Abstract
Mindfulness-based treatments are showing increasing promise and may be particularly suitable for disorders marked by behavioral and emotional disregulation. Mindfulness-Based Eating Awareness Training (MB-EAT) draws on the substantial empirical literature showing that obesity is associated with disrupted awareness of hunger and satiety signals, and that with increased frequency of stress-related eating. Previous research with MB-EAT for obese individuals with BED found improvement in eating regulation; weight loss was associated with amount of mindfulness practice. In the current study, obese (avg. 256 lbs) participants (N=117; 13% men; 12% AfAm/Other; avg. age=49.9) were randomized to a 10 ses. MB-EAT program, plus mindful weight loss components, or to Wait-List Control. Approx.12% met criteria for BED and 14% for sub-clinical BED. F/Up was at immediate post (IP), 2, 3 and 6 months; measures included the BES, TFEQ, and BDI, among others. At baseline, clinical and sub-clinical BED Ss were similar on TFEQ Disinhibition and Hunger, but scored higher (p<.001) than non-clinical Ss; BED Ss were more markedly more depressed (BDI=20.33; p<.001) than both sub-clinical (3.81) and non-clinical (6.24) Ss. Preliminary analyses show that relative to WLC at immediate post, the MB-EAT Ss had more weight loss (6.02 vs. 0.24 lbs; p<.05), improvement on each TFEQ factor (all p<.001) and on the BES (p<.001). Effects were sustained at 1 month followup. Results are consistent with previous research, extend effectiveness to primary weight loss, and to a wider range of eating issues. The presentation will address theoretical and clinical issues, along with analyses from further followup points.
Mindfulness-Based Eating Awareness Training (MB-EAT) leads to more weight loss and improved eating regulation in obese individuals compared to Wait-List Control, with effects sustained at 1 month follow-up.
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