Service Delivery

Binge eating and weight control: the role of experiential avoidance.

Lillis et al. (2011) · Behavior modification 2011
★ The Verdict

A single day of ACT can shrink binge eating and weight by first lowering experiential avoidance.

✓ Read this if BCBAs writing weight-loss or habit-reduction plans for adults.
✗ Skip if Clinicians who only treat early-childhood autism with DTT.

01Research in Context

01

What this study did

Lillis et al. (2011) looked at old data from a one-day ACT workshop for adults who wanted to lose weight.

They asked: does lowering experiential avoidance (the urge to run from tough thoughts and urges) lead to less binge eating and then to actual weight loss?

02

What they found

Yes. When people dropped their avoidance, binge episodes fell.

Less binge eating then predicted pounds lost.

The chain was: ACT skills → lower avoidance → fewer binges → lighter scale.

03

How this fits with other research

Patton et al. (2020) saw the same chain in a self-help workbook for anxiety. Clients who practiced the skills daily got the same mediation path, showing the idea holds outside a live workshop.

Lappalainen et al. (2007) found the same link earlier: trainee therapists using ACT saw acceptance rise and symptoms fall. Their study used full therapy sessions, so Jason’s 1-day format gives a faster, cheaper route to the same process.

Sievers et al. (2020) stretched the model to hair-pulling. A 10-session ACT package cut pulling by first raising psychological flexibility, again showing the core process travels across very different problem behaviors.

04

Why it matters

You can target avoidance first, no matter the behavior. A brief ACT exercise—values card sort, urge surfing, or simple willingness practice—may cut binge eating, pulling, or anxiety without weeks of sessions. Try opening your next feeding or self-care protocol with one ACT micro-drill and track if the behavior drops next.

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→ Action — try this Monday

Start the session with a 5-minute willingness exercise: have the client notice an urge to eat (or pull, or avoid) and practice letting it sit without acting, then chart if the behavior drops that day.

02At a glance

Intervention
other
Design
pre post no control
Sample size
83
Population
other
Finding
positive

03Original abstract

Two thirds of the adults in the United States are overweight or obese. Binge eating is a barrier to treatment adherence and sustained weight loss, and can be seen as a form of experiential avoidance. The current study analyzed the impact of binge eating on weight reduction in a previously published study of a 1-day acceptance and commitment therapy (ACT) workshop (N = 83) and the psychological processes accounting for the binge-eating results. ACT participants reported less binge eating, which in turn significantly mediated changes in weight. Mediation analyses also showed that reductions in binge eating were mediated by changes in experiential avoidance. The study suggests that ACT and its targeted processes of change may be particularly relevant to binge eating, and that targeting binging is a possible pathway for improving weight management.

Behavior modification, 2011 · doi:10.1177/0145445510397178