Cognitive Behavioral Therapy for Adolescents With Bulimia Nervosa and Higher Weight (Online Treatment Study)

NCT ID: NCT05770947

Last Updated: 2025-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-24

Study Completion Date

2025-06-27

Brief Summary

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This study will test the feasibility and acceptability of two treatments for adolescents with higher weight seeking treatment for bulimia nervosa (binge eating and purging, or going to extremes to lose weight).

Detailed Description

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This study will test the feasibility and acceptability of two treatments for adolescents with higher weight seeking treatment for bulimia nervosa. Bulimia nervosa is when individuals binge eat (overeat while feeling like they lost control) and purge (do something extreme or unhealthy to lose weight or prevent weight gain). Bulimia nervosa happens across different ages and body sizes. This study is focusing on adolescents who have a larger body size. Adolescents will receive treatment that is 4 months of 45-minute sessions, weekly. Treatment will occur over telehealth (e.g., zoom), and the whole study is online.

Conditions

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Bulimia Nervosa Overweight or Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Cognitive Behavioral Therapy

Cognitive Behavioral Therapy for adolescents with higher weight seeking treatment for bulimia nervosa (CBT-BNh).Designed for adolescents, CBT-BNh will include psychoeducation, cognitive restructuring, and relapse prevention planning. The focus of therapy will include reducing extreme/unhealthy weight-control behaviors (purging) as well as binge eating, and self-compassion coping skills will address weight stigma and self-directed weight criticism.

Group Type EXPERIMENTAL

Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

Cognitive Behavioral Therapy (CBT) is a psychological treatment or "talk therapy" that integrates how people think, feel, and behave to create new behavior patterns that improve thinking processes and reduce distress.

Mindfulness

Learning to Breathe (L2B) is an existing, evidence-based program for adolescents that teaches mindfulness skills each week, including time to practice and reflect. the skills are grouped into six themes: Body, Reflections, Emotions, Attention, Tenderness, Habits, and Empowerment.

Group Type ACTIVE_COMPARATOR

Mindfulness

Intervention Type BEHAVIORAL

Mindfulness is a psychological treatment or "talk therapy" that practices different coping skills to improve thinking processes and reduce distress.

Interventions

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Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a psychological treatment or "talk therapy" that integrates how people think, feel, and behave to create new behavior patterns that improve thinking processes and reduce distress.

Intervention Type BEHAVIORAL

Mindfulness

Mindfulness is a psychological treatment or "talk therapy" that practices different coping skills to improve thinking processes and reduce distress.

Intervention Type BEHAVIORAL

Other Intervention Names

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Learning to Breathe

Eligibility Criteria

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Inclusion Criteria

* Have higher weight (\>85th BMI percentile or \>85th percentile in past year)
* 2 binge/purge episodes per month for the prior 3 months
* Be otherwise-healthy youth (i.e., no uncontrolled or serious medical conditions);
* Read, comprehend, and write English at a sufficient level to complete study-related materials;
* Provide an approval form from a healthcare provider;
* Provide a signed and dated written assent (or consent for youth age 18 or 19) prior to study participation;
* Provide a signed and dated written consent from one parent prior to study participation;
* Be available for participation in the study for 4 months.

Exclusion Criteria

* Medical or psychiatric conditions requiring hospitalization or intensive care
* anorexia nervosa
* developmental or cognitive disorders that would interfere with therapy
* pregnancy or breastfeeding
* concurrent treatments (medication or psychological) influencing appetite or weight
* began hormone therapy in prior 3 months
Minimum Eligible Age

12 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Eating Disorders Association

OTHER

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janet A Lydecker, PhD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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Yale University (Teen Power - Online)

New Haven, Connecticut, United States

Site Status

Countries

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United States

Other Identifiers

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2000033150

Identifier Type: -

Identifier Source: org_study_id