Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating

Marian Tanofsky-Kraff, Ross D. Crosby, Anna Vannucci, Merel Kozlosky, Lauren B. Shomaker, Sheila M. Brady, Tracy Sbrocco, Courtney K. Pickworth, Mark Stephens, Jami F. Young, Cara H. Olsen, Nichole R. Kelly, Rachel Radin, Omni Cassidy, Denise E. Wilfley, James C. Reynolds, Jack A. Yanovski

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-foods than those without LOC, it is unknown if IPT impacts objective energy intake. Methods To test if IPT improves mood and eating in the laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE) group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. Results Girls in IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up 1 and then returned to baseline by follow-up 2 (p <.04). We found no significant group difference for changes in total intake relative to girls' daily energy needs (p's ≥.25). However, IPT reduced, while HE increased, the percentage of daily energy needs consumed from snack-foods by follow-up 2 (p =.04). Within-groups, HE increased their snack food intake from follow-up 1 to follow-up 2 (p =.01). Conclusions In adolescent girls with LOC, IPT did not change total intake at the test meal and was associated with reduced snack-food intake. Data are required to determine if IPT effectively prevents excess weight gain in the longer-term.

Original languageEnglish (US)
Pages (from-to)490-498
Number of pages9
JournalInternational Journal of Eating Disorders
Volume49
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

Health Education
Psychotherapy
Eating
Snacks
Meals
Lunch
Standard of Care
Energy Intake
Weight Gain
Maintenance

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Tanofsky-Kraff, Marian ; Crosby, Ross D. ; Vannucci, Anna ; Kozlosky, Merel ; Shomaker, Lauren B. ; Brady, Sheila M. ; Sbrocco, Tracy ; Pickworth, Courtney K. ; Stephens, Mark ; Young, Jami F. ; Olsen, Cara H. ; Kelly, Nichole R. ; Radin, Rachel ; Cassidy, Omni ; Wilfley, Denise E. ; Reynolds, James C. ; Yanovski, Jack A. / Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating. In: International Journal of Eating Disorders. 2016 ; Vol. 49, No. 5. pp. 490-498.
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title = "Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating",
abstract = "Objective Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-foods than those without LOC, it is unknown if IPT impacts objective energy intake. Methods To test if IPT improves mood and eating in the laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE) group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. Results Girls in IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up 1 and then returned to baseline by follow-up 2 (p <.04). We found no significant group difference for changes in total intake relative to girls' daily energy needs (p's ≥.25). However, IPT reduced, while HE increased, the percentage of daily energy needs consumed from snack-foods by follow-up 2 (p =.04). Within-groups, HE increased their snack food intake from follow-up 1 to follow-up 2 (p =.01). Conclusions In adolescent girls with LOC, IPT did not change total intake at the test meal and was associated with reduced snack-food intake. Data are required to determine if IPT effectively prevents excess weight gain in the longer-term.",
author = "Marian Tanofsky-Kraff and Crosby, {Ross D.} and Anna Vannucci and Merel Kozlosky and Shomaker, {Lauren B.} and Brady, {Sheila M.} and Tracy Sbrocco and Pickworth, {Courtney K.} and Mark Stephens and Young, {Jami F.} and Olsen, {Cara H.} and Kelly, {Nichole R.} and Rachel Radin and Omni Cassidy and Wilfley, {Denise E.} and Reynolds, {James C.} and Yanovski, {Jack A.}",
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Tanofsky-Kraff, M, Crosby, RD, Vannucci, A, Kozlosky, M, Shomaker, LB, Brady, SM, Sbrocco, T, Pickworth, CK, Stephens, M, Young, JF, Olsen, CH, Kelly, NR, Radin, R, Cassidy, O, Wilfley, DE, Reynolds, JC & Yanovski, JA 2016, 'Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating', International Journal of Eating Disorders, vol. 49, no. 5, pp. 490-498. https://doi.org/10.1002/eat.22496

Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating. / Tanofsky-Kraff, Marian; Crosby, Ross D.; Vannucci, Anna; Kozlosky, Merel; Shomaker, Lauren B.; Brady, Sheila M.; Sbrocco, Tracy; Pickworth, Courtney K.; Stephens, Mark; Young, Jami F.; Olsen, Cara H.; Kelly, Nichole R.; Radin, Rachel; Cassidy, Omni; Wilfley, Denise E.; Reynolds, James C.; Yanovski, Jack A.

In: International Journal of Eating Disorders, Vol. 49, No. 5, 01.05.2016, p. 490-498.

Research output: Contribution to journalArticle

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T1 - Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating

AU - Tanofsky-Kraff, Marian

AU - Crosby, Ross D.

AU - Vannucci, Anna

AU - Kozlosky, Merel

AU - Shomaker, Lauren B.

AU - Brady, Sheila M.

AU - Sbrocco, Tracy

AU - Pickworth, Courtney K.

AU - Stephens, Mark

AU - Young, Jami F.

AU - Olsen, Cara H.

AU - Kelly, Nichole R.

AU - Radin, Rachel

AU - Cassidy, Omni

AU - Wilfley, Denise E.

AU - Reynolds, James C.

AU - Yanovski, Jack A.

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Y1 - 2016/5/1

N2 - Objective Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-foods than those without LOC, it is unknown if IPT impacts objective energy intake. Methods To test if IPT improves mood and eating in the laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE) group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. Results Girls in IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up 1 and then returned to baseline by follow-up 2 (p <.04). We found no significant group difference for changes in total intake relative to girls' daily energy needs (p's ≥.25). However, IPT reduced, while HE increased, the percentage of daily energy needs consumed from snack-foods by follow-up 2 (p =.04). Within-groups, HE increased their snack food intake from follow-up 1 to follow-up 2 (p =.01). Conclusions In adolescent girls with LOC, IPT did not change total intake at the test meal and was associated with reduced snack-food intake. Data are required to determine if IPT effectively prevents excess weight gain in the longer-term.

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