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1
Hilbert, Anja. "Binge-Eating Disorder." Elsevier, 2019. https://ul.qucosa.de/id/qucosa%3A75711.
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Binge-eating disorder (BED) was first included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) within the Feeding and Eating Disorders section.1 BED’s hallmark feature is recurrent binge eating, involving the consumption of an amount of food that is definitively larger than what others would eat under comparable circumstances within a certain time, associated with a feeling of loss of control over eating. Diagnosis of BED according to DSM-5 (307.59) requires this objective binge eating to occur at least once per week over 3 months. In contrast to binge eating in bulimia nervosa, binge eating in BED occurs without regular inappropriate compensatory behaviors aimed at preventing weight gain, such as self-induced vomiting, fasting, or laxative misuse. Binge eating in BED is further characterized by behavioral abnormalities, such as eating rapidly or until feeling uncomfortably full, and results in marked distress.
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Donnelly, Brooke Allana. "A Neuroimaging Examination of Binge Eating in Bulimia Nervosa and Binge Eating Disorder." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21357.
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Eating disorders (EDs) are complex psychiatric illnesses involving genetic, environmental, cognitive and neurobiological factors. Recurrent, compulsive binge eating episodes (BEs) are a debilitating core symptom of bulimia nervosa (BN), binge eating disorder (BED), anorexia nervosa binge-purge subtype (AN-BP) and are a common feature of other specified feeding and eating disorder (OSFED). Neuroimaging techniques, particularly functional magnetic resonance imaging (fMRI), and research using fMRI in EDs, have both expanded significantly in recent decades. However, neuroimaging studies in BN and BED are significantly fewer relative to anorexia nervosa (AN). The use of disorder-relevant stimuli during neuroimaging, particularly food due to the role it plays in these illnesses, is a key area of interest, as understanding how the neural response to food differs in EDs can help to inform new, targeted treatment strategies. The aim of this thesis is to improve understanding of the differences in neural response between individuals with BN and BED compared to healthy controls (HCs) to low and high energy food stimuli. The thesis consists of a literature review and three peer-reviewed studies. The systematic review provides a comprehensive overview of the findings of 32 neuroimaging studies with BN and BED participants; the two empirical studies comprise a large fMRI study, with the first study examining neural responses of individuals with BN or BED to low energy foods compared to neutral items; the second empirical study with the same cohort investigated the profile of neural responses towards high energy food images. It is hoped that the findings of the studies increase understanding of the neural differences that may underlie compulsive binge eating in those with BN and BED and inform improvements in evidence-based treatment options.
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Jansen, Anita Theodora Maria. "Binge eating notes and data /." Maastricht : Maastricht : Datawyse ; University Library, Maastricht University [Host], 1990. http://arno.unimaas.nl/show.cgi?fid=5576.
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Hodge, Raegan. "Binge." Atlanta, Ga. : Georgia State University, 2008. http://digitalarchive.gsu.edu/art_design_theses/33/.
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Thesis (M.F.A.)--Georgia State University, 2008.Title from title page (Digital Archive@GSU, viewed July 6, 2010) Constance Thalken, committee chair; Sheldon Schiffer, Nancy Floyd, committee members. Includes bibliographical references (p. 35).
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Hodge, Raegan Nicole. "Binge." Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/art_design_theses/33.
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Binge is a multi-media installation consisting of dangling IV bags looming over a large table of food. Monitors on the table show live online chats about thinness, depression and eating disorders. On the rear wall, interview footage describing the gruesome experiences of the eating disorder sufferer intercut with the newest development of the disease, the online presence. The installation confronts the viewer with the horrible dualities of the disease: discipline and madness, reason and passion, and suffering and indulgence. The work references the philosophic mind/body struggle as well as the grim reality of these afflicted young women.
6
Evans, Charlotte Marie. "Treatment seeking for binge eating disorder." Thesis, Staffordshire University, 2016. http://eprints.staffs.ac.uk/2659/.
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The aim of this thesis is to explore the process of treatment seeking for eating disorders (EDs). EDs are frequently associated with psychological distress and poor quality of life, and it is widely recognised that there is a large proportion of individuals with EDs who are not accessing appropriate specialist treatment. This is concerning given that delays in treatment have been associated with poorer outcomes. A review of the literature regarding the experience of treatment seeking for an ED was carried out, this included: anorexia nervosa (AN); bulimia nervosa (BN); eating disorder not otherwise specified (EDNOS); binge eating disorder (BED); and sub-threshold eating difficulties. This review highlighted five themes across the papers; social stereotypes and norms; external factors; client (internal) factors; interpersonal factors; and gender. Critical review of eight papers found inconsistencies in the methods used for screening EDs and also large heterogeneity in the ED samples used. These methodological limitations should be taken into account when considering the findings. Paucity in research focusing specifically on treatment seeking for BED was highlighted. In response to this gap in the literature, Interpretative Phenomenological Analysis was used to explore the lived experience of people treatment seeking for BED. This analysis resulted in the following themes: the self as a barrier; the overlooked eating disorder; factors contributing to treatment seeking and disclosure; and making sense of BED. These findings are integral to engaging individuals with BED in services and ensuring that this often overlooked group are not left without appropriate treatment. These themes are considered in relation to existing theory; together with clinical implications and directions for future research. A reflective commentary considers personal reflections of completing the research; the influence of society on weight and shape; EDs and gender; and the controversial topic of psychiatric diagnosis.
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Harrington, Ellen F. "BINGE EATING AND THE “STRONG BLACK WOMAN”: AN EXPLANATORY MODEL OF BINGE EATING IN AFRICAN AMERICAN WOMEN." [Kent, Ohio] : Kent State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=kent1176232919.
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Thesis (Ph.D.)--Kent State University, 2007.Title from PDF t.p. (viewed March 28, 2008). Advisor: Janis H. Crowther. Keywords: binge eating, eating behavior, African American / Black, emotion regulation. Includes survey instrument. Includes bibliographical references (p. 94-107).
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Van, Hanswijck de Jonge Patricia. "Personality characteristics in binge eating disorder : a comparative study with bulimia nervosa and non binge-eating obesity." Thesis, St George's, University of London, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.406195.
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Nasser, Jessica Diana. "Dietary Restraint in Individuals with Symptoms of Binge Eating Disorder: Manifestation and Its Relation to Binge Eating Behavior." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1465071529.
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Hilbert, Anja. "Körperbild bei Frauen mit "Binge-eating"-Störung." [S.l. : s.n.], 2000. http://deposit.ddb.de/cgi-bin/dokserv?idn=960372458.
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Kent, Elizabeth Helen. "Binge eating and the meaning of food." Thesis, University of Birmingham, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408828.
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Baker, Jan M. "Binge eating and drinking among university women." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq31180.pdf.
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Quansah, Amissah Richard. "The reward system and binge eating disorder." Doctoral thesis, Université Laval, 2020. http://hdl.handle.net/20.500.11794/66331.
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Gerke, Clarice K. "Binge Eating in Ethnically Diverse Obese Adolescents." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd/1308.
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Rates of pediatric obesity in America are reaching epidemic proportions. Studies using both community and treatment-seeking samples of obese adolescents indicate that a subset engage in binge eating behaviors. This study investigated the prevalence and severity of binge eating behaviors among 86 primarily African American 11 to 17 year old adolescents seeking outpatient treatment for obesity. This study also examined the associations of stressful experiences (specifically, weight-related teasing, trauma, and daily hassles) with binge eating, as well as potential mediators and moderators of these relationships. Twenty-eight percent of the sample reported at least one episode of binge eating in the past two weeks and there were no ethnic or gender differences in rates of binge eating, nor in any other measures of eating related pathology. None of the forms of stress were associated with binge eating. However, weight-related teasing and trauma were associated with overall eating pathology. Therefore, the global measure of eating pathology was used as the dependent variable in the subsequent analysis.Although it was hypothesized that depressive symptoms would mediate the relationship between stressful experiences and disordered eating, this was not the case. Instead, the upset feelings about being teased mediated the relationship between depressive symptoms and disordered eating. It was also hypothesized that self-esteem and ethnic identity would moderate the relationships between stress and disordered eating. Self-esteem was not a significant moderator, but ethnic identity was among the European American participants only. Interpretation of the moderating role of ethnic identity revealed that European American participants with stronger ethnic identity were more likely to report disordered eating when they had also experienced teasing, trauma, and daily hassles. This result is interpreted using sociocultural theories which posit that the European American culture places individuals at more risk for disordered eating because of the emphasis placed on a thin body image ideal. Therefore, when European American obese adolescents identify highly with their ethnicity, they may be at more risk for developing disordered eating when they have also experienced other risk factors such as stressful life experiences. Future research should attempt to replicate these findings using a longitudinal approach.
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Brundin, Malin. "Binge Eating Disorder : Neural correlates and treatments." Thesis, Högskolan i Skövde, Institutionen för biovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-17594.
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Binge eating disorder (BED) is the most prevalent of all eating disorders and is characterized by recurrent episodes of eating a large amount of food in the absence of control. There have been various kinds of research of BED, but the phenomenon remains poorly understood. This thesis reviews the results of research on BED to provide a synthetic view of the current general understanding on BED, as well as the neural correlates of the disorder and treatments. Research has so far identified several risk factors that may underlie the onset and maintenance of the disorder, such as emotion regulation deficits and body shape and weight concerns. However, neuroscientific research suggests that BED may characterize as an impulsive/compulsive disorder, with altered reward sensitivity and increased attentional biases towards food cues, as well as cognitive dysfunctions due to alterations in prefrontal, insular, and orbitofrontal cortices and the striatum. The same alterations as in addictive disorders. Genetic and animal studies have found changes in dopaminergic and opioidergic systems, which may contribute to the severities of the disorder. Research investigating neuroimaging and neuromodulation approaches as neural treatment, suggests that these are innovative tools that may modulate food-related reward processes and thereby suppress the binges. In order to predict treatment outcomes of BED, future studies need to further examine emotion regulation and the genetics of BED, the altered neurocircuitry of the disorder, as well as the role of neurotransmission networks relatedness to binge eating behavior.
16
Glisenti, Kevin. "Emotion focused therapy for binge-eating disorder." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/213834/1/Kevin_Glisenti_Thesis.pdf.
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This thesis explored the feasibility and efficacy of individual emotion-focused therapy for binge-eating disorder, and the role of beliefs about emotions and emotional expressivity as potential mechanisms of change. The unique findings of this research will assist clinicians and patients by providing another treatment option for binge-eating disorder, which is important given mounting evidence of the comparatively high prevalence and clinical significance, and the paucity of proven effective treatment approaches for this condition compared to other eating disorders such as anorexia nervosa and bulimia nervosa.
17
Mingione, Carolyn. "Psychometric Properties of the Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating in individuals with Binge Eating Disorder." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1445341935.
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Case, Tricia. "Lipid levels and the binge eating pattern in women with eating disorders." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0026/MQ51594.pdf.
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LaRose, Jessica. "THE ROLE OF EXPECTANCIES IN BINGE EATING BEHAVIOR." Doctoral diss., University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/3853.
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The central aim of the present study was to examine the role of expectancies in binge eating behavior. Two distinct statistical techniques were used to accomplish this goal. First, regression analyses were conducted using variables previously identified in the literature, as well as eating expectancies as measured by the Eating Expectancy Inventory (EEI). For both females and males, regression equations including expectancies accounted for a substantial portion of the variance in binge eating behavior. Second, memory modeling techniques were used to model the probable organization of eating expectancies. Memory modeling of hypothetical expectancy networks has lead to successful interventions in alcohol use, and preliminary work in eating revealed a fundamental difference in the way that individuals with high levels of pathology activate and store eating related messages. In the present study, Individual Differences Scaling was used to model the two-dimensional organization of an eating expectancy memory network in relation to binge eating. INDSCAL weights indicated that participants with higher levels of binge eating placed more emphasis on the positive-negative dimension, and examination of group means revealed that high binge eaters expected more change in mood in response to eating. All findings are discussed in terms of implications for enhancing assessment, treatment, and prevention strategies.Ph.D.
Department of Psychology
Sciences
Psychology
20
Overduin, Barend Jan Joost. "Pavlovian conditioning and binge eating some empirical explorations /." Maastricht : Maastricht : Rijksuniversiteit Limburg ; University Library, Maastricht University [Host], 1996. http://arno.unimaas.nl/show.cgi?fid=6270.
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Denke, Gregory. "Attentional Blink: An Antecedent to Binge Eating Behavior." ScholarWorks@UNO, 2014. http://scholarworks.uno.edu/td/1912.
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This study examined how attentional sub-processes contribute to binge-eating. Dense-array EEG and a version of the canonical attentional blink task were used to ascertain the neural correlates underlying the attentional sub-processes that comprise the Posner model of attention (alerting, orienting, and executive control) and how attentional activation differs for binge-eaters vs. non-binge eaters. Furthermore, we examined a number of the event-related potentials (ERP), including P2 activation, which has been linked with orientating of attention, and N2 activation which has been linked with attentional conflict. We found decreased P2 activation for binge-eaters, in the negative condition, for incorrect target 2 (T2) detection trials. We also found more N2 activation for binge-eaters than non-binge eaters, in negative trials when T2 was not detected. This pattern of results suggest that binge-eaters showed deficiencies in allocating attention to stimuli that followed negative images; this attention deficiency may be a key factor for binge-eating behavior.
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Hartley, Georgina. "Metacognitions, metacognitive processes and metacognitive control strategies in people with obesity and binge eating and people with obesity without binge eating." Thesis, University of East Anglia, 2013. https://ueaeprints.uea.ac.uk/45650/.
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Background Binge eating is often co-morbid with obesity. There is no widely accepted theoretical model for binge eating, this has treatment implications. Research has highlighted the role of metacognitions in psychopathology, including eating disorders. However, metacognitions in obesity and binge eating have not yet been researched. The self-regulatory executive functioning model (S-REF; Wells & Matthews, 1994, 1996) conceptualises the role of metacognition in the aetiology and maintenance of psychological disturbance. This exploratory study aimed to explore metacognition in people with obesity and binge eating, and people with obesity without binge eating. Design A clinical sample of ten participants, five with obesity and binge eating, and five with obesity without binge eating were recruited. A mixed-method design was utilised, with a dominant qualitative component. Participants were interviewed using the Metacognitive Profiling Interview and completed self-report measures to contextualise the results. Using template analysis the two groups were first analysed separately, and then compared to each other. Results Three main themes were identified; metacognitive judgements, metacognitive processes and thought control strategies. The binge-eating group reported experiencing greater and more problematic metacognitions, metacognitive processes and thought control strategies than the non binge-eating group. Conclusions The results build upon existing metacognitive research, indicating that metacognitions involved in the development and maintenance of binge eating in obesity are often very different from those involved in obesity without binge eating. This suggests the S-REF iii model may have relevance for binge eating in obesity. The study supports the idea that individuals with binge eating should be offered specialised treatment that is distinct from the treatment for obese non-binge eaters. Further research is needed to develop an empirically-tested disorder-specific model of binge eating.
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Wright, Nadine-Devaki. "Assessing The Effectiveness Of Attention Training Therapy In The Treatment Of Binge Eating Within Bulimia Nervosa And Binge Eating Disorder - A Randomised Controlled Trial." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/18538.
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Binge eating is a core symptom of both Bulimia Nervosa (BN) and Binge Eating Disorder (BED). Information processing theories of eating disorders propose that selective attention towards food stimuli may be a significant factor maintaining binge eating within these disorders. The Attention Training Therapy (ATT) program used in this RCT was originally designed as a treatment for social phobia. It was found to be as effective as CBT but with better outcomes in reducing fear of negative evaluation and self-focused attention. This program was modified to focus on binge eating by teaching individuals to shift their attention away from binge urges to the task at hand and towards thoughtful eating, which was hypothesized to reduce binge eating frequency. This study aimed to evaluate the efficacy of group-based manualised ATT program for individuals with BN or BED compared to a waitlist control condition. 48 females met DSM-5 criteria (BN = 41; BED = 7) and were randomly allocated to either group-ATT treatment (N = 27) or waitlist control (N = 21). All participants were assessed using a clinician-administered semi-structured interview and a battery of questionnaires at baseline, post-treatment and follow-up. Results at post-treatment and follow-up found no significant reduction in binge eating frequency between the groups. However, the treatment group reported significantly increased emotion regulation and impulse control, a reduced sense of negative beliefs/having ‘no control over their eating’ and in the clinical interview they also endorsed significantly fewer weight and shape concerns compared to the waitlist group. This study provides a unique contribution to the eating disorders treatment literature by examining the impact of modifying attention focus, an area not previously researched.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206167.
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Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Surgery for obesity and related diseases (2015) 11, 3, S. 621-626, 2014. https://ul.qucosa.de/id/qucosa%3A14817.
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Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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LaMattina, Stephanie M. "Examining the Role of Stress in Binge Eating Disorder." Fogler Library, University of Maine, 2008. http://www.library.umaine.edu/theses/pdf/LaMattinaSM2008.pdf.
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Young, Eliane M. "A psychological to understanding obesity, overweight and binge eating." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531946.
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Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206020.
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A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
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Brauhardt, Anne, Almut Rudolph, and Anja Hilbert. "Implicit cognitive processes in binge-eating disorder and obesity." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-215567.
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Objectives: Binge-eating disorder (BED) is characterized by recurrent binge eating episodes, associated eating disorder and general psychopathology, and commonly occurs in obese individuals. Explicit self-esteem and explicit weight bias have been linked to BED, while little is known about implicit cognitive processes such as implicit self-esteem and implicit weight bias.
Methods: Obese participants with BED and an individually matched obese only group (OB) and normal weight control group (CG; each N = 26) were recruited from the community to examine group differences and associations in explicit and implicit self-esteem and weight bias, as well as the impact of implicit cognitive processes on global eating disorder psychopathology. Implicit cognitive processes were assessed using the Implicit Association Test.
Results: Significantly lower explicit self-esteem, as well as higher exposure to explicit weight bias, compared to CG and OB was found in the BED group. All groups showed positive implicit self-esteem, however, it was significantly lower in BED when compared to CG. BED and CG demonstrated equally high implicit weight bias whereas OB did not. Explicit and implicit measures were not significantly correlated. Global eating disorder psychopathology was predicted by explicit and implicit self-esteem.
Conclusions: The results of the present study add to the importance of implicit self-esteem and implicit weight bias beyond explicit measures in BED, while both were previously shown to be associated with onset and maintenance of BED. In conclusion, implicit cognitive processes should be focused on in interventions for BED to investigate their impact on psychological treatments.
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Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Journal of abnormal child psychology (2015) 43, 7, S. 1369–1377, 2015. https://ul.qucosa.de/id/qucosa%3A14806.
Full textAbstract:
A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
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Brauhardt, Anne, Almut Rudolph, and Anja Hilbert. "Implicit cognitive processes in binge-eating disorder and obesity." Journal of Behavior Therapy and Experimental Psychiatry (2014) 45, 2, S. 285-290, 2014. https://ul.qucosa.de/id/qucosa%3A15164.
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Objectives: Binge-eating disorder (BED) is characterized by recurrent binge eating episodes, associated eating disorder and general psychopathology, and commonly occurs in obese individuals. Explicit self-esteem and explicit weight bias have been linked to BED, while little is known about implicit cognitive processes such as implicit self-esteem and implicit weight bias.
Methods: Obese participants with BED and an individually matched obese only group (OB) and normal weight control group (CG; each N = 26) were recruited from the community to examine group differences and associations in explicit and implicit self-esteem and weight bias, as well as the impact of implicit cognitive processes on global eating disorder psychopathology. Implicit cognitive processes were assessed using the Implicit Association Test.
Results: Significantly lower explicit self-esteem, as well as higher exposure to explicit weight bias, compared to CG and OB was found in the BED group. All groups showed positive implicit self-esteem, however, it was significantly lower in BED when compared to CG. BED and CG demonstrated equally high implicit weight bias whereas OB did not. Explicit and implicit measures were not significantly correlated. Global eating disorder psychopathology was predicted by explicit and implicit self-esteem.
Conclusions: The results of the present study add to the importance of implicit self-esteem and implicit weight bias beyond explicit measures in BED, while both were previously shown to be associated with onset and maintenance of BED. In conclusion, implicit cognitive processes should be focused on in interventions for BED to investigate their impact on psychological treatments.
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Hilbert, Anja, Thomas Hildebrandt, W. Stewart Agras, Denise E. Wilfley, and G. Terence Wilson. "Rapid response in psychological treatments for binge-eating disorder." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-223542.
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Objective: Analysis of short- and long-term effects of rapid response across three different treatments for binge-eating disorder (BED). Method: In a randomized clinical study comparing interpersonal psychotherapy (IPT), cognitive-behavioral guided self-help (CBTgsh), and behavioral weight loss (BWL) treatment in 205 adults meeting DSM-IV criteria for BED, the predictive value of rapid response, defined as ≥ 70% reduction in binge-eating by week four, was determined for remission from binge-eating and global eating disorder psychopathology at posttreatment, 6-, 12-, 18-, and 24-month follow-up. Results: Rapid responders in CBTgsh, but not in IPT or BWL, showed significantly greater rates of remission from binge-eating than non-rapid responders, which was sustained over the long term. Rapid and non-rapid responders in IPT and rapid responders in CBTgsh showed a greater remission from binge-eating than non-rapid responders in CBTgsh and BWL. Rapid responders in CBTgsh showed greater remission from binge-eating than rapid responders in BWL. Although rapid responders in all treatments had lower global eating disorder psychopathology than non-rapid responders in the short term, rapid responders in CBTgsh and IPT were more improved than those in BWL and non-rapid responders in each treatment. Rapid responders in BWL did not differ from non-rapid responders in CBTgsh and IPT. Conclusions: Rapid response is a treatment-specific positive prognostic indicator of sustained remission from binge-eating in CBTgsh. Regarding an evidence-based stepped care model, IPT, equally efficacious for rapid and non-rapid responders, could be investigated as a second-line treatment in case of non-rapid response to first-line CBTgsh.
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PONISSI, VERONICA. "Binge Eating e Disregolazione Emozionale nei pazienti in dietoterapia." Doctoral thesis, Università degli Studi di Milano-Bicocca, 2015. http://hdl.handle.net/10281/77402.
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Nelle ultime decadi c’è stato un aumento eclatante del sovrappeso (OW) e dell’obesità (OB), tanto da portare l’OMS a definire il problema in termini di epidemia globale.
In Italia 5.000.000 di persone sono obese e 15.000.000 sono sovrappeso (S.I.O., 2010)
L’OB e l’OW sono, quindi, uno dei più gravi problemi di salute pubblica.
La patogenesi dell’obesità è multifattoriale ed è legata a fattori predisponenti genetici, ambientali, abitudini alimentari scorrette (in parte inquadrabili in un quadro di DCA) ridotto dispendio energetico, patologie mediche, disturbi dell’umore e di personalità.
L’intervento dietetico è il primo metodo non invasivo per il trattamento dell’OW e dell’OB. È stato, però, evidenziato che i suoi effetti a lungo termine sono spesso fallimentari.
Uno dei fattori di rischio per il recupero del peso perso o per il drop-out è la presenza di comportamenti di Binge Eating – BE, che spesso si associa a sintomi di ansia e depressione; ulteriori fattori di rischio per il drop-out e il recupero del peso.
Sempre maggiori evidenze empiriche danno sostanza alle ipotesi cliniche che vedono il ricorso al BE come strategia per gestire le emozioni negative legando il BE alla presenza di disregolazione emotiva.
Scopo del lavoro di ricerca: valutare la prevalenza di BE in soggetti richiedenti trattamento dietoterapico; valutare se e quanto la presenza di disregolazione emotiva, di sintomi ansiosi e depressivi siano in grado di spiegare il BE, e quali aspetti della disregolazione emotiva siano maggiormente coinvolti.
Campione: 5991 soggetti; età media: 44,74, DS=13,5; 72,7% F e 27,3% M afferenti presso il centro ICANS
Materiali e Metodi: State-Trait Anxiety Inventory - forma STAI-X1 e STAI-X2 per la valutazione dell’ansia di stato e di tratto, Questionario D – QD per la valutazione dei sintomi depressivi, Binge Eating Scale – BES per la valutazione dei comportamenti di BE e Difficulties in Emotion Regulation Strategies – DERS per la valutazione della disregolazione emotiva. La prevalenza di BE è risultata pari al 15,4%.
Sono state condotte due analisi di regressione lineare gerarchica; la prima al fine di valutare quanta varianza dei punteggi ottenuti alla BES fosse spiegata dall’ansia, dalla disregolazione emotiva e dai sintomi depressivi, escludendo gli effetti legati al sesso e all’età.
Risultati: all’aumentare dell’età diminuisco i punteggi alla BES, i maschi tendono ad ottenere punteggi alla BES minori rispetto alle donne, l’ansia non contribuisce a spiegare in modo significativo i punteggi alla bes che sono, invece, spiegati in modo significativo dalla disregolazione emotiva(β=.196, p<.001) e dai sintomi depressivi(β=.238, p<.001). La seconda regressione ha mostrato che le componenti della disregolazione emotiva che spiegano in modo significativo i punteggi alla bes sono: la non accettazione delle emozioni(β=.090, p=.003), la difficoltà nel controllo degli impulsi (β=.139, p<.001), la mancanza di consapevolezza emotiva(β=.064, p<.05), la mancanza di chiarezza emotiva(β=.060, p<.05). Risulta, quindi, evidente che un intervento psicologico atto a ridurre il BE debba focalizzarsi principalmente sullo sviluppo delle capacità di regolazione delle emozioni partendo, innanzitutto, dall’accettazione delle emozioni. La capacità di accettare, come parte integrante della nostra vita, il fatto di provare emozioni negative è, infatti, la premessa per lo sviluppo della conseguente capacità di mantenere il controllo sui propri comportamenti anche in presenza di emozioni negative e solo attraverso essa è possibile mettere in atto una serie di strategie funzionali di regolazione emotiva.
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Sitnikov, Lilya. "Emotion Regulation Strategies in Binge Eating Disorder: Rumination, Distress Tolerance, and Expectancies for Eating." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/499.
Full textAbstract:
Binge Eating Disorder (BED) is characterized by recurrent episodes of binge eating without the use of compensatory behaviors. Functional accounts of BED propose that negative affect is an antecedent to binge eating because binge eating serves to alleviate negative affect. However, previous studies investigating the association between negative affect and binge eating have yielded inconsistent findings, perhaps due to individual vulnerability factors that moderate the effects of negative affect on binge eating behavior. As one candidate, the current study investigated emotion regulation strategies that may be implicated in the maintenance of binge eating in BED, particularly under conditions of negative affect: brooding rumination, distress tolerance, and mood-related expectancies for eating. These emotion regulation strategies were: a) compared in 38 women with BED vs. 36 non-eating disordered female controls, b) examined in relation to markers of current binge eating severity among BED women, and c) used as predictors of caloric intake and urge to eat in response to a personally-relevant dysphoric mood induction upon presentation of snack foods in a "taste task." Results revealed that women with BED endorsed higher brooding rumination, more positive expectancies that eating serves to ameliorate negative affect, and lower distress tolerance than controls. Among women with BED, higher brooding rumination was associated with greater binge eating severity, and stronger expectancies that eating reduces negative affect were associated with more frequent binge eating episodes and greater urge to eat in response to depression. Surprisingly, better distress tolerance was associated with more frequent binge eating episodes. Women with BED consumed more calories and reported greater loss of control as well as a greater sense of guilt in response to the taste task relative to control participants. Contrary to hypothesis, there were no direct or indirect effects of any of the three emotion regulation strategies on change in urge to eat or calories consumed on the taste task following sad mood induction in BED women. In controls, better distress tolerance and stronger expectancies that eating alleviates negative affect were associated with decreased caloric intake on the taste task after mood induction. Overall, these findings highlight the importance of considering trans-diagnostic processes in BED as well as the need to identify other theoretically-relevant factors that contribute to the cognitive and behavioral features of BED. Limitations and directions for future studies are discussed.
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Burton, Amy. "Beliefs about Binge Eating: Psychometric Properties and Clinical Utility of the Eating Beliefs Questionnaire." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/19627.
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Binge eating (BE) is a core feature of eating disorder presentations, common to bulimia nervosa, anorexia nervosa (binge/purge type), and binge eating disorder. A sound understanding of the underlying mechanisms that maintain BE is crucial for developing effective treatments. The aim of this thesis was to better understand the metacognitive factors that maintain BE, such as the positive, negative, and permissive beliefs about BE described by Cooper, Wells and Todd (2004). This thesis reports a series of studies that aimed to validate and improve upon an existing measure, the Eating Beliefs Questionnaire (EBQ). The EBQ is a self-report tool that measures positive and negative metacognitive beliefs about BE. The first study aimed to validate the EBQ by conducting a confirmatory factor analysis and investigate the psychometric properties of this measure. The second study extended this measure with the addition of a scale that assesses permissive beliefs about BE. The second study also presented a short-form of the revised three-subscale EBQ, the EBQ-18. A third study validated the factor structure and psychometric properties of the EBQ-18 in both a clinical and non-clinical sample. Across the psychometric studies, the EBQ and EBQ-18 were found to provide valid and reliable measures of beliefs related to BE, with evidence for test-retest reliability, and treatment sensitivity. Furthermore, differences in EBQ and EBQ-18 scores were observed between clinical and non-clinical samples, and clinical cut-off scores were identified. In the final empirical chapter, a metacognitive and behavioural model of BE was proposed and tested using structural equations modelling; the new model provided a good fit to the data. These studies further contribute by enhancing the theoretical understanding of the metacognitive maintaining factors involved in BE.
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Battersby, Lynne. "The meaning of self-control and its relation to binge eating and binge drinking in women." Thesis, University of Leicester, 2001. http://hdl.handle.net/2381/31311.
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There is a high prevalence rate of women who have alcohol problems and a co-morbid eating disorder, particularly Bulimia Nervosa. Few studies have attempted to examine the mechanisms underlying this relationship. The notion of self-control is well documented in the literature and is central to disorders of 1) eating and 2) drinking. However, within each of these disorders, no single definition of self-control exists. The aim of the current study was to develop an understanding of the meaning of self-control, as it relates to women with binge eating and binge drinking problems. Semi-structured interviews were conducted with six women who were in contact either with an eating disorder service or an alcohol service. The interviews were analysed using the qualitative methodology of Grounded Theory, which also informed the data collection process. A process model of self-control was developed, to account for the transition from having a perceived need for self-control to a continued struggle for self-control. The notions of self-control were found to be fuelled with contradictions and misapprehensions and therefore a core category of 'Illusion' was described. The findings were also related to existing theoretical models, with new themes not previously identified in the literature being highlighted. The research has important implications at a service, theoretical and clinical level.
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Douglas, Valerie Jane. "An Examination of the Link Between Weight Stigma and Binge Eating." Diss., North Dakota State University, 2019. https://hdl.handle.net/10365/31557.
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Past research shows that weight-related teasing is linked to binge eating, but little is known about the individual risk factors that render certain people more vulnerable than others. The current study examined three potential risk factors for binge eating in response to weight-related teasing: weight stigmatization experiences, weight bias internalization, and emotion dysregulation. The current study empirically investigated how these factors interacted to predict concurrent binge eating behavior through a self-report questionnaire and eating behavior in a laboratory following exposure to a weight stigma vignette. First, it was hypothesized that higher levels of weight stigmatization and emotion dysregulation would be associated with higher levels of binge eating, which was consistent with the results of a multiple linear regression analysis. Second, it was predicted that higher levels of weight stigmatization and emotion dysregulation would predict greater quantities of cookie consumption during a bogus taste test following exposure to a weight stigma vignette. The hypothesis was not supported by a multiple linear regression. Third, we posited that weight bias internalization would moderate the relationship between weight stigmatization and emotion dysregulation on disordered eating, such that higher levels of weight bias internalization would be associated with higher levels of binge eating. This was not supported by a hierarchical regression analysis. Overall, the results highlight variables pertinent to the relationship between weight stigma and binge eating. Future research should test the model in clinical samples to see if it is more relevant to people with more severe levels of eating pathology.
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LaCaille, Lara Schultz. "Binge Eating Disorder and Its Relationship to Bulimia Nervosa and Obesity." DigitalCommons@USU, 2002. https://digitalcommons.usu.edu/etd/6192.
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Recent research indicates that 2% to 4% of the population meet diagnostic criteria for the newly proposed binge eating disorder, and that it is much more common (30%) among the treatment-seeking obese. Although recognized as a significant problem, binge eating disorder is l1l not well understood, and there is debate about whether binge eating disorder is a distinct disorder. It has been argued that binge eating disorder is simply a variant or milder form of bulimia nervosa and not a separate and distinct disorder. Researchers have begun to study this population in greater depth in order to assess the characteristics of individuals with binge eating disorder, the similarities and differences between individuals with binge eating disorder, bulimia nervosa, and obese individuals who do not engage in binge eating, and the effectiveness of various treatments for binge eating disorder. Previous reviews of the literature (using non-meta-analytic strategies) have examined these areas and have yielded inconsistent conclusions. Therefore, a more comprehensive, current, and empirical integration of the data was conducted.
In total, 297 studies of individuals with binge eating disorder, bulimia nervosa and/or obese individuals who do not engage in binge eating were collected, coded, and statistically analyzed across studies (by calculating standardized mean difference effect sizes). The key characteristics of individuals with binge eating disorder were assessed, diagnostic groups were systematically compared, and treatment outcomes (from 19 studies) were evaluated. The results indicated that individuals with binge eating disorder have a number of differences from both bulimia nervosa and obese non binge eating individuals. However, the extent of these differences was not great, and there was a general trend for binge eating disorder individuals to fall between the two groups on most measures of disturbed eating and psychopathology. These findings tend to support the continuum/variant conceptualization of binge eating disorder rather than that of a distinct disorder. In addition, data from primary research studies on the treatment of binge eating disorder indicated that, overall, psychosocial interventions were helpful in decreasing binge eating and psychopathological symptoms, but were less effective at reducing weight. The clinical implications of these findings are discussed, as are suggestions for future research.
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Ostien, Michelle Cristin. "Similarities and Differences in Females with Regards to Perfectionism in those with Anorexia Nervosa, High BMI (Binge Eaters vs. Non-Binge Eaters), and those Seeking a Healthier Lifestyle." OpenSIUC, 2008. https://opensiuc.lib.siu.edu/theses/65.
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AN ABSTRACT OF THE THESIS OF MICHELLE OSTIEN, for the Master of Science degree in FOOD AND NUTRITION, presented on November 20, 2008, at Southern Illinois University Carbondale. TITLE: SIMILARITIES AND DIFFERENCES IN FEMALES WITH REGARDS TO PERFECTIONISM IN THOSE WITH ANOREXIA NERVOSA, HIGH BMI (BINGE EATERS VS. NON-BINGE EATERS), AND THOSE SEEKING A HEALTHIER LIFESTYLE MAJOR PROFESSOR: Dr. Sharon Peterson One in five women in the United States struggle with an eating disorder or distorted eating patterns (National Institute of Mental Health, 2001). Perfectionism, one of the risk factors for developing an eating disorder, is a trait that many of these women have in common. While much research has been done on perfectionism in women with anorexia nervosa and bulimia nervosa, few studies have looked at perfectionism in women with binge eating disorder (Pratt, Telch, Labouvie, Wilson, & Agras, 2001). Our study sought to further understand the similarities and differences of the total and individual components of perfectionism in females seeking a healthier lifestyle, high BMI binge eaters, high BMI non-binge eaters, and anorexics. Our study found that the first component of the perfectionism scale (representing self-oriented perfectionism) was found to be significant between groups (p=0.002). When comparing females seeking a healthier lifestyle to high BMI binge eaters, females seeking a healthier lifestyle were more likely to answer "no", while high BMI binge eaters were more likely to answer "yes" (p=0.006). When comparing females seeking a healthier lifestyle to anorexics, females seeking a healthier lifestyle were more likely to answer "no" when compared to anorexics (p=0.033). When comparing high BMI binge eaters to high BMI non-binge eaters, high BMI binge eaters were also more likely to answer "yes" to this question when compared to high BMI non-binge eaters (p=0.048). Compared to 76.9% (N=10) of female anorexics, 74.4% (N=32) of female high BMI binge eaters, 50.0% (N=32) of female high BMI non-binge eaters, and 31.2 % (N=5) of females seeking a healthier lifestyle answered "yes" to perfectionism component one, which represented self-oriented perfectionism. Anorexics had the greatest tendency for perfectionism, followed by binge eaters, and then non-binge eaters. This study demonstrated that self-oriented perfectionism is the greatest indicator of perfectionism between subject groups and that perfectionism does exist in binge eaters.
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Palmberg, Allison. "Adolescent Girls' Experience of Binge and Loss of Control Eating." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2700.
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The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three distinct pathways; asserting physical, emotional, and relational control with food. Each strategy produces different positive and negative consequences regarding emotions and physical sensations. This study suggests that adolescent need for autonomy interacts with a sense of feeling out of control of one’s external environment and insufficient coping mechanisms may increase susceptibility to maladaptive eating behaviors.
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Hay, Phillipa Jane. "The classification of recurrent binge-eating : a community-based study." Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.358593.
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Ochner, Christopher N. Lowe Michael R. "Asymmetric brain activation : relation to binge eating in overweight subjects /." Philadelphia, Pa. : Drexel University, 2006. http://hdl.handle.net/1860/1113.
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Bake, Tina. "Modelling and mechanisms of binge eating and diet-induced obesity." Thesis, University of Aberdeen, 2014. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=203778.
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The studies in this thesis aimed to develop and characterise a rodent model of meal feeding that would mimic aspects of human eating behaviour, leading to the overconsumption of calories and ultimately to obesity. In seeking to identify potential mechanisms that might be involved in the initiation of meals, a palatable scheduled feeding regime was utilised to induce a substantial food intake over short periods of time in rodents. This was done by providing scheduled access to a palatable diet for a 2h-period each day without imposed caloric restriction during the remainder of the day. Initially, the effects of different palatable diets were examined. Three of the four palatable diets resulted in a rapid adaptation of feeding behaviour and induced the consumption of large, binge-type meals in both Sprague Dawley rats and C57BL/6 mice. Candidate gene expression analysis by in-situ hybridisation during the two hour period leading up to scheduled feeding suggested that homeostatic neuropeptide systems in the hypothalamus did not have a major role in driving the consumption of these meals. Further characterisation of the scheduled feeding model revealed that palatable scheduled feeding does not lead to a relative hypophagic phase or an increase in pre-meal secreted gut hormones in anticipation of the scheduled meals. Interestingly, schedule-fed animals exhibited food anticipatory activity during the same period. In addition, scheduled-fed animals displayed only a mild obese phenotype but their metabolic health was adversely affected. Again using in-situ hybridisation, candidate gene expression was assessed during the scheduled feeding period itself, revealing a relationship with adiposity level but not with immediate feeding behaviour. Finally, in a ‘hypothesis-free' approach, gene expression was analysed by microarray at the point of initiation of scheduled feeding, with no apparent changes in gene expression levels. In conclusion, palatable scheduled feeding in mice and rats induces large, binge-type meals that appear not to be directly regulated by homeostatic neuropeptides in the hypothalamus. Investigations into forebrain candidate gene expression by in-situ hybridisation suggested that measuring mRNA levels might not be the optimal analytical approach to demonstrate an involvement of the reward-related signalling system. Alternative strategies for identifying meal feeding mechanisms in the palatable scheduled feeding model could focus on approaches such as neurotransmitter release.
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Brauhardt, Anne, Zwaan Martina de, Stephan Herpertz, Stephan Zipfel, Jennifer Svaldi, Hans-Christoph Friederich, and Anja Hilbert. "Therapeutische Adhärenz in der Kognitiven Verhaltenstherapie der Binge Eating-Störung." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-212696.
Full textAbstract:
Hintergrund. Für die durch wiederkehrende Essanfälle gekennzeichnete Binge Eating-Störung (BES) wurde die Kognitive Verhaltenstherapie (KVT) als Behandlungsmethode der Wahl etabliert. Zum Psychotherapieprozess, welcher das Therapieergebnis beeinflusst, ist jedoch wenig bekannt. Fragestellung. Da Untersuchungen zum Prozessaspekt der therapeutischen Adhärenz Unterschiede zwischen Patienten eines Therapeuten sowie zwischen verschiedenen Therapeuten belegen, soll der Einfluss von Patienten- und Therapeutenmerkmalen auf die therapeutische Adhärenz geprüft werden. Methode. In einer prospektiven, multizentrischen, randomisiert-kontrollierten Behandlungsstudie zum Wirksamkeitsvergleich von KVT und Internet-basierter angeleiteter Selbsthilfe (INTERBED) wurde die therapeutische Adhärenz in der KVT durch unabhängige Rater erfasst. Patienten- und Therapeutenmerkmale wurden mittels Interview und Selbstbericht erhoben. Ergebnisse. Soziodemografische Merkmale wie ein geringeres Bildungsniveau der Patienten und weibliches Geschlecht der Therapeuten wurden als signifikante Prädiktoren einer höheren therapeutischen Adhärenz identifiziert. Störungsspezifische Merkmale der Patienten waren nicht mit der therapeutischen Adhärenz assoziiert. Therapeutenmerkmale wie ein geringerer Ausbildungsgrad, eine geringere erlebte therapeutische Kompetenz und höhere Erwartungen sowie ein höheres emotionales Wohlbefinden der Therapeuten sagten eine höhere therapeutische Adhärenz vorher. Diskussion. Die etablierte hohe therapeutische Adhärenz erschien unabhängig vom Patienten, während einige Therapeutenmerkmale als Prädiktoren identifiziert wurden. Ungünstige Einflüsse auf die therapeutische Adhärenz bedürfen weiterer Erforschung und einer stärkeren Berücksichtigung in der Ausbildung von TherapeutenBackground. Cognitive-behavioral therapy (CBT) has been established as the treatment of choice for binge-eating disorder (BED) which is characterized by recurrent binge eating episodes. However, only little is known about the impact of the psychotherapeutic process on treatment outcomes. Objectives. While studies concerning the process aspect of therapist adherence found differences between patients from one therapist as well as differences between therapists, the impact of patient and therapist characteristics on therapist adherence will be investigated. Methods. In a prospective multicenter randomized-controlled trial comparing CBT to Internet-based guided self-help (INTERBED), the therapist adherence to CBT was determined by independent raters. Patient and therapist characteristics were obtained via interview and self-report questionnaires. Results. Sociodemographic characteristics including lower education in patients and female sex in therapists were identified as predictors of higher therapist adherence. Disorder-specific characteristics of patients were not associated with the therapist adherence. Therapist characteristics including less postgraduate therapist training, lower self-rated therapeutic competence, and higher expectations as well as higher emotional well-being of therapists predicted higher therapist adherence. Conclusions. The high level of therapist adherence was mostly independent from patients, while some therapist characteristics were identified as predictors. Adverse impacts on therapist adherence should be investigated further and might be considered in therapeutic training
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Brauhardt, Anne, Zwaan Martina de, Stephan Herpertz, Stephan Zipfel, Jennifer Svaldi, Hans-Christoph Friederich, and Anja Hilbert. "Therapeutische Adhärenz in der Kognitiven Verhaltenstherapie der Binge Eating-Störung." Psychotherapeut (2015) 60, 3, S. 199 - 204, 2015. https://ul.qucosa.de/id/qucosa%3A15034.
Full textAbstract:
Hintergrund. Für die durch wiederkehrende Essanfälle gekennzeichnete Binge Eating-Störung (BES) wurde die Kognitive Verhaltenstherapie (KVT) als Behandlungsmethode der Wahl etabliert. Zum Psychotherapieprozess, welcher das Therapieergebnis beeinflusst, ist jedoch wenig bekannt.
Fragestellung. Da Untersuchungen zum Prozessaspekt der therapeutischen Adhärenz Unterschiede zwischen Patienten eines Therapeuten sowie zwischen verschiedenen Therapeuten belegen, soll der Einfluss von Patienten- und Therapeutenmerkmalen auf die therapeutische Adhärenz geprüft werden.
Methode. In einer prospektiven, multizentrischen, randomisiert-kontrollierten Behandlungsstudie zum Wirksamkeitsvergleich von KVT und Internet-basierter angeleiteter Selbsthilfe (INTERBED) wurde die therapeutische Adhärenz in der KVT durch unabhängige Rater erfasst. Patienten- und Therapeutenmerkmale wurden mittels Interview und Selbstbericht erhoben.
Ergebnisse. Soziodemografische Merkmale wie ein geringeres Bildungsniveau der Patienten und weibliches Geschlecht der Therapeuten wurden als signifikante Prädiktoren einer höheren therapeutischen Adhärenz identifiziert. Störungsspezifische Merkmale der Patienten waren nicht mit der therapeutischen Adhärenz assoziiert. Therapeutenmerkmale wie ein geringerer Ausbildungsgrad, eine geringere erlebte therapeutische Kompetenz und höhere Erwartungen sowie ein höheres emotionales Wohlbefinden der Therapeuten sagten eine höhere therapeutische Adhärenz vorher.
Diskussion. Die etablierte hohe therapeutische Adhärenz erschien unabhängig vom Patienten, während einige Therapeutenmerkmale als Prädiktoren identifiziert wurden. Ungünstige Einflüsse auf die therapeutische Adhärenz bedürfen weiterer Erforschung und einer stärkeren Berücksichtigung in der Ausbildung von Therapeuten.Background. Cognitive-behavioral therapy (CBT) has been established as the treatment of choice for binge-eating disorder (BED) which is characterized by recurrent binge eating episodes. However, only little is known about the impact of the psychotherapeutic process on treatment outcomes. Objectives. While studies concerning the process aspect of therapist adherence found differences between patients from one therapist as well as differences between therapists, the impact of patient and therapist characteristics on therapist adherence will be investigated. Methods. In a prospective multicenter randomized-controlled trial comparing CBT to Internet-based guided self-help (INTERBED), the therapist adherence to CBT was determined by independent raters. Patient and therapist characteristics were obtained via interview and self-report questionnaires. Results. Sociodemographic characteristics including lower education in patients and female sex in therapists were identified as predictors of higher therapist adherence. Disorder-specific characteristics of patients were not associated with the therapist adherence. Therapist characteristics including less postgraduate therapist training, lower self-rated therapeutic competence, and higher expectations as well as higher emotional well-being of therapists predicted higher therapist adherence. Conclusions. The high level of therapist adherence was mostly independent from patients, while some therapist characteristics were identified as predictors. Adverse impacts on therapist adherence should be investigated further and might be considered in therapeutic training.
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Hilbert, Anja, and Guy Bodenmann. "Kognitive Verhaltenstherapie für Paare: Fallstudie einer doppelten Binge-Eating-Störung." Springer Medizin-Verl, 2018. https://ul.qucosa.de/id/qucosa%3A33734.
Full textAbstract:
Kernmerkmal der Binge-Eating-Störung (BES) sind wiederkehrende Essanfälle ohne einen regelmäßigen Einsatz von unangemessenen kompensatorischen Verhaltensweisen zur Vorbeugung einer Gewichtszunahme. Bei Essanfällen nehmen die Betroffenen große Nahrungsmengen zu sich und erleben einen Kontrollverlust über das eigene Essverhalten (Diagnostisches und Statistisches Manual Psychischer Störungen, DSM-5; American Psychiatric Association APA 2015). Die BES ist die häufigste Essstörung und geht in der Regel mit psychischer Komorbidität, reduzierter Lebensqualität, Übergewicht und Adipositas sowie deren Folgeerkrankungen einher. Darüber hinaus berichten Betroffene mit BES häufig von substantiellen Beziehungsproblemen, darunter dysfunktionaler Kommunikation und Unzufriedenheit in der Paarbeziehung, die zu Essanfällen beitragen (Whisman et al. 2012; Ansell et al. 2012). Jedoch bleibt weitgehend unklar, wie diese Beziehungsprobleme behandelt werden können (Cierpka et al. 2007). Die kognitive Verhaltenstherapie gilt laut evidenzbasierten Behandlungsleitlinien als die am besten belegte Therapie der BES (Arbeitsgemeinschaft der wissenschaftlich-medizinischen Fachgesellschaften, im Druck). Bislang brachte die Erweiterung dieses Ansatzes durch den Einbezug des Partners in die kognitiv-behaviorale Gruppentherapie keine zusätzlichen Vorteile (Gorin et al. 2003), möglicherweise da sie nicht speziell für Paare mit BES konzipiert wurde. Allgemein gilt die Wirksamkeit von kognitiv-verhaltenstherapeutischer Paartherapie zur Verbesserung der Beziehungsqualität von gesunden Paaren jedoch als bewiesen (Baucom et al. 2003). Weiterhin erwies sich die störungsspezifische kognitiv-behaviorale Paartherapie zur Behandlung psychischer Störungen, beispielsweise von Depression, als ebenso wirksam wie die evidenzbasierte Individualtherapie (Bodenmann et al. 2008). Aktuell zeigte auch die Anwendung paartherapeutischer Interventionen zur Behandlung von Anorexia Nervosa als wirksam (Baucom et al. 2017; Bulik et al. 2011; Kirby et al. 2015). Partnerschaftsprobleme werden auch für die Anorexia Nervosa als störungsaufrechterhaltend diskutiert (Teufel et al. 2017).
Ziel dieser Fallstudie war es, ein störungsspezifisches Manual für kognitive Verhaltenstherapie für Paare mit BES zu entwickeln und zu erproben, und zwar an einem Paar, bei dem beide Partner von BES betroffen waren.
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Kelly, Nichole. "ASSOCIATIONS BETWEEN BINGE EATING AND EXECUTIVE FUNCTIONING AMONG YOUNG WOMEN." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2734.
Full textAbstract:
Binge eating is a pervasive disordered eating behavior associated with numerous psychological and physical comorbidities. Preliminary research indicates that emotion regulation difficulties, behavioral impulsivity, and executive dysfunction may contribute to the onset and/or maintenance of these behaviors. However, few studies have utilized neuropsychological measures to examine this link, and the assessment of behavioral and cognitive emotion regulation strategies are limited in scope. The purpose of the current study was to gain a deeper understanding of the emotional, behavioral and cognitive processes associated with binge eating behavior. Greater clarity regarding how these factors relate to binge eating is critical to the development of effective treatment and prevention efforts. To address these aims, the current study examined the executive functioning, depression, behavioral impulsivity, distress tolerance, and emotion regulation strategies of 50 women engaging in weekly binge eating in the absence of compensatory behaviors; their outcomes were compared to 66 women with no history of binge eating. Hierarchical regression analyses revealed that groups did not significantly differ in executive functioning after controlling for depression, state anxiety, body mass, psychopharmaceutical use, and general intelligence; nonetheless, correlation analyses suggest that, among the binge eating group, individuals endorsing more frequent binge eating might have greater difficulties thinking flexibly or shifting attention. Secondary analyses indicated that individuals who binge eat are more depressed, are more likely to engage in impulsive behavior (but only when distressed), have more difficulties tolerating distress, are more likely to engage in rumination, self-blame, and catastrophizing, and less likely to focus on the positive. Although the current study is unable to determine whether these cognitive, emotional, and behavioral factors precede or follow binge eating episodes, outcomes have clinical implications. Specifically, programs focused on the prevention and treatment of binge eating should help individuals learn to better identify and tolerate difficult affective states and to utilize more adaptive means of coping. Outcomes also provide important directions for future research, including longitudinal designs to better understand the temporal associations of the current study’s variables, as well as suggestions to broaden and standardize neuropsychological assessment and scoring procedures to facilitate comparisons across studies.
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Knapp, Andrew. "Factors in the Regulation of Cycles of Binge Eating Behavior." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/360.
Full textAbstract:
The reasons why people may periodically resort to binge eating behavior have long been a focus of study, and the reasons are elusive and varied. For people troubled by poor sleep and living with chronic stress, binge eating may be an attempt by the brain's glucose-depleted executive processing center to both regulate (i.e., increase) glucose levels and induce restorative sleep. Recovery resulting from restorative sleep may lead to a reduction in perceived stress, improved mood, and increased willpower, reducing the likelihood of another binge episode in close temporal proximity to the sleep-induced recovery. A repetitive cycle may ensue when stress inevitably again disturbs sleep, lowering mood, reducing willpower, and heightening sensitivity to stigma and stress.
The purpose of the research described here is to synthesize recent findings from three diverse fields of scientific inquiry to predict factors that influence episodes of binge eating. Combining studies of sleep and sleep disorders, stress and stigma research, and recent work on self-regulatory capacity, I attempt to show how poor sleep ultimately leads to binge eating. A seven-day study consisted of three parts: an initial set of baseline questionnaire and physiological measures; collection of objective sleep quality data using an electronic motion logger; and an online daily diary in which participants completed measures of self-regulatory capacity and reported details about their sleep, stress levels, experiences with stigma, mood, and eating events. The data partially supported a path model where sleep quality, stress, mood, and self-regulation affected binge eating behavior.
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MICIONI, DI BONAVENTURA Maria Vittoria. "Innovative pharmacological strategies for treatment of binge-type eating disorders." Doctoral thesis, Università degli Studi di Camerino, 2012. http://hdl.handle.net/11581/401806.
Full textAbstract:
Binge eating (BE) episodes are a common behavioral feature of clinically diagnosed eating disorders, including Bulimia Nervosa (BN), Binge Eating Disorder (BED) and the binge/purge subtype of Anorexia Nervosa (AN). BE is characterized by uncontrollable, distressing eating of a large amount of highly palatable food (HPF) in a short period of time, accompanied by feeling of disgust, depression, being guilty. Recent data indicate that BE is the most common eating disorder, affecting approximately 5% of the USA population; BE may greatly contribute to obesity, Medications that at present have been reported to reduce BE in clinical studies, like topiramate or sibutramine, are associated with a variety of adverse side effects, which represent a serious problem during chronic treatment. Fluoxetine has been approved by the Food and Drug Administration for BN, but evidence for its efficacy is inconclusive. Hence, BED and BN represent a still largely unmet medical need. Well-characterized animal models are necessary to study the neuro- and psychobiology of BE, the motivational alterations associated with compulsive eating behaviors, as well as to develop novel treatment strategies. According to the hypothesis that dieting and stress are key etiological determinants of BE, a new animal model of BE has been recently developed in female rats at the School of Pharmacy of the University of Camerino (Cifani et al. 2009), in which BE episodes are evoked by 3 cycles of food restriction/re-feeding followed by stress. Stress is elicited by exposing rats to HPF, but preventing them from having access to it for 15 min. Since a certain degree of variability was observed in the BE response in the Cifani model, a preliminary interest of my research program was to understand the causes of this variability in order to improve the reliability of the method. In particular, it was evaluated whether the ovarian cycle of female rats may be responsible for the observed variability. It was found that BE episodes do not occur during the estrus phase of the ovarian cycle and the observed variability in the BE response can be almost completely abolished if female rats in estrus are not included in the statistical evaluation. Then, the effects of several compounds, targeting stress and CRF mechanisms, were evaluated on this BE model: natural anti-stress products such as dry extracts of Rhodiola rosea and of Hypericum perforatum, the CRF-1 receptor antagonist R121919, Corticosterone (CORT), the CORT synthesis inhibitor metyrapone, and finally Nociceptin/orfanin FQ (N/OFQ, a functional CRF antagonist). Using the same BE model, orexin receptor antagonists were investigated since orexin appear to be involved both in stress and in reward mechanisms. Lastly, based on the observation that drugs that affect compulsive alcohol consumption can also influence BE, a further study was carried out to assess the effect on BE of A2A adenosine receptors (A2AARs) agonists, that have been shown to suppress voluntary alcohol intake and alcohol self-administration in alcohol- preferring rats. The results obtained confirmed that the combination of stress and repeated episodes of food restriction is able to induce in female rats a pronounced BE response for HPF. The natural extract of Rhodiola rosea, as well as its active principle salidroside, exerted a pronounced and selective suppression of HPF intake in rats expressing BE, apparently reducing the response to stress. Also Hypericum perforatum extracts selectively reduced BE, but without modifying serum CORT levels; thus their effect on BE may be related to suppression of addictive-like behaviors, rather than to anti-stress activity. The CRF-1 receptor antagonist R121919 completely abolished BE in the experimental model adopted, without affecting HPF intake in the groups of rats that did not express BE. These findings suggest that CRF-1 receptor antagonists may represent very interesting agents, endowed with marked and highly selective effect, for the pharmacotherapy of bingeing-related eating disorders. CRF may likely exert its role on BE in extrahypothalamic sites, since CORT, the hormone released by hypothalamic-pituitary axis activation, failed to evoke BE in rats exposed to cycles of food restriction/re-feeding and metyrapone, a CORT synthesis inhibitor, failed to suppress BE. On the other hand, the functional CRF antagonist N/OFQ was not able to evoke a relevant suppression of BE. Following repeated food restrictions, an increase in responsiveness to the hyperphagic effect of N/OFQ was found, which may account for its failure to suppress BE. Interestingly, cycles of food restriction/re-feeding increase the response to several orexigenic mechanisms (in the present study this was observed for N/OFQ and for NPY); this phenomenon may be responsible for failure of dieting cycles as a strategy to reduce body weight and it may predispose to binge type-eating disorders. On the other hand, OX1R blockade selectively reduced BE for HPF without affecting standard food pellet intake, and could represent a novel interesting strategy for the treatment of BE related disorders. Further studies are necessary to evaluate their mechanism of action of OX1R antagonists, in particular whether their effect may be mediated by interaction with stress or reward mechanisms. A2AAR agonists proved to exert a rather general effect on food intake, suppressing HPF intake not only in animals expressing BE, but also in controls. Moreover they inhibited also the homeostatically driven intake of food pellets in response to food deprivation. In relation to the finding that A2AARs influenced D2 DA receptors, it may be speculated that the suppressive effect on BE of A2AAR agonists tested may be due to interference with DA mechanisms. In conclusion, the experimental model adopted to evoke BE, which is endowed with face, contruct and predictive validity, was made highly reliable and reproducible by selecting the experimental animals on the basis of the ovarian cycle. The studies carried out in this model have allowed the evaluation of several pharmacological agents, that proved to be highly effective in suppressing BE. Particularly pronounced and selective effects were evoked by the CRF-1 receptor antagonist and the OX1R antagonist tested, that evoked effects of clear interest in the perspective of treating binge-type eating disorders. Interestingly, also the herbal products Rodiola rosea and Hypericum perforatum proved to be very effective, but the receptor mechanisms mediating their effects remain to be elucidated.
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Clyne, Courtney. "Emotion-Focussed Psychoeducational Group Therapy for Binge Eating Disorder in Women and Men." Thesis, University of Canterbury. Psychology, 2007. http://hdl.handle.net/10092/1384.
Full textAbstract:
A plethora of research has linked negative affect with binge eating in people with binge eating disorder (BED). Cognitive behavioural therapy (CBT) and interpersonal therapy (IPT) have not traditionally addressed emotional regulation deficits. Failure to address emotional aspects of binge eating may explain why some individuals do not respond to CBT or IPT, and why many of those who do respond relapse shortly after finishing treatment. Dialectical behaviour therapy (DBT) specifically targets the inability to accurately recognise and regulate affect. Preliminary investigations have shown that DBT may be efficacious in treating BED. However, it can take up to 10 months, and a shorter intervention targeting affect regulation and recognition may produce similar effects. Four studies evaluating a ten session emotion-focussed group psychoeducational intervention for BED were conducted. In the first, 25 women diagnosed with subthreshold or full syndrome BED (using DSM-IV-TR criteria) were treated. The second study tested whether the specific components of the intervention, or the treatment as a whole, was required to produce positive outcomes in women. Study three, examined the efficacy of the treatment programme with three men diagnosed with subthreshold or full syndrome BED (also using DSM-IV-TR criteria). The fourth study compared the women's and men's response to treatment. Following the intervention with women, binge abstinence rates, comparable to those of CBT and IPT, and various other positive changes to eating and general pathology, were observed. These effects were well-maintained up to one-year later. Overall, it was concluded that the whole treatment programme was necessary to produce the optimum outcome for BED in women. A positive outcome was measured in the men, although the effects were not as dramatic as those found in the women. Suggestions for improvements, and suggestions for further research, are discussed. The results provide support for the Affect Regulation Model of BED in women and men.