Binge eating (BE) often develops during adolescence and is associated with deleterious psychological and physical consequences. Current treatments for adolescents achieve suboptimal results, likely due to failure to adequately address fear of weight gain (FOWG) which maintains BE. Thus, exposure treatment (the most powerful intervention for fear) may be a promising approach. However, exposure treatment has only minimally tested in adults with BE and never tested in adolescents. Thus, the current study is the first to evaluate a 4-session exposure module within a 12-session standard cognitive behavioral therapy for adolescents with BE. We recruited adolescents with BE (N = 5) and examined treatment feasibility, acceptability, and preliminary effects on FOWG and eating pathology. Overall, the 4-session exposure module was feasible and acceptable and showed preliminary evidence that it could reduce FOWG. However, several participants did not endorse significant fears of weight gain; rather, these participants reported that fears of deprivation or social judgment were more related to their BE. Future research should test higher doses of exposure and further examine the role of fear of deprivation/social judgment. Finally, future iterations of this treatment could include more parent involvement or test exposure in combination with treatments other than cognitive behavioral therapy, such as family-based treatment.

暴食 (BE) 通常发生在青春期，并与有害的心理和生理后果有关。目前针对青少年的治疗效果不佳，可能是由于未能充分解决维持 BE 的体重增加恐惧 (FOWG)。因此，暴露治疗（最有效的恐惧干预）可能是一种有前途的方法。然而，暴露治疗仅在 BE 成人中进行了最低限度的测试，从未在青少年中进行过测试。因此，目前的研究是第一个在 12 次标准认知行为疗法中评估 4 次暴露模块的 BE 青少年。我们招募了患有 BE ( N= 5) 并检查治疗的可行性、可接受性以及对 FOWG 和饮食病理的初步影响。总体而言，4 次暴露模块是可行和可接受的，并显示了它可以减少 FOWG 的初步证据。然而，一些参与者并不认可对体重增加的严重恐惧；相反，这些参与者报告说，对剥夺或社会判断的恐惧与他们的 BE 更相关。未来的研究应该测试更高剂量的暴露，并进一步检查害怕剥夺/社会判断的作用。最后，这种治疗的未来迭代可能包括更多的父母参与或测试暴露与认知行为治疗以外的治疗相结合，例如基于家庭的治疗。