Cognitive Behavioral and Metacognitive Approaches for Binge Eating Disorder: A Narrative Review of Evidence on Symptoms, Beliefs, Body Image, and Cognitive Flexibility
| Author | Roya Masoumi | en |
| Author | Azam Davoodi | en |
| Author | Marjan Albehbahani | en |
| Author | Najmeh Fath | en |
| Issued Date | 2026-06-30 | en |
| Abstract | Context: Binge eating disorder (BED) is associated with maladaptive cognitive patterns, body image disturbance, and impaired cognitive flexibility. Cognitive behavioral therapy (CBT) and metacognitive therapy (MCT) are among the primary psychological approaches proposed for its treatment. Evidence Acquisition: This narrative review synthesizes findings from recent empirical studies and randomized controlled trials that evaluate the effects of CBT and emerging metacognitive-based interventions in patients with BED. Results: Evidence indicates that CBT is an established and effective intervention for reducing binge-eating symptoms and improving related psychological outcomes. MCT and related metacognitive interventions remain at an early stage of development, with preliminary findings suggesting potential benefits in modifying metacognitive beliefs, enhancing cognitive flexibility, and reducing maladaptive self-focused cognitive processes. However, the evidence base for MCT remains limited compared with that for CBT. Conclusions: CBT is currently the most evidence-supported psychological treatment for BED. MCT appears promising; however, additional high-quality research is needed to confirm its effectiveness and clarify its therapeutic mechanisms. | en |
| DOI | https://doi.org/10.5812/ijpbs-172326 | en |
| URI | https://brieflands.com/journals/ijpbs/articles/172326 | en |
| Keyword | Binge Eating Disorder | en |
| Keyword | Body Image | en |
| Keyword | Cognitive Behavioral Therapy | en |
| Keyword | Cognitive Flexibility | en |
| Keyword | Maladaptive Beliefs | en |
| Keyword | Metacognitive Therapy | en |
| Publisher | Brieflands | en |
| Title | Cognitive Behavioral and Metacognitive Approaches for Binge Eating Disorder: A Narrative Review of Evidence on Symptoms, Beliefs, Body Image, and Cognitive Flexibility | en |
| Type | Review Article | en |
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