{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:49:54Z","timestamp":1791348594597,"version":"4.3.1"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010809","name":"Jascha Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004836","name":"Danmarks Frie Forskningsfond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004836","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the feasibility of a randomized pilot trial of group\u2010based cognitive behavioral therapy (CBT) for binge eating disorder (BED) in individuals with type 2 diabetes, and to estimate exploratory clinical outcomes to inform the design of a future efficacy trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Thirty\u2010four participants with type 2 diabetes and BED were randomized 1:1 to group CBT or waitlist. Feasibility outcomes included recruitment, randomization, intervention adherence, and follow\u2010up completion. Exploratory clinical outcomes were analyzed using an intention\u2010to\u2010treat mixed model, with weekly binge\u2010eating episodes evaluated as the primary clinical outcome for a future efficacy trial. Other exploratory clinical outcomes included other BED symptoms and glycated hemoglobin (HbA1c).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Recruitment was resource\u2010intensive, with 2646 individuals screened to randomize 34 participants. Randomization was completed as planned, but treatment initiation and follow\u2010up completion were lower in the group CBT arm. Postintervention data on weekly binge\u2010eating episodes were available for 11\/17 participants in the CBT group and 16\/17 in the waitlist group. This differential follow\u2010up may have introduced attrition bias. The exploratory between\u2010group estimate for binge\u2010eating episodes favored group CBT, with an adjusted difference in change of \u22122 episodes per week (95% CI: \u22124.81 to 0.68), corresponding to Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.62 (95% CI: \u22121.45 to 0.21). Exploratory clinical outcome estimates were intended to inform future trial design rather than to test efficacy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Group CBT delivery appeared acceptable among participants who initiated treatment, but recruitment and follow\u2010up require refinement before proceeding to a future efficacy trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70232","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:52:48Z","timestamp":1791345168000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive Behavioral Therapy for Binge\u2010Eating Disorder in Individuals With Type 2 Diabetes: A Pilot Randomized Controlled Trial"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2063-0769","authenticated-orcid":false,"given":"Pernille Fiil","family":"Nybo","sequence":"first","affiliation":[{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Steno Diabetes Centre Odense, Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5671-5385","authenticated-orcid":false,"given":"Michael Einar","family":"R\u00f8der","sequence":"additional","affiliation":[{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Department of Endocrinology Hvidovre University Hospital  Hvidovre Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7885-9187","authenticated-orcid":false,"given":"Mia Beck","family":"Lichtenstein","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"Department of Child and Adolescent Psychiatry Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4255-5544","authenticated-orcid":false,"given":"Ren\u00e9 Klinkby","family":"St\u00f8ving","sequence":"additional","affiliation":[{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Department of Child and Adolescent Psychiatry Odense University Hospital  Odense Denmark"},{"name":"Department of Endocrinology Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5899-2444","authenticated-orcid":false,"given":"Jakob","family":"Linnet","sequence":"additional","affiliation":[{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Department of Occupational and Environmental Medicine Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010018\u20100223\u20101"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425787","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u20105\u2010TR (5th Ed., Text Revision)","author":"American Psychiatric Association","year":"2022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0165\u20100327(00)00309\u20108"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/m17\u20100046"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/m15\u20102455"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001391\u2010y"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2014.11.012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000161"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22\u20100034"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814\u2010016\u20100105\u20108"},{"issue":"4","key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#","article-title":"Assessment of Eating Disorders: Inerview or Self\u2010Report Questionnaire?","volume":"16","author":"Fairburn C. 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