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Binge Eating Disorder and treatment

Monika M K Stojek, Marian Tanofsky-Kraff, Lauren B Shomaker, Nichole R Kelly, Katherine A Thompson, Rim D Mehari, Shannon E Marwitz, Andrew P Demidowich, Ovidiu A Galescu, Sheila M Brady, Susan Z Yanovski, Jack A Yanovski
OBJECTIVE: Adolescent emotional-eating, referring to eating in response to negative affective states, is frequently reported by those with loss of control (LOC) eating. Although LOC eating has been shown to predict exacerbated disordered eating and excess weight/adiposity gain, the extent to which emotional-eating, either alone or in combination with LOC, predicts adverse outcomes has not been determined. Thus, we examined associations of baseline emotional-eating with changes in disordered eating, BMI, and adiposity over 1-year, and to what degree the presence or absence of baseline LOC moderated these associations...
October 18, 2016: International Journal of Eating Disorders
Susan G Kornstein, Jelena L Kunovac, Barry K Herman, Larry Culpepper
OBJECTIVE: Review the clinical skills needed to recognize, diagnose, and manage binge-eating disorder (BED) in a primary care setting. DATA SOURCES: A PubMed search of English-language publications (January 1, 2008-December 11, 2014) was conducted using the term binge-eating disorder. Relevant articles known to the authors were also included. STUDY SELECTION/DATA EXTRACTION: Publications focusing on preclinical topics (eg, characterization of receptors and neurotransmitter systems) without discussing clinical relevance were excluded...
2016: Primary Care Companion to CNS Disorders
Andréa Poyastro Pinheiro, Maria Angélica Nunes, Natália Bordin Barbieri, Álvaro Vigo, Estela L M Aquino, Sandhi Barreto, Dora Chor, Maria Inês Schmidt
OBJECTIVE: To estimate the association of binge eating behavior (BE) with common mental disorders (CMD). METHOD: Cross sectional investigation of 14,088 adults, aged 35-74years (ELSA-Brasil study). BE was assessed with Structured Clinical Interview for DSM Disorders (SCID - DSM IV) questions, and psychiatric morbidity with CIS-R (CIS R - Clinical Interview Schedule Revised). Poisson regression was used to estimate the association of BE and psychiatric morbidity...
September 2, 2016: Eating Behaviors
Antonio Ferragud, Adam D Howell, Catherine F Moore, Tina L Ta, Marius C Hoener, Valentina Sabino, Pietro Cottone
Compulsive, binge eating of highly palatable food constitutes a core feature of some forms of obesity and eating disorders, as well as of the recently proposed disorder of food addiction. Trace Amine-Associated Receptor 1 (TAAR1) is a highly conserved G-protein-coupled receptor bound by endogenous trace amines. TAAR1 agonists have been shown to reduce multiple behavioral effects of drugs of abuse through their actions on the mesocorticolimbic system. In this study, we hypothesized that TAAR1 may play a role in compulsive, binge-like eating; we tested this hypothesis by assessing the effects of a TAAR1 agonist, RO5256390, in multiple excessive feeding-related behaviors induced by limiting access to a highly palatable diet in rats...
October 6, 2016: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
Kathrin Schag, Elisabeth J Leehr, Eva-Maria Skoda, Sandra Becker, Stephan Zipfel, Katrin E Giel
Binge Eating Disorder (BED) is an eating disorder where cognitive behavioural therapy (CBT) could already show reliable efficacy. Relying on basic research, CBT interventions which especially focus on impulsivity could be effective, because binge eating episodes represent highly impulsive eating behaviour. For this reason, we developed a treatment concept about an impulsivity-focused behavioural group intervention for patients with BED, called IMPULS. The efficacy of IMPULS is currently investigated in a randomised controlled trial 1...
September 29, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
Timo Brockmeyer, Ulrike Schmidt, Hans-Christoph Friederich
BACKGROUND: The core symptoms of bulimia nervosa (BN) and binge eating disorder (BED) are recurrent episodes of binge eating. Despite negative psychological and physical consequences, BN/BED patients show uncontrollable approach tendencies towards food. This cognitive bias occurs at an early stage of information processing. Cognitive bias modification (CBM) directly targets such biases and has been shown to be effective in treating several mental disorders. In alcohol addiction, automatic action tendencies towards alcohol cues and relapse rates were successfully reduced by a specific form of CBM, termed approach bias modification...
September 26, 2016: Trials
Anna Keski-Rahkonen, Linda Mustelin
PURPOSE OF REVIEW: Eating disorders - anorexia nervosa, bulimia nervosa, and binge eating disorder - affect numerous Europeans. This narrative review summarizes European studies on their prevalence, incidence, comorbidity, course, consequences, and risk factors published in 2015 and the first half of 2016. RECENT FINDINGS: Anorexia nervosa is reported by <1-4%, bulimia nervosa <1-2%, binge eating disorder <1-4%, and subthreshold eating disorders by 2-3% of women in Europe...
November 2016: Current Opinion in Psychiatry
Anna I Guerdjikova, Nicole Mori, Thomas J Blom, Paul E Keck, Stephanie L Williams, Jeffrey A Welge, Susan L McElroy
OBJECTIVE: To evaluate lisdexamfetamine dimesylate (LDX) in the treatment of binge eating disorder (BED). METHOD: Fifty participants with BED received LDX (20-70 mg/day) (n = 25) or placebo (n = 25) for up to 12 weeks in a single-center, randomized, double-blind, and flexible-dose trial. The primary outcome measure was binge eating (BE) days/week. RESULTS: In the primary longitudinal analysis, compared with placebo, LDX was not associated with a significantly greater rate of reduction in BE days/week, as well as BE episodes/week, and scores on the Clinical Global Impression-Severity or Yale-Brown Obsessive-Compulsive Scale modified for binge eating scales...
September 2016: Human Psychopharmacology
Silvana Gaetani, Adele Romano, Gustavo Provensi, Valdo Ricca, Thomas Lutz, M Beatrice Passani
The central-nervous-system and viscera constitute a functional ensemble, the gut-brain axis, that allows bidirectional information flow that contributes to the control of feeding-behaviour based not only on the homeostatic, but also on the hedonic aspects of food-intake. The prevalence of eating disorders, such as anorexia nervosa, binge eating and obesity, poses an enormous clinical burden, and involves an ever-growing percentage of the population worldwide. Clinical and preclinical research is constantly adding new information to the field and orienting further studies with the aim of providing a foundation for developing more specific and effective treatment approaches to pathological conditions...
September 21, 2016: Journal of Neurochemistry
Marisol Perez, Tara K Ohrt, Hans W Hoek
PURPOSE OF REVIEW: We reviewed the recent literature on prevalence rates, and application of evidence-based treatments for eating disorders among Hispanics/Latinos residing in the United States. RECENT FINDINGS: Lifetime prevalence rates of anorexia nervosa are lower among Hispanic/Latinos than non-Hispanic Whites. There are comparable rates of bulimia nervosa and binge eating disorder (BED) among Hispanic/Latinos and non-Hispanic Whites. BED is the most common eating disorder among Hispanic/Latinos...
November 2016: Current Opinion in Psychiatry
Carmel Harrison, Deborah Mitchison, Elizabeth Rieger, Bryan Rodgers, Jonathan Mond
The objective of this study was to examine the relationship between overvaluation of weight/shape ('overvaluation') and emotion regulation (ER) difficulties among women with binge eating disorder (BED) symptoms. Four groups of women were recruited from a community-based sample and compared on ER difficulties: individuals with probable BED with (n=102) and without (n=72) overvaluation, and non-binge eating obese (n=40) and healthy-weight (n=40) control participants. Data for patients with a formal diagnosis of BED receiving treatment from a previous study were included for numerical comparative purposes...
November 30, 2016: Psychiatry Research
Ann F Haynos, Carolyn M Pearson, Linsey M Utzinger, Stephen A Wonderlich, Ross D Crosby, James E Mitchell, Scott J Crow, Carol B Peterson
OBJECTIVE: Evidence suggests that eating disorder subtypes reflecting under-controlled, over-controlled, and low psychopathology personality traits constitute reliable phenotypes that differentiate treatment response. This study is the first to use statistical analyses to identify these subtypes within treatment-seeking individuals with bulimia nervosa (BN) and to use these statistically derived clusters to predict clinical outcomes. METHODS: Using variables from the Dimensional Assessment of Personality Pathology-Basic Questionnaire, K-means cluster analyses identified under-controlled, over-controlled, and low psychopathology subtypes within BN patients (n = 80) enrolled in a treatment trial...
September 9, 2016: International Journal of Eating Disorders
Anita Jansen
Eating disorders are severe and disabling mental disorders. The scientific study of eating disorders has expanded dramatically over the past few decades, and provided significant understanding of eating disorders and their treatments. Those significant advances notwithstanding, there is scant knowledge about key processes that are crucial to clinical improvement. The lack of understanding mechanisms that cause, maintain and change eating disorders, currently is the biggest problem facing the science of eating disorders...
November 2016: Behaviour Research and Therapy
Maartje S Vroling, Femke E Wiersma, Mirjam W Lammers, Eric O Noorthoorn
BACKGROUND: Dropout rates in binge eating disorder (BED) treatment are high (17-30%), and predictors of dropout are unknown. METHOD: Participants were 376 patients following an intensive outpatient cognitive behavioural therapy programme for BED, 82 of whom (21.8%) dropped out of treatment. An exploratory logistic regression was performed using eating disorder variables, general psychopathology, personality and demographics to identify predictors of dropout. RESULTS: Binge eating pathology, preoccupations with eating, shape and weight, social adjustment, agreeableness, and social embedding appeared to be significant predictors of dropout...
September 4, 2016: European Eating Disorders Review: the Journal of the Eating Disorders Association
Ines Hilker, Isabel Sánchez, Trevor Steward, Susana Jiménez-Murcia, Roser Granero, Ashley N Gearhardt, Rita Cristina Rodríguez-Muñoz, Carlos Dieguez, Ana B Crujeiras, Iris Tolosa-Sola, Felipe F Casanueva, José M Menchón, Fernando Fernández-Aranda
: Food addiction (FA) has been examined in different populations. Although high FA levels are associated with greater eating disorder severity, few studies have addressed how FA relates to treatment outcome. GOALS: The study aims (1) to determine whether a brief intervention for bulimia nervosa (BN) reduces FA diagnosis or severity compared with baseline and (2) to determine if FA is predictive of treatment outcome. METHOD: Sixty-six female BN patients participated in the study...
September 4, 2016: European Eating Disorders Review: the Journal of the Eating Disorders Association
Mandy Skunde, Stephan Walther, Joe J Simon, Mudan Wu, Martin Bendszus, Wolfgang Herzog, Hans-Christoph Friederich
BACKGROUND: Impaired inhibitory control is considered a behavioural phenotype in patients with bulimia nervosa. However, the underlying neural correlates of impaired general and food-specific behavioural inhibition are largely unknown. Therefore, we investigated brain activation during the performance of behavioural inhibition to general and food-related stimuli in adults with bulimia nervosa. METHODS: Women with bulimia and healthy control women underwent event-related fMRI while performing a general and a food-specific no-go task...
August 2016: Journal of Psychiatry & Neuroscience: JPN
Ricardo V García-Mayor, Francisco J García-Soidán
BACKGROUND: Relationship between type 1 diabetes and Eating disorders is well-known, less information exists on the relationship between type 2 diabetes (T2DM) people and eating disorders. AIM: Review information on the prevalence and impact of type 2 diabetes and eating disorders comorbidity. METHODS: Search in Medline and PubMed relevant articles on the aforementioned co-morbidity. Review includes articles on epidemiological, clinical and therapeutics aspects...
August 22, 2016: Diabetes & Metabolic Syndrome
Rebecca L W Corwin, Francis H E Wojnicki, Derek J Zimmer, R Keith Babbs, Lauren E McGrath, Diana R Olivos, Elizabeth G Mietlicki-Baase, Matthew R Hayes
OBJECTIVE: Binge eating is characterized by repeated intermittent bouts of compulsive overconsumption of food. Treatment is challenging given limited understanding of the mechanisms underlying this type of disordered eating. The hypothesis that dysregulation of mesocortical dopaminergic and GABAergic systems underlie binge eating was tested. METHODS: Analysis of gene expression within the ventral tegmental area and its terminal mesocortical regions was examined in bingeing rats before and after bingeing occurred...
October 2016: Obesity
Aneta Michalska, Natalia Szejko, Andrzej Jakubczyk, Marcin Wojnar
AIM: The aim of this paper was to characterise nonspecific eating disorders (other than anorexia nervosa and bulimia nervosa). METHOD: The Medline database was searched for articles on nonspecific eating disorders. The following disorders were described: binge eating disorder (BED), pica, rumination disorder, avoidant/restrictive food intake disorder, night eating syndrome (NES), sleep-related eating disorder (SRED), bigorexia, orthorexia, focusing on diagnosis, symptoms, assessment, comorbidities, clinical implications and treatment...
2016: Psychiatria Polska
Phillip Aouad, Phillipa Hay, Nerissa Soh, Stephen Touyz
BACKGROUND: This systematic review is an evaluation of the empirical literature relating to the disordered eating behaviour Chew and Spit (CHSP). Current theories postulate that CHSP is a symptom exhibited by individuals with recurrent binge eating and Bulimia Nervosa. AIMS: The review aimed to identify and critically assess studies that have examined the distribution of CHSP behaviour, its relationship to eating disorders, its physical and psychosocial consequences and treatment...
2016: Journal of Eating Disorders
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