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1
Fairburn, Christopher G. "The management of bulimia nervosa and other binge eating problems." Advances in Psychiatric Treatment 3, no. 1 (January 1997): 2–8. http://dx.doi.org/10.1192/apt.3.1.2.
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This article is about the management of eating disorders in which binge eating is a prominent feature. These disorders include bulimia nervosa, the most common eating disorder, and ‘binge eating disorder’, a provisional new diagnosis included in DSM–IV. In addition, binge eating is seen in anorexia nervosa and in many atypical eating disorders.
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VAN HANSWIJCK DE JONGE, P., E. F. VAN FURTH, J. HUBERT LACEY, and G. WALLER. "The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity." Psychological Medicine 33, no. 7 (September 25, 2003): 1311–17. http://dx.doi.org/10.1017/s0033291703007505.
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Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality pathology, considering the potential utility of understanding personality disorders in terms of diagnosis and dimensional scores.Method. Eating disorder diagnoses were established using the Eating Disorder Examination interview. Thirty-five bulimia nervosa patients, 15 binge eating disorder patients and 37 obese patients were assessed and compared on the International Personality Disorder Examination using categorical and dimensional personality disorder scores.Results. For most personality disorders, there was a dichotomy of binge eaters versus non-binge eaters. In contrast, there was a continuum of severity in borderline personality disorder pathology between the groups. The dimensional system of measurement of personality pathology allowed for clearer differentiation between the groups.Conclusion. The study strongly indicates that personality disorder difficulties are present in patients who binge eat, while obese patients who do not binge eat display significantly less personality disorder pathology. Assessment of bulimia nervosa, binge eating disorder and obesity needs to address personality disorders and pathology. Dimensional markers of personality pathology can be used to supplement categorical diagnoses, providing information about the traits that underlie diagnosis.
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Shan, Yiyao. "Binge Eating Disorder: Formation and Impact." Lecture Notes in Education Psychology and Public Media 7, no. 1 (May 17, 2023): 448–53. http://dx.doi.org/10.54254/2753-7048/7/2022898.
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This article provides a detailed understanding of binge eating disorder (BED), its causes, symptoms, and treatment options. A serious condition called binge eating disorder can cause both physical and psychological discomfort. A summary of past and current literature describes the symptoms, etiology of binge eating disorder, social influence, treatment, and future research directions. A serious mental disease known as binge eating disorder is characterized by frequent episodes with binge eating. A sense of lack of control over its food is a common factor in binge eating episodes, which are frequently accompanied by emotions of shame, guilt, and anxiety. The disorder is related to several psychological and physical health problems and can significantly negatively impact the quality of life. Binge eating disorder is assumed to be the result of a complex combination of psychological, biological, and societal factors, while the specific origin is unknown. Treatment for binge eating disorder typically involves a combination of psychotherapy, medication, and lifestyle changes. Finally, the paper discusses suggestions for future research directions, exploring whether social norms influence the incidence of binge eating disorders. This article suggests that future research should focus on how social norms can influence the development of binge eating disorders to develop more effective interventions.
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Vannucci, A., E. E. Nelson, D. M. Bongiorno, D. S. Pine, J. A. Yanovski, and M. Tanofsky-Kraff. "Behavioral and neurodevelopmental precursors to binge-type eating disorders: support for the role of negative valence systems." Psychological Medicine 45, no. 14 (June 4, 2015): 2921–36. http://dx.doi.org/10.1017/s003329171500104x.
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Background.Pediatric loss-of-control (LOC) eating is a robust behavioral precursor to binge-type eating disorders. Elucidating precursors to LOC eating and binge-type eating disorders may refine developmental risk models of eating disorders and inform interventions.Method.We review evidence within constructs of the Negative Valence Systems (NVS) domain, as specified by the Research Domain Criteria framework. Based on published studies, we propose an integrated NVS model of binge-type eating-disorder risk.Results.Data implicate altered corticolimbic functioning, neuroendocrine dysregulation, and self-reported negative affect as possible risk factors. However, neuroimaging and physiological data in children and adolescents are sparse, and most prospective studies are limited to self-report measures.Conclusions.We discuss a broad NVS framework for conceptualizing early risk for binge-type eating disorders. Future neural and behavioral research on the developmental trajectory of LOC and binge-type eating disorders is required.
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Dalle Grave, Riccardo. "Obesity and eating disorders: an interactive and complex coexistence." IJEDO 5 (December 7, 2023): 12. http://dx.doi.org/10.32044/ijedo.2023.04.
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Obesity is the medical condition most frequently observed in people with eating disorders. It often coexists with binge-eating disorder and with some cases of bulimia nervosa, night eating syndrome, and atypical anorexia nervosa. Obesity can precede the onset of eating disorders, sometimes representing a risk factor for their onset, or can be in part the consequence of recurrent binge-eating episodes. Eating disorders and obesity, when they coexist, tend to interact negatively with each other and make treatment more problematic. Weight loss is always contraindicated when obesity coexists with bulimia nervosa and atypical anorexia nervosa. Still, it is not contraindicated when it coexists with binge-eating disorder or night eating syndrome. However, the weight loss outcome with current treatments is often unsatisfactory. A potential strategy to improve this poor outcome is an integrated treatment combining the new incretin-based medications for the treatment of obesity with enhanced cognitive behavior therapy (CBT) of binge-eating disorder and CBT of obesity.
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Al Hourani, Huda, Rana Ababneh, Nahla Khawaja, Yousef Khader, and Kamel Ajlouni. "Eating disorders among Jordanian adolescents with and without dysglycaemia: a comparative study." Eastern Mediterranean Health Journal 26, no. 12 (December 1, 2020): 1502–9. http://dx.doi.org/10.26719/emhj.20.86.
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Background: Studies on eating disorders among Jordanian adolescents have reported variable prevalence rates of 12–40%. Aims: This study aimed to determine the prevalence of eating disorders among Jordanian adolescents with and without dysglycaemia and determine the associated factors. Methods: A comparative cross-sectional study was conducted during the period November 2017–February 2018. The Eating Disorder Diagnostic Scale was used to assess the presence of different types of eating disorders, including anorexia nervosa, bulimia nervosa and binge eating disorder. A typical anorexia nervosa and purging disorder were considered “other eating disorders” in this study. Results: This study included 497 patients with dysglycaemia and 504 age-matched nondysglycaemic participants. Patients with dysglycaemia had a significantly higher prevalence of binge eating disorders compared with nondysglycaemic participants (11.9% vs 5.8%, P < 0.001). In dysglycaemia group, adolescents who were aged ≥ 14 years were more likely to have bulimia nervosa compared with those < 14 years old. Patients with a sedentary lifestyle were less likely to have bulimia nervosa and binge eating disorders. In the nondysglycaemic group, those aged 14–18 years were more likely to have other eating disorders. Those with dysglycaemia were more likely to have binge eating disorders than those in the nondysglycaemic group (OR = 2.1, 95% CI: 1.3–3.3; P = 0.002) after adjusting for possible confounders. Conclusions: Adolescents with dysglycaemia had higher prevalence of eating disorders compared with their nondysglycaemic peers. Screening for eating disorders is recommended among adolescents to secure early detection and subsequent intervention.
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Berger, Gregory, Joshua D. Corris, Spencer E. Fields, Lihong Hao, Lori L. Scarpa, and Nicholas T. Bello. "Systematic Review of Binge Eating Rodent Models for Developing Novel or Repurposing Existing Pharmacotherapies." Biomolecules 13, no. 5 (April 25, 2023): 742. http://dx.doi.org/10.3390/biom13050742.
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Recent advances in developing and screening candidate pharmacotherapies for psychiatric disorders have depended on rodent models. Eating disorders are a set of psychiatric disorders that have traditionally relied on behavioral therapies for effective long-term treatment. However, the clinical use of Lisdexamfatamine for binge eating disorder (BED) has furthered the notion of using pharmacotherapies for treating binge eating pathologies. While there are several binge eating rodent models, there is not a consensus on how to define pharmacological effectiveness within these models. Our purpose is to provide an overview of the potential pharmacotherapies or compounds tested in established rodent models of binge eating behavior. These findings will help provide guidance for determining pharmacological effectiveness for potential novel or repurposed pharmacotherapies.
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Akyol, Serel, and Ayşegül Bayramoğlu. "Predicting Binge Eating Disorder Using Machine Learning Methods." Afyon Kocatepe University Journal of Sciences and Engineering 24, no. 5 (October 1, 2024): 1129–37. http://dx.doi.org/10.35414/akufemubid.1451334.
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Eating disorders are enduring conditions characterized by elevated rates of mortality and morbidity, presenting a serious threat to life. Among these disorders, binge eating disorder is the most prevalent. Therefore, it is an important health problem that often results in obesity worldwide. This study was conducted to evaluate the eating attitudes and behaviors of university students and predict binge eating disorder using machine learning methods. The study was carried out on 306 individuals (117 males, 189 females). Individuals' personal characteristics were questioned with the questionnaire form. The Bulimic Investigatory Test Edinburgh (BITE) test was used to determine whether individuals taking part in the study had binge eating disorder. In this study, in which binge eating disorder was classified, different artificial neural network models were created by changing the basic parameters, and the optimum model was assessed accordingly. Among the models created with different layers and activation functions, the optimum results were obtained using the number of fully connected layers as 2, first and second layers' sizes as 10, and ReLU, a non-linear activation function, in the Bilayered Neural Network structure. This study is the first trial in which binge eating disorder is predicted using machine learning methods, and we believe that machine learning is an important tool to help researchers and clinicians diagnose, prevent, and treat eating disorders at an early stage.
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Graham, Lisa, and Mark Walton. "Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service." Behavioural and Cognitive Psychotherapy 39, no. 4 (January 5, 2011): 443–56. http://dx.doi.org/10.1017/s1352465810000688.
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Background: Many patients who experience bulimia nervosa (BN) and binge eating disorder (BED) find it hard to access evidence-based treatments. Rates of failure to enter outpatient services following initial assessment are high, as are dropout rates from specialist outpatient eating disorders services. Aims: To offer CD-Rom CBT, a cognitive-behavioural multi-media supported self-help treatment, in a locality-based outpatient NHS Eating Disorders Service to patients who have binge eating disorder and bulimia nervosa. Method: Patients referred to a catchment-based NHS outpatient eating disorders service who were assessed and had an eating disorder with a binge-eating component were offered CD-Rom based CBT (Overcoming Bulimia) whilst on the waiting list for individual CBT. Results: Forty patients completed the 8 sessions and attended the evaluation appointment (13 had BN, 27 had BED). For both groups, there were significant improvements in well-being and functioning, as well as significant reductions in problems and risk. There was also a significant reduction on the “Bulimic Subscale” of the EDI. These results were comparable with the original study findings (Schmidt, Treasure and Williams, 2001). Dropouts from the CD-Rom reflected rates common to other EDS treatments suggesting that CD-Rom did not directly impact upon service dropout rates. Conclusions: Computer assisted CBT for Eating Disorders offers a promising, feasible and acceptable first step for patients who have bulimia nervosa or binge eating disorder and access treatment from specialist eating disorders services.
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Papelbaum, Marcelo, José Carlos Appolinário, Rodrigo de Oliveira Moreira, Vivian Carola Moema Ellinger, Rosane Kupfer, and Walmir Ferreira Coutinho. "Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients." Revista Brasileira de Psiquiatria 27, no. 2 (June 2005): 135–38. http://dx.doi.org/10.1590/s1516-44462005000200012.
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BACKGROUND: A few studies have shown high rates of eating disorders and psychiatric morbidity in patients with type 2 diabetes mellitus. OBJECTIVE: disturbed eating behavior and psychiatric comorbidity in a sample of T2DM patients. METHODS: Seventy type 2 diabetes mellitus patients between 40 and 65 years of age (mean, 52.9 ± 6.8) from a diabetes outpatient clinic were sequentially evaluated. The Structured Clinical Interview for DSM-IV, Binge Eating Scale and Beck Depression Inventory were used to assess eating disorders and other psychiatric comorbidity. In addition to the descriptive analysis of the data, we compared groups divided based on the presence of obesity (evaluated by the body mass index) or an eating disorder. RESULTS: Twenty percent of the sample displayed an eating disorder. Binge eating disorder was the predominant eating disorder diagnosis (10%). Overall, the group of obese patients with type 2 diabetes mellitus presented rates of psychiatric comorbidity comparable to those seen in their nonobese counterparts. However, the presence of an eating disorder was associated with a significant increase in the frequency of anxiety disorders (57.1% x 28.6%; p = 0.044). CONCLUSIONS: In our study sample, the occurrence of eating disorders was increased compared to rates observed in the general population, with the predominance of binge eating disorder. The presence of an eating disorder in type 2 diabetes mellitus patients was associated with higher rates of anxiety disorders.
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Muñoz Martinez, V., L. Beato-Fernández, and E. Segura-Escobar. "Psychofarmacological approach for Binge- eating disorders." European Psychiatry 65, S1 (June 2022): S230. http://dx.doi.org/10.1192/j.eurpsy.2022.596.
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Introduction Binge-eating disorder (BED), is one of the most common eating disorder. Treatment aims to reduce binge-eating frequency and disordered eating–related cognitions, improve metabolic health and weight, and regulate mood (in patients with coexisting depression or anxiety) Objectives The aim of this study was to examine the efficacy of lisdexamfetamine dimesylate in a simple of 50 women with a binge eating disorder diagnosis compare with selective serotonin reuptake inhibitor Methods Two groups were made, one with lisdexamfetamine and the other with selective serotonin reuptake inhibitor (fluoxetine). 20 women were in each group (total n=40). The doses depend of the binge symptoms and rates were from 30 to 70md/day for lisdexamfetamine and for fluoxetine the doses were from 20 to 60mg/day. Results Binge behaviors decreased with a 50mg/day dose of lisdexamfetamine. The 70mg/day doses present also less binge behaviors but also more adverse events. The 30mg/day doses did not decrease binge-eating behaviors. Conclusions Lisdexamfetamine is the first pharmacological agent to receive FDA approval for use in adults with moderate to severe binge eating disorder. This study supports further assessment of lisdexamfetamine as a treatment option for decreasing binge eating behavior and also symptoms associated such as anxiety and obsessive and compulsive features in adults.Increased efficacy with increasing dosages of lisdexamfetamine suggests a dose-response relationship until 50mg/day. Women with a dose of 50mg/day of lisdexamfetamine report less adverse event, more adherence to treatment and improve their eating behaviors. Disclosure No significant relationships.
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KESKİNKAYA, Şevval, and Aylin AÇIKGÖZ PINAR. "Binge Eating Disorder and Type 2 Diabetes Mellitus." Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 11, no. 2 (June 30, 2022): 817–24. http://dx.doi.org/10.37989/gumussagbil.976688.
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Binge Eating Disorder is an eating disorder characterized by binge-eating episodes in which the person loses control, recurring at least once a week for the last 3 months without compensatory behaviors. Conditions such as poor self-perception, depression, having to follow a certain diet, and increased body weight create a bidirectional relationship between Type 2 Diabetes Mellitus and Binge Eating Disorder. It is thought that the coexistence of the two disorders may make it difficult to achieve metabolic control in people with diabetes. Although there are conflicting results in the literature on this subject, it is widely believed that body weight is a moderator in the relationship between glycemic control and eating disorders. In studies conducted on the prevalence, it was determined that between 0.1% and 25.6% of Type 2 diabetes patients have Binge Eating Disorder. This wide range in prevalence is thought to be due to the differences in the characteristics of the participants in the studies and the screening tools used. There is no gold standard screening test developed for the diagnosis of Binge Eating Disorder in people with type 2 diabetes. However, some researchers have stated that the Eating Disorder Examination-Questionnaire and the Questionnaire of Eating and Weight Patterns are useful methods for screening. In this review, the relationship between Binge Eating Disorder and Type 2 Diabetes Mellitus, their incidence, metabolic effects and diagnostic tools were examined.
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Butler, Michael J., Alexis A. Perrini, and Lisa A. Eckel. "The Role of the Gut Microbiome, Immunity, and Neuroinflammation in the Pathophysiology of Eating Disorders." Nutrients 13, no. 2 (February 3, 2021): 500. http://dx.doi.org/10.3390/nu13020500.
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There is a growing recognition that both the gut microbiome and the immune system are involved in a number of psychiatric illnesses, including eating disorders. This should come as no surprise, given the important roles of diet composition, eating patterns, and daily caloric intake in modulating both biological systems. Here, we review the evidence that alterations in the gut microbiome and immune system may serve not only to maintain and exacerbate dysregulated eating behavior, characterized by caloric restriction in anorexia nervosa and binge eating in bulimia nervosa and binge eating disorder, but may also serve as biomarkers of increased risk for developing an eating disorder. We focus on studies examining gut dysbiosis, peripheral inflammation, and neuroinflammation in each of these eating disorders, and explore the available data from preclinical rodent models of anorexia and binge-like eating that may be useful in providing a better understanding of the biological mechanisms underlying eating disorders. Such knowledge is critical to developing novel, highly effective treatments for these often intractable and unremitting eating disorders.
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Burton, Amy L., and Maree J. Abbott. "Conceptualising Binge Eating: A Review of the Theoretical and Empirical Literature." Behaviour Change 34, no. 3 (August 14, 2017): 168–98. http://dx.doi.org/10.1017/bec.2017.12.
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Binge eating is a distressing symptom common to bulimia nervosa (BN), anorexia nervosa binge/purge subtype (AN-BP) and binge-eating disorder (BED). Over the last 40 years, many attempts have been made to conceptualise this symptom in terms of its antecedents, function, triggers, consequences, and maintaining factors. Cognitive theories of binge eating have evolved as new evidence has emerged. This literature review summarises the main and most influential cognitive models of binge eating across different eating disorder presentations. Many theories have examined binge eating in the context of restriction or compensatory behaviours, as is often observed in cases of BN. Few theories have examined binge eating as it occurs in BED specifically. The long-term efficacy of cognitive behavioural therapy (CBT) treatment based on these models leaves much to be desired, and indicates that there may be maintaining factors of binge eating not addressed in the typical CBT treatment for eating disorders. More recent cognitive models of binge eating propose possible maintaining beliefs, but further study is required to validate these models. Suggestions for future research are presented.
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Fedrigolli, Elsa, and Dragana Ratkovic. "Binge eating disorder in relation to obsessive-compulsive disorder and food addiction." Medical review 74, no. 5-6 (2021): 174–82. http://dx.doi.org/10.2298/mpns2106174f.
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Introduction. Binge eating disorder, as a fairly new disorder, has recently been added to the Diagnostic and Statistical Manual of Mental Disorders 5, and it is characterized by recurrent and frequent episodes of eating large quantities of food in a short time frame. The aim of this study was to associate binge eating disorder with obsessive-compulsive disorder and food addiction, which is crucial for understanding and appropriate treatment of patients. Material and Methods. We reviewed the literature from PubMED database from January 2000 to May 2021 using the keywords: binge eating disorder, binge eating disorder and obsessive-compulsive disorder, binge eating disorder and food addiction, and food addiction, in both English and German language. Results. Binge eating disorder, as part of the cycle of obsessive-compulsive disorder, may be considered obsessive thinking about weight, appearance or bad mood, where hunger and satiation is replaced by compulsion and loss of control, ritual eating, and secret eating. Furthermore, binge eating disorder may cause food addiction and this paper shows that addiction to high sugar and high fat products can lead to addiction behavior by habituation of certain points in the dorsal nucleus. This division is of major importance to establish proper treatment protocols. Conclusion. Binge eating disorder is closely related to obsessive-compulsive disorder and addiction to behavior and substances. Further research should focus on identifying the largest subtypes and classifications of binge eating disorder.
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Dhemaid, M., W. Abbes, S. Hafi, H. Nabli, and L. Ghanmi. "Binge eating disorders in the age of coronavirus outbreak." European Psychiatry 64, S1 (April 2021): S265. http://dx.doi.org/10.1192/j.eurpsy.2021.712.
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IntroductionLockdown imposed by the Tunisian government had a psychological impact such as depression, stress and anxiety, which triggered the development of eating disorders especially binge eating disorder.ObjectivesTo screen the binge eating disorder among general population in Gabes (south of Tunisia) and to identify factors associated with it.MethodsWe conducted a cross-sectional, descriptive and analytical web-based survey, from April 19, 2020, to May 5, 2020 on Facebook on citizens living in south of Tunisia. During this period, the total confirmed cases of COVID-19 exceeded 900 in Tunisia. We used a self-administered anonymous questionnaire containing citizen’s sociodemographic and clinical data. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria were used to assess Binge-Eating Disorder.ResultsA total of 331 persons were included. They were females (65%) and singles (43,2%). 71% of our population were aged between 20 and 40 years old. Among citizens of southern Tunisia, 6,9% suffered from binge eating disorder during this period of the lockdown. Binge eating disorders were associated to past psychiatric history (2,1% vs 4,53%, p<10-3), history of eating disorder (4,5% vs 2,4%, p<10-3), social isolation (5,1% vs 1,8%, p=0,015) and lack of physical activity (3,3% vs 3,9%, p=0,025).ConclusionsOur study showed that lockdown during the COVID-19 pandemic has changed the eating behavior of citizens of southern Tunisia. It is therefore important to screen them in order to manage them before complications emerge.
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M Steefan, Justina, Siddesha G, and Panjugula Madhuri. "Homoeopathic Treatment for Eating Disorders: A Comprehensive Overview and Promising Therapeutic Approach." International Journal of Science and Healthcare Research 8, no. 3 (August 31, 2023): 227–35. http://dx.doi.org/10.52403/ijshr.20230333.
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There is a widespread belief that eating disorders stem from lifestyle choices. However, it is essential to recognize that eating disorders are severe and potentially fatal illnesses, characterized by obsessions with food, body weight, and shape. Various eating disorders include anorexia nervosa, bulimia nervosa, night-eating syndrome, eating disorders not otherwise specified, and binge-eating disorders. These disorders can affect individuals regardless of age, gender, socioeconomic status, or cultural background, and they have been responsible for approximately 7000 deaths per year as of 2010. Timely detection plays a crucial role in enhancing the chances of recovery from eating disorders. Therefore, being aware of warning signs is of utmost importance. This review delves into the different types of eating disorders and explores their treatment through Homeopathy. Keywords: Eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, pathophysiology, Homoeopathy.
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Hay, P. J., C. G. Fairburn, and H. A. Doll. "The classification of bulimic eating disorders: a community-based cluster analysis study." Psychological Medicine 26, no. 4 (July 1996): 801–12. http://dx.doi.org/10.1017/s003329170003782x.
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SynopsisThere is controversy over how best to classify eating disorders in which there is recurrent binge eating. Many patients with recurrent binge eating do not meet diagnostic criteria for either of the two established eating disorders, anorexia nervosa or bulimia nervosa. The present study was designed to derive an empirically based, and clinically meaningful, diagnostic scheme by identifying subgroups from among those with recurrent binge eating, testing the validity of these subgroups and comparing their predictive validity with that of the DSM-IV scheme.A general population sample of 250 young women with recurrent binge eating was recruited using a two-stage design. Four subgroups among the sample were identified using a Ward's cluster analysis. The first subgroup had either objective or subjective bulimic episodes and vomiting or laxative misuse; the second had objective bulimic episodes and low levels of vomiting or laxative misuse; the third had subjective bulimic episodes and low levels of vomiting or laxative misuse; and the fourth was heterogeneous in character. This cluster solution was robust to replication. It had good descriptive and predictive validity and partial construct validity.The results support the concept of bulimia nervosa and its division into purging and non-purging subtypes. They also suggest a possible new binge eating syndrome. Binge eating disorder, listed as an example of Eating Disorder Not Otherwise Specified within DSM-IV, did not emerge from the cluster analysis.
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Borges, Maria Beatriz Ferrari, Christina M. Morgan, Angélica M. Claudino, and Dartiu Xavier da Silveira. "Validation of the portuguese version of the Questionnaire on Eating and Weight Patterns: revised (QEWP-R) for the screening of binge eating disorder." Revista Brasileira de Psiquiatria 27, no. 4 (December 2005): 319–22. http://dx.doi.org/10.1590/s1516-44462005000400012.
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OBJECTIVE: The present paper describes the validation of the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) designed for the diagnosis of binge eating disorder (BED) and sub-clinical binge eating. METHODS: 89 overweight women seeking treatment for binge eating and/or obesity were assessed with the Portuguese version of the Questionnaire of Eating and Weight Patterns and were, subsequently, interviewed with the eating disorders module of the Structured Clinical Interview for DSM-IV (SCID-I/P). Rates of binge eating disorder and sub-clinical cases of binge eating obtained with the Questionnaire on Eating and Weight Patterns-Revised were then compared to those obtained with the Structured Clinical Interview for DSM-IV. RESULTS: In the identification of binge eating, irrespective of the presence of all criteria for binge eating disorder the QEWP-R Questionnaire on Eating and Weight Patterns-Revised yielded a sensitivity value of 0.88, a specificity value of 0.63 and a positive predictive value of 0.825. Rates for the identification of the full syndrome of binge eating disorder were: sensitivity value of 0.548, a specificity value of 0.8 and a positive predictive value of 0.793. CONCLUSIONS: The Questionnaire on Eating and Weight Patterns-Revised can be useful in a first-step screening procedure to identify probable cases of binge eating. It can be useful as a screening tool and as a first step of clinical assessment of patients seeking treatment for binge eating and/or obesity.
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Garfinkel, Paul E., Sidney H. Kennedy, and Allan S. Kaplan. "Views on Classification and Diagnosis of Eating Disorders." Canadian Journal of Psychiatry 40, no. 8 (October 1995): 445–56. http://dx.doi.org/10.1177/070674379504000805.
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Objective To highlight developments in the taxonomy of eating disorders since Russell's original description of bulimia nervosa (BN) in 1979 and through 3 versions of the Diagnostic and Statistical Manual. Method Criteria for anorexia nervosa (AN), BN and binge eating disorder (BED) are systematically described. Results While criteria for AN remain largely unchanged between DSM-III-R and DSM-IV, the subclassification of binge/purge and restricter subgroups endorses previous research findings. For BN, the definition of “binge” has occupied considerable attention both in quantitative and qualitative terms. The arbitrary choice of 2 episodes per week as a minimum frequency is also discussed in light of recent data from the Ontario Health Supplement. A third eating disorder, BED, is now included in the appendix of DSM-IV under Eating Disorders — Not Otherwise Specified category. The potential overlap between this disorder and nonpurging BN is discussed. Finally, the relationship between eating disorders and other psychiatric disorders including depression, schizophrenia, obsessional, and conversion disorders is considered as well as the continuum from preoccupation with weight to eating disorder. Conclusion While significant advances have been made in understanding and classifying eating disorders during the past 15 years, further empirical work is necessary to clarify areas of uncertainty.
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Zhang, Wenxuan. "Explore the potential triggers to binge eating episode." Theoretical and Natural Science 8, no. 1 (November 13, 2023): 307–12. http://dx.doi.org/10.54254/2753-8818/8/20240445.
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Apart from the manifestation within the eating disorder framework, binge eating is also considered as a maladaptive eating behaviour that can occur to individuals without a formal diagnosis of eating disorder. By reviewing recent empirical literatures, negative emotions, body-image, perfectionism, and dieting seem to emerge as primary triggers to binge eating episode. Specially, negative emotions have been extensively discussed and believed to play a pivotal role in triggering the onset of binge eating. Body image and the trait perfectionism tend to be interrelated and mutually reinforced, increasing the risk for binge eating. Lastly, the effect of dieting seems to be relatively ambiguous, as it has been shown to be confounded by multiple factors, indicative of an indirect effect on binge eating. Although limitations were acknowledged, the findings of the present study still provided a comprehensive insight into the potential triggers to binge eating among the subgroup of people without eating disorders.
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Turton, Robert, Rayane Chami, and Janet Treasure. "Emotional Eating, Binge Eating and Animal Models of Binge-Type Eating Disorders." Current Obesity Reports 6, no. 2 (April 22, 2017): 217–28. http://dx.doi.org/10.1007/s13679-017-0265-8.
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Chmura, Anna, Patrycja Baciur, Katarzyna Skowrońska, and Anna Karaś. "Men’s eating disorders – A literature review." Journal of Education, Health and Sport 12, no. 11 (October 14, 2022): 11–17. http://dx.doi.org/10.12775/jehs.2022.12.11.001.
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Introduction and purpose: Eating disorders belong to the group of mental diseases characterized by significant somatic complications and high mortality. There is a common opinion that these disorders mainly affect women. Such assumptions may result in limited knowledge of the diagnosis and treatment of an eating disorder in the male population. The aim of this study is to summarize the current knowledge about eating disorders among men, including binge eating disorder (BED), anorexia nervosa (AN) and bulimia nervosa (BN). Description of the state of knowledge: It turns out that the problem of eating disorders among the male sex is not so rare- it is estimated that approximately 10 million US men will experience an eating disorder at some point in their lives. The most common eating disorder among men appears to be binge eating disorder (BED). Men are also more likely to report binge eating than women. AN and BN occur much less frequently than BED in the male population. The symptoms of anorexia nervosa and bulimia nervosa may differ between men and women. More and more often we observe a development of a certain type of muscle dysmorphia among men, the so-called “reverse anorexia". Eating disorders carry a number of medical complications such as cardiac disorders, electrolyte disturbances, digestive problems and skeletal disturbances. Therapeutic interventions in the treatment of male eating disorders should take into account gender-specific problems. Conclusions: The real number of men suffering from eating disorders may be underestimated due to the neglect of the problem in the context of the male gender. It also results in poorly developed diagnostic and support schemes for men struggling with this problem. More research is needed on the topic of eating disorders in this group of patients as it will help to develop better diagnostic and therapeutic regimens adapted to the male gender.
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Stunkard, A. "Two eating disorders: binge eating disorder and the night eating syndrome." Appetite 34, no. 3 (June 2000): 333–34. http://dx.doi.org/10.1006/appe.1999.0337.
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Dhemaid, M., W. Abbes, M. Tfifha, K. Medhaffer, M. Abbes, and L. Ghanmi. "Binge eating disorder and coronavirus outbreak among health care workers in tunisia." European Psychiatry 64, S1 (April 2021): S290. http://dx.doi.org/10.1192/j.eurpsy.2021.777.
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Introduction COVID19 outbreak had affected physical and mental health of individuals. Different adverse health behaviors had worsened and eating disorders had evolved. Health care workers were not spared.ObjectivesTo screen binge eating disorder among health care workers of regional hospital of Gabes (south of Tunisia) and its associated factors.Methods We conducted a cross-sectional, descriptive and analytical study, from April 19, 2020, to May 5, 2020 on 289 in Gabes regional Hospital. All healthcare workers were included (n=620). Workers who were on sick leave during the study were excluded. During this period, the total confirmed cases of COVID-19 exceeded 900 cases in Tunisia and around 20 cases in Gabes. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data. DSM-5 diagnostic criteria were used to assess Binge-Eating Disorder.ResultsOf the 289 responding participants, 85 were physicians (29%), 166 nurses (57.4%), 8 ambulance drivers (2.8%) and 30 health-related administrators (10.3%). A total of 100 participants (34.6%) were frontline health care workers directly engaged in diagnosing, treating or caring for patients with coronavirus disease. Nine percent of participants experienced binge eating disorder during the outbreak. Binge eating disorders were associated to past psychiatric history of eating disorder (p=0.001), social isolation (p=0.001), increased consumption of tea and coffee (p=0.02) and the fact of being a frontline care giver (p=0.009).Conclusions Binge eating disorders are usually associated with health problems: obesity and consequently severe form of coronavirus disease. Screening those disorders is important to alleviate its physical impact.
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Cooper, Zafra, and Christopher G. Fairburn. "Management of bulimia nervosa and other binge eating problems." Advances in Psychiatric Treatment 15, no. 2 (March 2009): 129–36. http://dx.doi.org/10.1192/apt.bp.107.004275.
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SummaryBinge eating occurs across the entire range of eating disorders. It is required for a diagnosis of bulimia nervosa but it is also seen in some cases of anorexia nervosa and in many cases of eating disorder not otherwise specified (usually referred to as eating disorder NOS or atypical eating disorder). This article focuses on the management of those eating disorders in which binge eating is a prominent feature.
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Mcdermott, Brett M., Mary Batik, Lynne Roberts, and Peter Gibbon. "Parent and Child Report of Family Functioning in a Clinical Child and Adolescent Eating Disorders Sample." Australian & New Zealand Journal of Psychiatry 36, no. 4 (August 2002): 509–14. http://dx.doi.org/10.1046/j.1440-1614.2002.01043.x.
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Objective: To investigate parent and self-report of family dysfunction in children and adolescents with eating disorders. Further, to investigate family functioning differences across the eating disorders diagnostic groups; anorexia nervosa, eating disorders not otherwise specified (EDNOS) and bulimia nervosa, and between the restricting and binge-purge eating disorders behavioural subtypes. Methods: The Family Adjustment Device General Functioning Scale (FAD-GFS) was administered to 100 children and their parents who presented consecutively at an eating disorders assessment clinic. DSM-IV eating disorders diagnoses in this group included 42 children diagnosed with anorexia nervosa, 26 with EDNOS, 12 with bulimia nervosa and 20 diagnosed as having no eating disorder. Results: Both the parent and child FAD-GFS report demonstrated high internal consistency supporting the suitability of this instrument for research with this sample. Parent and child reports were moderately positively correlated. Total scores for all eating disorders diagnostic categories were significantly higher than community norms. Anorexia nervosa, EDNOS and bulimia nervosa groups did not significantly differ on parent or child reports. FAD-GFS profiles for restricters and binge-purgers suggest higher levels of family dysfunction in the families of binge purgers. Conclusions: The FAD-GFS has suitable psychometric properties for use as a summary instrument with young people diagnosed with an eating disorder. However, more informative instruments assaying a greater range of constructs, especially in the impulsive, dyscontrol domain, are required to investigate differences among eating disorders diagnostic groups and behavioural subtypes.
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Musai, Musa, and Yasemin Şabani. "EATING DISORDERS (ANOREXİA, BULİMİA, AND BİNGE EATİNG)." Vision International Refereed Scientific Journal 1 (2024): 9–25. http://dx.doi.org/10.55843/ivisum241009m.
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Li, Natalie, Deborah Mitchison, Stephen Touyz, and Phillipa Hay. "Cross-sectional comparison of health-related quality of life and other features in people with and without objective and subjective binge eating using a general population sample." BMJ Open 9, no. 2 (February 2019): e024227. http://dx.doi.org/10.1136/bmjopen-2018-024227.
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ObjectivesEvidence suggests that while objective binge eating (OBE) and subjective binge eating (SBE) differ in the amount of food consumed, both are associated with impairment in people with eating disorders. However, only OBE is accounted for in the diagnostic criteria of eating disorders. This study compared the sociodemographic profile and burden of OBE versus SBE at a population level.DesignPopulation-based survey.ParticipantsA representative sample of 3028 men and women. Participants were categorised into four groups based on their reporting of binge eating in the past 3 months: non-binge eating group (no OBE or SBE), OBE group, SBE group and OSBE group (both OBE and SBE).Outcome measuresDemographics (age, genderand body mass index, BMI), binge eating, distress, weight/shape overvaluation and health-related quality of life. Groups were compared on sociodemographic information, overvaluation and health-related quality of life. The OBE and SBE groups were also compared on the distress related to binge eating.ResultsNo differences were found between the SBE group and OBE group in age, gender, BMI, mental health-related quality of life and overvaluation (all p>0.05). However, differences were found in the OSBE participants, namely that they were younger, had a higher mean BMI, lower mental health-related quality of life and higher overvaluation of weight/shape than the non-binge-eating participants (all p<0.001). Proportions of participants who reported distress related to binge eating in the OBE and SBE groups also did not differ (p=0.678).ConclusionThere is little difference in the demographic profile or burden of people who engage in OBE versus SBE, supporting the proposed inclusion of SBE in the diagnostic criteria for eating disorders in International Classification of Diseases-11. People who experience both OBE and SBE may experience a relatively higher eating disorder severity and impairment.
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Tfifha, M., W. Abbes, M. Dhemaid, K. Mdhaffar, M. Abbes, K. Zitoun, and L. Ghanmi. "Binge eating disorder experienced by young doctors struggling with COVID-19." European Psychiatry 64, S1 (April 2021): S285—S286. http://dx.doi.org/10.1192/j.eurpsy.2021.765.
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IntroductionThe COVID19 outbreak has disrupted the mental health of resident doctors who had to care for patients. Eating disorders were among these reported mental health problems.ObjectivesTo screen binge eating disorder among young Tunisian doctors and its associated factors.MethodsWe conducted a cross-sectional, descriptive and analytical online-based survey, from April 19, 2020, to May 5, 2020 on 180 medical residents in training. We sent the survey via a google form link. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data of young doctors. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria were used to assess Binge-Eating Disorder.ResultsAmong 180 young doctors who enrolled the survey, 70,2% were female, 16% were married. The mean age was 29 years. 51,1% were frontline caregivers, working directly in diagnosing, treating or caring for patients with coronavirus disease. Among our participants, 5% presented anxiety disorder, another 5 % presented depression disorder and 1,7% had eating disorder. Binge eating disorder were present among 8,9 % of participants and it was associated to personal history of eating disorder (7,7% vs 1,1%, p<10-3), past history of depression disorder (7,2% vs 3,3%, p=0.008), exposure to media or news about coronavirus outbreak (0.5% vs 8,3%, p=0.04).ConclusionsOur study indicated the evolving proportion of binge eating disorder among young doctors. Screening eating disorder is important in order to prevent related physical health problems.
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Herle, Moritz, Bianca De Stavola, Christopher Hübel, Mohamed Abdulkadir, Diana Santos Ferreira, Ruth J. F. Loos, Rachel Bryant-Waugh, Cynthia M. Bulik, and Nadia Micali. "A longitudinal study of eating behaviours in childhood and later eating disorder behaviours and diagnoses." British Journal of Psychiatry 216, no. 2 (August 5, 2019): 113–19. http://dx.doi.org/10.1192/bjp.2019.174.
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BackgroundEating behaviours in childhood are considered as risk factors for eating disorder behaviours and diagnoses in adolescence. However, few longitudinal studies have examined this association.AimsWe investigated associations between childhood eating behaviours during the first ten years of life and eating disorder behaviours (binge eating, purging, fasting and excessive exercise) and diagnoses (anorexia nervosa, binge eating disorder, purging disorder and bulimia nervosa) at 16 years.MethodData on 4760 participants from the Avon Longitudinal Study of Parents and Children were included. Longitudinal trajectories of parent-rated childhood eating behaviours (8 time points, 1.3–9 years) were derived by latent class growth analyses. Eating disorder diagnoses were derived from self-reported, parent-reported and objectively measured anthropometric data at age 16 years. We estimated associations between childhood eating behaviours and eating disorder behaviours and diagnoses, using multivariable logistic regression models.ResultsChildhood overeating was associated with increased risk of adolescent binge eating (risk difference, 7%; 95% CI 2 to 12) and binge eating disorder (risk difference, 1%; 95% CI 0.2 to 3). Persistent undereating was associated with higher anorexia nervosa risk in adolescent girls only (risk difference, 6%; 95% CI, 0 to 12). Persistent fussy eating was associated with greater anorexia nervosa risk (risk difference, 2%; 95% CI 0 to 4).ConclusionsOur results suggest continuities of eating behaviours into eating disorders from early life to adolescence. It remains to be determined whether childhood eating behaviours are an early manifestation of a specific phenotype or whether the mechanisms underlying this continuity are more complex. Findings have the potential to inform preventative strategies for eating disorders.
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Guiducci, Valentina. "Binge Eating Disorder e regolazione affettiva: cibo, emozioni, relazioni." SALUTE E SOCIETÀ, no. 3 (September 2009): 77–93. http://dx.doi.org/10.3280/ses2009-003005.
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- The work aims to draw a descriptive and explanatory picture of Binge Eating Disorder, basing on the key concept of affective regulation. It is proposed, as an explanation model of the disorder, the hypothesis of Taylor, Bagby and Parker (1997, 2000), who conceptualized Eating Disorders as self-regulation disorders, focusing on the construct of affect regulation. It refers to the acts that modulate emotions experienced and expressed (Gross and Munoz, 1995; Kopp, 1989; Schor, 1994). The reference to attachment theory, as privileged theoretical framework for understanding the construct of affect regulation, is introduced to discuss pathogenetic and clinical implications (Santona and Zavattini, 2009). The review of the empirical results of the studies that examined the relationship between Binge Eating Disorder and emotional dysregulation, shows how the characteristic of this disorder is a poor capacity to modulate dysphoric feelings and to differentiate emotions from bodily sensations. The desire to eat is experienced as a compulsive craving, that represents for the patient the only possible response to emotional dysregulation (Whiteside et al., 2007).Key-words: Binge Eating Disorder, food, emotions, affective regulation, bulimia, shape.Parole-chiave: Binge Eating Disorder, cibo, emozioni, regolazione affettiva, bulemia, vergogna.
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Monteleone, Palmiero. "Eating Disorders in the Era of the COVID-19 Pandemic: What Have We Learned?" International Journal of Environmental Research and Public Health 18, no. 23 (November 25, 2021): 12381. http://dx.doi.org/10.3390/ijerph182312381.
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Ramacciotti, Carla E., Riccardo A. Paoli, Mario Catena, Antonio Ciapparelli, Liliana Dell'Osso, Fiona Schulte, and Paul E. Garfinkel. "Schizophrenia and Binge-Eating Disorders." Journal of Clinical Psychiatry 65, no. 7 (July 15, 2004): 1016–17. http://dx.doi.org/10.4088/jcp.v65n0720a.
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Laliberte, Michele. "Obesity and binge eating disorders." Archives of Women's Mental Health 9, no. 1 (January 15, 2006): 62. http://dx.doi.org/10.1007/s00737-005-0101-0.
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Audah, Nadia. "Uji Validitas Konstruk Pada Instrumen The Binge Eating Scale Dengan Metode Confirmatory Factor Analysis (CFA)." Jurnal Pengukuran Psikologi dan Pendidikan Indonesia (JP3I) 7, no. 2 (July 30, 2019): 71–77. http://dx.doi.org/10.15408/jp3i.v7i2.12098.
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Binge Eating Disorder adalah gangguan makan dimana seorang individu makan secara berlebihan selama periode waktu tertentu karena faktor emosi negatif, namun berbeda dengan bulimia nervosa, individu dengan Binge Eating Disorder tidak memuntahkan kembali makanannya. Binge Eating disorder termasuk eating disorder yang paling sering ditemukan dalam masyarakat. US Census Bureau, International Data Base (2004, dalam Tantiani, 2007) bahwa jumlah penderita Binge Eating Disorder di Indonesia sebesar 1,669,170 dari populasi atau sebesar 218,452,952 orang. Faktor-faktor yang dianggap memengaruhi Binge Eating Disorder adalah perilaku diet, body dissatisfaction, depressive symptoms, modeling of eating disturbance, pressure to be thin, self-esteem, dan social support . Penelitian ini bertujuan untuk menguji validitas kostruk instrumen tersebut. Data dalam penelitian ini diperoleh dari mahasiswa dan mahasiswi Universitas Islam Negeri Syarif Hidayatullah yang berjumlah 280 orang. Metode yang digunakan untuk mengujinya adalah confirmatory factor analysis (CFA) menggunakan software LISREL 8.70. Hasil dari penelitian ini menunjukkan bawa seluruh item yang berjumlah 16 item bersifat unidimensional. Artinya seluruh item hanya mengukur satu faktor saja sehingga model satu faktor yang diteorikan oleh The Binge Eating Scale dapat diterima.Binge Eating Disorder is an eating disorder in which an individual eats excessively over a period of time due to negative emotional factors, but in contrast to bulimia nervosa, individuals with Binge Eating Disorder do not regurgitate their food. Binge Eating disorder includes eating disorders that are most often found in society. US Census Bureau, International Data Base (2004, in Tantiani, 2007) that the number of sufferers of Binge Eating Disorder in Indonesia is 1,669,170 from the population or amounting to 218,452,952 people. Factors that are considered to influence Binge Eating Disorder are dietary behavior, body dissatisfaction, depressive symptoms, modeling of eating disturbances, pressure to be thin, self-esteem, and social support. This study aims to examine the validity of the boarding instrument. The data in this study were obtained from students and students of the Syarif Hidayatullah State Islamic University totaling 280 people. The method used to test it is confirmatory factor analysis (CFA) using LISREL 8.70 software. The results of this study indicate that all 16 items are unidimensional. This means that all items only measure one factor so that the one factor model theorized by The Binge Eating Scale is acceptable.
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Falzon Aquilina, F., A. Grech, D. Zerafa, M. Agius, and V. Voon. "‘Dar Kenn Ghal Sahhtek’ – An Effective Therapeutic Intervention." European Psychiatry 33, S1 (March 2016): S427—S428. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1548.
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Introduction‘Dar Kenn Ghal Sahhtek’ is a residential service for patients suffering from eating disorders, namely Bulimia Nervosa, Anorexia Nervosa and Obesity (Binge Eating and Non Binge Eating type). The focus will be made on the obesity services.Objectives1. To show that Dar Kenn Ghal Sahhtek has proved to be an effective therapeutic intervention towards obesity (with or without binge eating). 2. To show that from a recruitment of 30 obese subjects a substantial proportion met the DSM-5 criteria for Binge Eating Disorder.Aims1. To show that by means of questionnaires and physical testing a marked improvement was made following the therapeutic interventions offered at DKGS. 2. To highlight the high incidence of binge eating disorder in a sample of 30 obese subjects recruited via DKGS.Methods1. Interviewing the patient for the DSM-5 criteria of binge eating. 2. Comparing scores of questionnaires before admission and prior to discharge. 3. Evaluating the response to various treatment modalities.ResultsOn interviewing the group of 30 patients, 47.6% of the patients were found to be the diagnostic criteria of Binge Eating Disorder according to DSM-5 (Table 1).ConclusionFirstly, a considerable proportions of obese subjects proved to meet the DSM-5 criteria for binge eating while Dar Kenn Ghall Sahhtek has proved to be an effective therapeutic intervention towards obesity (with and without binge eating).Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Sabrina Salsa Anggita Panjaitan and Lutfi Agus Salim. "Factors that influence eating disorder tendencies in adolescents: A literature review." World Journal of Advanced Research and Reviews 22, no. 1 (April 30, 2024): 294–97. http://dx.doi.org/10.30574/wjarr.2024.22.1.1051.
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Eating disorders are any form of behavioral or habitual eating disorder that results in altered food consumption and absorption, and significantly impairs physical health and psychosocial functioning. Eating disorders are any disorder characterized primarily by pathological disturbances of food-related attitudes and behaviors, including anorexia nervosa, bulimia nervosa, and binge-eating disorder (Sinurat, 2018). This study aims to determine the factors that influence eating disorder tendencies in adolescents. The research method utilized is literature review, which involves searching for research articles from Research Gate and Google Scholar using keywords such as eating disorder, influencing factors, anorexia nervosa, binge-eating disorder, and body image. From the research findings, it can be concluded that the occurrence of eating disorder tendencies in adolescents is caused by several dominant factors such as body image (3 articles), peer influences (3 articles), knowledge (2 articles), also family roles and BMI (2 articles).
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Alves, Tânia Patrícia Vasques. "Eating Disorders and Substance Use-Is There a Relationship?" Mental Health & Human Resilience International Journal 7, no. 1 (2023): 1–2. http://dx.doi.org/10.23880/mhrij-16000204.
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Castañeda Quirama, Tatiana, and Jorge Emiro Restrepo. "Gym-going women at risk for binge eating disorder: maladaptive schemas, stress coping, and emotional disturbances/Mujeres con riesgo de trastorno por atracón que van al gimnasio: esquemas maladaptativos, afrontamiento del estrés y trastornos emocionales." Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders 14, no. 1 (January 2, 2024): 1–15. http://dx.doi.org/10.22201/fesi.20071523e.2024.1.784.
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Binge eating disorder is characterized by excessive food consumption, which is accompanied by a sense of loss of control and occurs at least once a week. This study compared maladaptive schemas, stress coping strategies and two emotional disorders in two groups of gym-going women (a group at risk for binge eating disorder and a group not at risk) and analyzed which variables were predictors of binge eating disorder risk in this group of women. The variables included as predictors explained 55 % of the risk of BPD: two maladaptive schemas, two coping strategies, one measure of obesity, one psychopathological personal history, one psychopathological family history, and one measure of frequency of gym attendance. The importance of these variables in the genesis and maintenance of binge eating disorder is discussed.
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Alnaher, Sarah. "The Role of Genetics, Neurobiology, and Psychosocial Factors in the Development and Treatment of Eating Disorders: A Systematic Review." Journal of Medicine, Nursing & Public Health 7, no. 2 (July 30, 2024): 45–63. http://dx.doi.org/10.53819/81018102t4281.
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Eating disorders are severe complications affecting peoples’ eating patterns, with erratic practices like purging behaviors, binge eating, and avoidance of food. These disorders result from different causes, including neurotransmitter imbalance, psychological factors like body-shaming, and genetic inheritance. The present review focuses on genetic, neurobiology and psychological factors to provide an understanding of the development of eating disorders and subsequent treatment. The present review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist that guided the evidence collection in the review to ascertain high quality. The Participant, Interventions, Comparison, Outcomes, and Studies (PICOS) protocol guided the establishment of potential studies' inclusion criteria. The Grading of Recommendations, Assessments, Development, and Evaluation (GRADE) approach was used to assess the certainty of evidence from the individual studies. Two independent reviewers were tasked with study selection, data collection, and study risk of bias assessed. The reviewers used the Cochrane risk of bias tool to assess the risk of bias in the included studies. Fifteen studies met the eligibility tests and were included in the review. A review of the evidence obtained from the included studies revealed that neurobiology, genetics and psychological factors influence the development of eating disorders like binge eating disorders, anorexia nervosa, and bulimia nervosa. In genetics, familial integration and heredity revealed the passing of the genes responsible for the development of anorexia nervosa in subsequent generations. Psychological factors and neurobiology affect self-esteem or body shaming and affect the balance of neurotransmitters in the brain, respectively. The treatment interventions aim to restore neurotransmitter levels and confidence after losing confidence and self-body hate due to bad shape. Genetics, neurobiological factors and psychological status are responsible for the development of eating disorders. Bulimia nervosa, binge eating disorder and purging behaviors result from unregulated 5-HT depletion, can be inherited or can result from body shaming. The evidence shows that eating disorders can be treated based on the aetiologies and pathophysiology. Keywords: Eating disorders, treatment, neurobiological factors, genetics, binge eating disorder, bulimia nervosa.
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Abdelmoula, B., R. Rhaiem, A. Charfi, S. Kotti, I. Masmoudi, Y. Marsaoui, and N. Bouayed Abdelmoula. "Eating disorder and bipolar mental illness through genome wide association studies." European Psychiatry 67, S1 (April 2024): S555. http://dx.doi.org/10.1192/j.eurpsy.2024.1153.
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IntroductionBesides the role played by environmental factors and their epigenetic influences, scientific researchers showed that the susceptibility to develop an eating disorder among bipolar people is due to genetic factors.ObjectivesTo review the genetic factors behind eating disorders, highlight the role of genetics and epigenetics in the comorbidity of bipolar and eating disorders.Methods To delineate the role of genetics and epigenetics in eating disorders and bipolar disorders as two related mental illness, we comprehensively reviewed the scientific literature using GWAS (genome wide association studies) catalog databases to find genome-wide association studies carried out on patients with bipolar disorder EFO_0005203 and eating disorder comorbid condition (anorexia nervosa, binge eating, bulimia nervosa) EFO_0005203.Results GWAS of eating disorders were found in 33 studies with 324 associations whereas those of bipolar disorder were found in 114 studies with 1469 associations. GWAS of eating disorders within bipolar disorders revealed 182 and 134 associations, as well as 10 and 8 publications respectively. Only anorexia nervosa and binge eating were studied in association with bipolar disorders. The genetic variants were protein coding genes (CUBN, FAM228B, FXR1, etc.), non-coding RNA genes (SOX2-OT, MMADHC-DT, etc.), and pseudo-genes (RNU1-23P, CACYBPP2, etc.).ConclusionsAbout 300 genetic variants are associated with eating disorder as a comorbid condition of bipolar disorders. These variants may play a crucial role in the causes and mechanisms of eating disorders and should be more investigated towards more precise clinical and genetic entities.Disclosure of InterestNone Declared
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Hossain, Md Shakhawat, Md Mahfuj Ul Anwar, Maknunnahar, Md Abdul Motin, Md Shafiul Alam, Jimma Hossain, Md Naushad Ali, and Abu Hena Md Shohel Rana. "Eating Disorders: Reviews on Update in Diagnosis and Management." Journal of Rangpur Medical College 7, no. 2 (November 3, 2022): 63–68. http://dx.doi.org/10.3329/jrpmc.v7i2.62648.
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Eating disorders are common and frequently missed behavioral disorders associated with significant physical, mental and social morbidity and mortality. Among psychiatric illness, mortality rate of anorexia nervosa and bulimia nervosa is about 10% and 1% at 10 years of diagnosis respectively. All clinicians should ask about eating habits (such as dieting, binge-eating, and weight control behaviors etc) and weight concerns in high risk groups, even when they have no concerns about eating or weight. The DSM-5 and ICD-11 list 6 distinct eating disorders: 1) Anorexia nervosa, 2) Bulimia nervosa, 3) Binge-eating disorder (BED), 4) Avoidant/restrictive food intake disorder (ARFID), 5) Rumination disorder and 6) Pica. Since the incidence of eating disordered patients in appears to be rising, it is a time demanding issue to deliver multidisciplinary treatment for them. As eating disorders frequently involve multi-system disorders such as gastrointestinal, neurological and endocrine, early screening and assessment of patients with eating disorders is essential. Treatments for eating disorders depend on its types and focus on behavioral change, targeting normalizes the weight and eating habits. Depending on the severity of malnutrition and associated medical conditions, eating disorders may be treated with patient education , cognitive behavioral therapy (CBT), family-based treatment (FBT), specialist supportive clinical management (SSCM) and Pharmacotherapy (TCAs, MAOIs, and SSRIs).
J Rang Med Col. September 2022; Vol. 7, No. 2:63-68
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da Luz, Felipe Q., Mohammed Mohsin, Tatiana A. Jana, Leticia S. Marinho, Edilaine dos Santos, Isabella Lobo, Luisa Pascoareli, et al. "An Examination of the Relationships between Eating-Disorder Symptoms, Difficulties with Emotion Regulation, and Mental Health in People with Binge Eating Disorder." Behavioral Sciences 13, no. 3 (March 7, 2023): 234. http://dx.doi.org/10.3390/bs13030234.
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Eating disorders, such as binge eating disorder, are commonly associated with difficulties with emotion regulation and mental-health complications. However, the relationship between eating-disorder symptoms, difficulties with emotion regulation, and mental health in people with binge eating disorder is unclear. Thus, we investigated associations between eating-disorder symptoms, difficulties with emotion regulation, and mental health in 119 adults with binge eating disorder. Participants were assessed with the Eating Disorder Examination Questionnaire, Loss of Control over Eating Scale, Difficulties in Emotion Regulation Scale, Depression Anxiety and Stress Scale, and the 12-Item Short Form Survey at the pre-treatment phase of a randomized controlled trial. Structural-equation-modelling path analysis was used to investigate relationships between variables. We found that (1) eating-disorder behaviors had a direct association with depression, anxiety, and stress; (2) depression, psychological stress, difficulties with emotion regulation, and eating-disorder psychopathology had a direct association with mental-health-related quality of life; and (3) eating-disorder psychopathology/behaviors and stress had a direct association with difficulties with emotion regulation. Our findings show that depression, stress, difficulties with emotion regulation, and eating-disorder psychopathology were related in important ways to mental-health complications in people with binge eating disorder.
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Simon, Chantal. "Eating Disorders." InnovAiT: Education and inspiration for general practice 1, no. 11 (November 2008): 759–63. http://dx.doi.org/10.1093/innovait/inn016.
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Although classification of eating disorders is relatively recent, cases of female anorexia have been recorded since the eleventh century. Then, the intentional self-starvation of women was thought to result from religious yearnings resulting in these women being termed ‘fasting saints’. Freud recorded a case of bulimia nervosa in a female patient in the nineteenth century. There are currently three recognized eating disorders: anorexia nervosa, bulimia nervosa and binge eating disorder. Many more people have disordered eating patterns that show features of these conditions but do not meet the criteria for diagnosis.
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Mason, Tyler B., Diana Zhang, Diana Castillo, Rachel Dayag, Kathy Lam, Jeremy C. Morales, and Kathryn E. Smith. "Depressive Symptoms and Binge Eating in Children: Examining Symptom Specificity in a Population-based Sample of Male and Female Children." Journal of Emotion and Psychopathology 1, no. 1 (December 31, 2023): 336–44. http://dx.doi.org/10.55913/joep.v1i1.25.
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Introduction: Binge eating and compensatory behaviors have significant adverse health implications and are understudied among children. Studies have shown overlap between depressive symptoms and binge eating and compensatory behaviors, but little research has examined sex differences in depressive symptom specificity and binge eating and compensatory behaviors. The present study examined the associations between depressive symptoms and binge eating and compensatory behaviors among male and female children. Methods: Population-based data of 6,975 children ages 9 – 10 years and their caregivers from the multisite Adolescent Brain Cognitive Development (ABCD) study were analyzed. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) was utilized to measure binge eating, compensatory behavior, and depressive symptoms. Results: There was an association between presence of anhedonia with increased likelihood of binge eating among females and males. There were no significant associations between individual depressive symptoms and compensatory symptoms among females or males. Lifetime DSM-5 major depressive disorder was associated with binge eating in males and females and compensatory behaviors in females. Discussion: This study provides new knowledge of the specificity of the association between depressive symptoms and binge eating in female compared to male children. Anhedonia may be a key clinical target to reducing binge eating in female and male children.
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Treasure, J. "For Personality Disorders." European Psychiatry 65, S1 (June 2022): S12—S13. http://dx.doi.org/10.1192/j.eurpsy.2022.55.
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The number of diagnostic categories of eating disorders have increased over time. The term transdiagnostic has been commonly used for eating disorders as in general they share problematic eating patterns and variations in weight. However, there are also extreme differences, for instance in the realm of personality style. One example of contrasts is the polygenic correlation with ADHD which is positive in binge eating disorders and absent in anorexia nervosa. This is concordant with the clinical presentation whereby AN is associated with compulsive, rigid perfectionistic features consistent with an obsessive-compulsive personality style whereas BED is associated with impulsivity. ARFID and AN have features that overlap with characteristics of autistic spectrum disorders. Nevertheless, traits of neuroticism are shared across eating disorders and other psychiatric disorders. Another contrast is in the exposure to adversity in childhood. People with binge eating disorder have many forms of childhood adversity including the ramifications of weight stigma and this leaves an imprint on personality development. Thus, there is no one size that fits all in terms of the unfolding links between personality and eating disorders. Disclosure No significant relationships.
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Dalle Grave, Riccardo. "Glucagon-like Peptide 1 Receptor Agonists and Obesity Associated with Eating Disorders." IJEDO 6 (November 18, 2024): 15–24. http://dx.doi.org/10.32044/ijedo.2024.02.
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Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are effective medications for managing obesity and related metabolic complications. However, their use presents specific challenges when obesity is coexisting with eating disorders. In such cases, the appetite-suppressing effects of GLP-1RAs could potentially exacerbate behaviors like dietary restriction and dietary restraint, two behavioral patterns that help sustain eating disorder psychopathology, thus complicating treatment for these disorders. Because of these concerns, it is essential for clinicians to screen for eating disorders before prescribing GLP-1RAs in individuals with overweight or obesity. Their use is currently contraindicated for patients with atypical anorexia nervosa, bulimia nervosa, or subthreshold bulimia nervosa, as GLP-1RAs could worsen the restrictive eating behaviors common in these conditions. Although some emerging research suggests that GLP-1RAs might reduce binge-eating episodes, there is not yet enough evidence to support their use specifically for treating binge-eating disorder (BED) and its associated psychopathology. According to new recommendations from cognitive behavior therapy for BED, GLP-1RAs may be cautiously considered in patients with clinical obesity who do not overvalue shape and weight, have no history of anorexia nervosa or bulimia nervosa, and who have already made progress in adopting regular eating patterns and reducing binge-eating episodes.
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Herelli, E., M. Lagha, F. Askri, I. Ben Romdhane, H. Wided, and R. Labbane. "Schizophrenia and eating disorders: Epidemiological and clinical characteristics." European Psychiatry 67, S1 (April 2024): S555—S556. http://dx.doi.org/10.1192/j.eurpsy.2024.1154.
Full textAbstract:
IntroductionSchizophrenia is a common mental illness with a wide range of symptoms.Given the high metabolic comorbidity observed in schizophrenia and the metabolic side-effects induced by the antipsychotics used in practice, the detection of eating disorders is crucial.These disorders may occur at the same time as psychotic symptoms or independently of them.Objectiveswe aim to provide an overview of eating disorders in schizophrenia.Methods We conducted a systematic search using the 2 bibliographic databases PubMed and Google scholar including the following keywords: “Schizophrenia”, “Eating disorders”, “Reward mechanisms”.Results Eating disorders are a frequent comorbidity in schizophrenia.Authors have reported that some patients with schizophrenia have an increased appetite and craving for fatty foods, increased caloric intake and frequency of consumption, which may be associated with increased disinhibition.According to the literature, binge eating and night eating are frequently observed in patients with schizophrenia, with a prevalence of around 10%.Studies have shown that people suffering from psychosis and treated with antipsychotics have high rates of binge eating, ranging from 4.4% to 16% for binge eating and from 8.9% to 45% for binge eating symptoms (without reaching the diagnostic threshold for binge eating).Rates ranging from 16.1% to 64% for cravings were reported.Anorexia nervosa appears to affect between 1% and 4% of schizophrenic patients.Conclusions Despite their frequent association with schizophrenia, eating disorders remain little studied. However, it is important to detect these disorders and elucidate the underlying psychopathological and neurobiological mechanisms in order to better manage metabolic comorbidity and improve patients’ quality of life.Disclosure of InterestNone Declared
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Cerniglia, Luca. "Neurobiological, Genetic, and Epigenetic Foundations of Eating Disorders in Youth." Children 11, no. 3 (February 23, 2024): 274. http://dx.doi.org/10.3390/children11030274.
Full textAbstract:
Eating disorders (EDs), encompassing conditions such as anorexia nervosa, bulimia nervosa, and binge eating disorder, represent a significant public health concern, particularly among children and adolescents [...]