Tesis: "Binge-Eating disorders"

1

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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2

Allen, Karina. "The development and maintenance of cognitive and behavioural eating disorder symptoms". University of Western Australia. School of Psychology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0011.

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[Truncated abstract] Eating disorders affect a significant proportion of adolescent and young adult women and a smaller proportion of children, men, and older individuals. They are associated with a range of physical, psychological, and social consequences that can have a profound and lasting impact on affected individuals. Eating disorder symptoms (e.g., marked weight and shape concern, strict dieting, binge eating, purging) are also associated with physiological and psychosocial morbidity, and are reported by up to half of adolescent girls and one-third of adolescent boys. If eating disorders are to be effectively prevented or treated, it is imperative that risk and maintaining factors for the conditions are identified. ... This thesis aimed to identify the variables and models that may best account for the development and maintenance of eating disorder symptoms, through two broad studies and six sub-studies. Study 1 focused on identifying predictors of cognitive (i.e., elevated weight and shape concern) and behavioural (i.e., binge eating) eating disorder symptoms in pre- to early-adolescent children followed over time. Prospective tests of the dual-pathway (Stice, 2001) and cognitive-behavioural (Fairburn, 2002; Fairburn, Cooper, & Shafran, 2003) models of eating pathology were also conducted, and a distinction was made between weight and shape concern and weight and shape over-evaluation. Low selfesteem, perceived media pressure to be thin, weight and shape over-evaluation, and maternal concern about child weight prospectively predicted increases in child weight and shape concern over time (Studies 1b and 1c), and weight and shape concern was the most robust predictor of increases in dietary restraint (Studies 1b and 1d). Dietary restraint and affect-related eating prospectively predicted binge eating onset (Studies 1a and 1d), and the dual-pathway and cognitive-behavioural models were both able to account for the development of binge eating over a two year period (Study 1d). Evidence was also provided for the relative superiority of the most recent, enhanced cognitivebehavioural model (Fairburn et al., 2003) over other available theoretical accounts. Study 2 focused more specifically on the role of mood intolerance in predicting and maintaining eating pathology in adults. In Study 2a, a new measure of mood intolerance was developed, revised, and evaluated. In Study 2b, the role of mood intolerance in cross-sectionally predicting binge eating and purging was examined within the framework of the enhanced cognitive-behavioural model. The importance of mood intolerance in accounting for eating disorder symptoms was confirmed, and additional support for the cognitive-behavioural model was provided. Collectively, the six empirical studies have provided new data regarding the relative importance of different variables in the development and maintenance of different eating disorder symptoms. They also provide initial insight into the relative validity of alternate theoretical models in this area. The results suggest that the most recent, enhanced cognitive-behavioural model may provide the best account of how eating disorder symptoms develop and are maintained, providing that the mood intolerance component of the model is specified.

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3

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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4

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.

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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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5

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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6

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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7

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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8

Guerdjikova, Anna I. "Clinical and Biological Characteristics of Early Versus Late Onset Obesity in Subjects Seeking Weight Management". University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1122810159.

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9

Eneva, Kalina. "ASSESSMENT OF EXECUTIVE FUNCTIONING IN BINGE EATING DISORDER INDEPENDENT OF WEIGHT STATUS". Diss., Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/523794.

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Psychology
Ph.D.
Executive functioning (EF) problems may serve as vulnerability or maintenance factors for Binge-Eating Disorder (BED). However, it is unclear if EF problems observed in BED are related to overweight status or BED status. The current study extends this literature by examining EF in overweight-BED (n=32), normal-weight BED (n=23), overweight healthy controls (n=48), and normal-weight healthy controls (n=48). Participants were administered an EF battery which utilized tests from the National Institutes of Health (NIH) toolkit and Delis-Kaplan Executive Function System (D-KEFS). After controlling for years of education and minority status, overweight individuals with and without BED performed more poorly than normal-weight individuals with and without BED on a task of cognitive flexibility (p < 0.01) requiring generativity and speed and on psychomotor performance tasks (p < 0.01). Normal-weight and overweight BED performed worse on working memory tasks compared to normal-weight healthy controls (p = 0.04). Unexpectedly, normal-weight BED individuals out-performed all other groups on an inhibitory control task (ps < 0.01). No significant differences were found between the four groups on tasks of planning. Our findings support a link between poorer working memory performance and BED status. Additionally, overweight status is associated with poorer psychomotor performance and cognitive inflexibility. Replication of the finding that normal-weight BED is associated with enhanced inhibitory control is needed.
Temple University--Theses

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10

Carter, Jacqueline Christine. "Studies on the prevention of eating disorders". Thesis, University of Oxford, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320127.

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11

Hilbert, Anja, Kathleen Pike, Andrea Goldschmidt, Denise Wilfley, Christopher Fairburn, Faith-Anne Dohm, Timothy Walsh y Weissman Ruth Striegel. "Risk factors across the eating disorders". Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-223556.

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This study sought to examine risk and onset patterns in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Women with AN (n=71), BN (n=66), BED (n=160) and non-psychiatric controls (n=323) were compared retrospectively on risk factors, symptom onset, and diagnostic migration. Eating disorder groups reported greater risk exposure than non-psychiatric controls. AN and BED differed on premorbid personality/behavioral problems, childhood obesity, and family overeating. Risk factors for BN were shared with AN and BED. Dieting was the most common onset symptom in AN, whereas binge eating was most common in BN and BED. Migration between AN and BED was rare, but more frequent between AN and BN and between BN and BED. AN and BED have distinct risk factors and onset patterns, while BN shares similar risk factors and onset patterns with both AN and BED. Results should inform future classification schemes and prevention programs.

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12

Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph y 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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13

Kriz, Kerri-Lynn Murphy. "The Efficacy of Overeaters Anonymous in Fostering Abstinence in Binge-Eating Disorder and Bulimia Nervosa". Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/11044.

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The purpose of this dissertation is to identify the variables associated with abstinence from binge-eating disorder and Bulimia Nervosa in the twelve-step recovery program of Overeaters Anonymous. The data were gathered through the completion of a survey by 231 active members of Overeaters Anonymous in the Washington metropolitan area. In addition to assessing the demographic composition of the aforementioned population, the variables that were assessed comprise the 'tools' of Overeaters Anonymous. They include: attendance at OA meetings, reading/writing from the Twelve Step literature, adhering to a food plan, having a sponsor, giving service, taking time for prayer and meditation, and making phone calls to other members. The activities of binge eating and bulimic participants were also examined to determine whether or not statistically significant differences exist between these two populations. Results revealed the typical OA participant to be a college educated (80%), Caucasian (89%) female (84%), between the ages of 34 and 44 (30%), married or living with a partner (44%), and employed in a full-time capacity (71%). Eight-four percent of the respondents were binge eaters, 15% were bulimic, and 1% anorexic. Multiple regression analyses revealed longer lengths of involvement in OA, a decrease in the frequency of relapse or 'slips', performing service, greater attendance at meetings, and progress on the ninth step, to be predictors of abstinence at the .05 level of significance. A lower frequency of relapse was predicted by longer lengths of involvement in OA, greater adherence to a food plan, increased frequency of phone calls to other members, and more time spent writing about one's thoughts and feelings at the .05 level of significance. Lastly, Independent Sample t-tests revealed bulimics to have significantly longer mean lengths of abstinence than did binge eaters. Alternately, the difference in the frequency of relapse or 'slips' between the two populations was not significant, suggesting that both bulimics and binge eaters have a comparable likelihood to relapse or slip back into eating disordered behaviors.
Ph. D.

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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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15

Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph y 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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16

Brauhardt, Anne, Zwaan Martina de y Anja Hilbert. "The therapeutic process in psychological treatments for eating disorders". Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-215571.

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Objective: For eating disorders, a vast number of investigations have demonstrated the efficacy of psychological treatments. However, evidence supporting the impact of therapeutic process aspects on outcome (i.e., process-outcome research) has not been disentangled. Method: Using the Generic Model of Psychotherapy (GMP) to organize various process aspects, a systematic literature search was conducted on psychological treatment studies for anorexia nervosa, bulimia nervosa, binge-eating disorder, and eating disorders not otherwise specified. Results: Improved outcomes resulted for family-based treatment compared to individual treatment, for individual compared to group treatment, booster sessions, and positive patient expectations (GMP contract aspect); for nutritional counseling and exercising but not exposure with response prevention as adjunct interventions (therapeutic operations); for highly motivated patients and, to a lesser extent, for therapeutic alliance (therapeutic bond); as well as for rapid response and longer overall treatment duration (temporal patterns). Regarding other GMP aspects, studies on self-relatedness were completely lacking and in-session impacts were rarely investigated. Discussion: As most studies assessed only a limited number of process aspects, the ability to draw conclusions about their overall impact regarding outcome is rather limited. Therefore, future process-outcome research is needed beyond investigations of treatment efficacy for eating disorders.

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Saeidi, Saeideh. "Managing binge eating in a primary health care setting : a preventative approach". Thesis, Leeds Beckett University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.340557.

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Klevens, Carissa Leigh Nilsson Johanna E. "Coping style as a moderator between gendered racism and emotional eating and binge eating in African American women". Diss., UMK access, 2007.

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Thesis (Ph. D.)--School of Education. University of Missouri--Kansas City, 2007.
"A dissertation in counseling psychology." Advisor: Johanna Nilsson. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed July 30, 2008. Includes bibliographical references (leaves 83-104). Online version of the print edition.

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Esty, Debora. "African American women's ways of coping with racist events, including the use of binge eating". Akron, OH : University of Akron, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=akron1146249585.

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Dissertation (Ph. D.)--University of Akron, Dept. of Counseling, 2006.
"May, 2006." Title from electronic dissertation title page (viewed 09/16/2006) Advisor, Linda Mezydlo Subich; Committee members, Julia Phillips, John Queener, James R. Rogers, David Tokar; Department Chair, James R. Rogers; Dean of the College, Patricia A. Nelson; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.

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Tipton, Meaghan. "An Interdisciplinary Study to Understand Treatment Seeking Behavior Among Female Survivors of Eating Disorders: Anorexia nervosa, Bulimia nervosa, and Binge Eating Disorder". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/29.

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As modern medicine advances knowledge of the human body, mental health is still underrepresented and in some cases ignored as a 'real' medical issue (Latzer, 2011). Under that umbrella falls eating disorders, particularly these three types: anorexia nervosa, bulimia nervosa, and binge eating disorder. This study was done in order to better understand what influenced female survivors of eating disorders to seek treatment. In America, approximately 0.9 percent of women will develop anorexia eating disorder (Stice E & Bohon C. 2012) , 3.5 percent of women will develop a binge eating disorder, and 1.5 percent will develop a bulimic eating disorder (Hudson et al, 2007). While these percentages may seem small, the health problem is not, eating disorders have the highest mortality rate of any mental illness (Smink et al, 2012). The purpose of this study is to understand what psychosocial factors influence people with eating disorders to seek treatment.

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Martinez, Esmeralda. "ATTITUDES AND PERSPECTIVES OF SOCIAL WORK STUDENTS ON BINGE EATING DISORDER TREATMENTS FOR ADULT FEMALES". CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/544.

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The purpose of this project is to gather an understanding of binge eating disorder and effective treatment approaches used for the reduction of binge eating symptoms for adult females. The research focus of this study will be, what are the attitudes and perspectives of binge eating disorder treatments for adult females among students who are in a masters of social work field or study. This research project utilized a post-positivist paradigm where data was gathered qualitatively through the implementation of interviews with MSW students of diverse ethnic backgrounds (e.g. Hispanics, whites, and blacks, professional and personal experiences) from California State University of San Bernardino. The researcher utilized literature review to prepare for the study execution, and participants were provided with an inform consent and debriefing statement. The researcher prepared questions, and audio recorded, transcribe, and then analyzed the interviews. Master’s students’ first-hand knowledge and perspectives contributed to a better understanding of what needs to be known in order to effectively treat binge eating disorder. The results consisted of the following themes: knowledge; basic knowledge of eating disorders, limited knowledge or awareness about binge eating disorder among adult females, no knowledge in regards to effective treatments for adult females with binge eating disorder, need for knowledge or awareness, perceptions; negative perceptions of binge eating disorder and treatments for adult females, experiences; personal and school experiences, and treatments; cognitive behavior therapy for treatment.

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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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23

Nguyen, Dylan C. "Perceptions of Childhood Abuse and Life Stress: Contributors to Increase in Binge Eating Behavior". TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1195.

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Many studies reported that childhood abuse and stress play contributory roles in the development and maintenance of disordered eating behaviors. However, these studies made no mentioned efforts to validate their self-report data, and thus failed to separate the effects of actuality versus perception of childhood abuse. Thus, the current study examined how perceptions of childhood abuse and life stress affect binge eating behavior among university students. Participants for the current study included 173 undergraduate students, recruited via Study Board. After giving verbal consent, participants completed a series of surveys and questionnaires that collected demographic data, and measured perception of abuse, perceived stress levels and binge eating activity. Upon completion, participants were given either course credits or extra credits, to be given at the discretion of their professors. Results indicated that all of the hypotheses were supported. There were significant differences between the perception of abuse and the perceived life stress conditions (respectively). Furthermore, both of the independent variables were shown to be predictive of binge eating behavior. However, there was no interaction effect between the two independent variables. Moreover, these two variables did not moderate each other in terms of predicting binge eating behavior among university students. Findings from this study indicated that perceptions of childhood abuse and recent life stress are both predictive of binge eating activity among university students, which was highest among individuals with a perceived history of childhood abuse. While findings from this study showed a correlation between perception of abuse and binge eating behavior, they did not show a correlation between reporting of actual incidents of childhood abuse and binge eating behavior. There were a number of limitations to the study, including limited generalizability of the findings, limited reliability of self-report measures, and any confounding of analyzed data due to order effect. Future studies are encouraged to further explore the relationship between perception and actuality of childhood abuse.

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24

Romero, Nancy M. "Femininity, Feminine Gender Role Stress, Body Dissatisfaction, and their Relationships to Bulimia Nervosa and Binge Eating Disorder". Thesis, Virginia Tech, 2008. http://hdl.handle.net/10919/35955.

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Research suggests that the associations between femininity, body image and eating disorders are intricate. How these constructs are linked to each other still needs to be determined. The purpose of this study was to gain a deeper understanding of these links, examining the mediational relationship among these constructs. Also, the prediction that bulimia and binge eating disorder symptoms have a similar origin was tested and compared. Some researchers have suggested that the pathways leading to these disorders are equivalent and the main difference between the two is the dietary restriction, while others see them as distinct disorders with different etiology. A total of 355 female college students (ages 18 to 26) completed a set of questionnaires that assessed femininity, feminine gender role stress, body dissatisfaction, bulimia, and binge eating disorder. Results showed that body dissatisfaction mediates the relationship between femininity or feminine gender role stress with bulimia symptoms, as well as the relationship between feminine gender role stress and binge eating disorder symptoms. Results indicate that body dissatisfaction related to femininity or to feminine gender role stress may contribute to higher levels of bulimia symptoms. The findings also suggest that body dissatisfaction related to feminine gender role stress may contribute to higher levels of binge eating disorder symptoms. Results did not support the mediational role of body dissatisfaction between femininity and binge eating disorder. However, the mediational role of feminine gender role stress between femininity and body dissatisfaction was partially supported, suggesting that feminine gender role stress might only be one pathway by which femininity may have an impact on body dissatisfaction.
Master of Science

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25

Smith, Dana. "Neurocognitive risk and protective factors in addictive disorders". Thesis, University of Cambridge, 2014. https://www.repository.cam.ac.uk/handle/1810/245142.

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Cognitive impairments and changes in the structure and function of related brain regions, namely the prefrontal cortex and striatum, have long been implicated in drug addiction. However, it is unknown whether these abnormalities predate substance abuse, potentially serving as risk factors for dependence, or if they are the consequence of protracted use. To address this question, endophenotype research using stimulant-dependent individuals’ biological siblings has been used to investigate traits implicated in the pathology of addiction. Impairments present in both groups suggest an underlying risk-state for dependence, while additional abnormalities present only in stimulant-dependent individuals reflect potential effects of the drugs themselves. Contrastingly, there are also individuals who use stimulant drugs in a controlled manner without developing dependence. These ‘recreational users’ may lack the underlying traits that comprise a greater risk for dependence, or they might maintain additional protective factors against the development of addiction. Experiments in the first half of this dissertation used functional magnetic resonance imaging to investigate neurocognitive similarities and differences between dependent stimulant users, their non-dependent siblings, recreational users of cocaine, and unrelated healthy control volunteers. In Chapter 2, performance on a colour-word Stroop task was impaired in both stimulant-dependent individuals and their siblings, suggesting an endophenotype of cognitive inefficiency. However, neural activity significantly differed between the groups, indicating additional changes specific to the use of stimulant drugs. In Chapter 3, dependent users showed significant attentional bias to salient stimuli on a cocaine-word Stroop task, with a concurrent increase in prefrontal activation. Conversely, recreational users showed resilience in the face of cocaine cues and a decrease in arousal. Finally, Chapter 4 explored differences in reward sensitivity to both generic and drug-specific reinforcers, comparing the effects of personal and family history of stimulant exposure on a monetary incentive delay task. It is also under debate whether the neurocognitive differences seen in stimulant-dependent individuals are unique to substance abuse, or if parallel changes in behaviour and neurobiology are present in similar addiction-spectrum disorders, such as binge eating leading to obesity. In Chapter 5, stimulant-dependent and obese individuals with binge-eating behaviours showed differences in their substance-specific and general reward responsivity on a novel reward-valuation task. However, in Chapter 6 a similar decline in orbitofrontal cortex grey matter volume in relation to both years of stimulant use and body mass index was identified, implicating an overlap in this area between both conditions. These findings are integrated in Chapter 7, discussing the neurocognitive risk and protective factors that underlie an individual’s vulnerability for addiction, not only to stimulant drugs, but also potentially for other addictive behaviours.

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26

Raky, Elizabeth Anne. "Examining Binge Eating Rates Between Caucasian-American and African-American Men". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4942.

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Eating disorders (ED) are maladaptive eating patterns that can have social, biological, health, and occupational consequences. The purpose of this study was to explore and compare binge eating episodes, locus of control, and body dissatisfaction between African-American men (n = 66; 53.70%) and Caucasian-American men (n = 57; 46.30%). There is a current gap in the existing literature regarding the study of men who BE and a sampling bias with regard to ethnic minorities. Based on Bandura's social learning theory model and Rotter's locus of control, the purpose of this research was to determine and compare the relationship between BE, locus of control, and body dissatisfaction among African-American and Caucasian-American men. The participants answered a demographic questionnaire, Eating Attitudes Test (EAT-26), Internality, Powerful Others and Chance Scale (IPC), and Body Satisfaction Questionnaire (BSQ). A quantitative research design was used and the chi-square was performed to evaluate the variables of the research questions. The sample population came from the Walden University participants pool and men who are self-described binge eaters from the African-American and Caucasian-American ethnicity in the community. Key results showed that African- American men believed they had less power in their lives, lower levels of body dissatisfaction, and increased feelings of chance in their lives. Recommendations for further research can be to replicate this study using other ethnicities. Implications for social change can include increased knowledge of men that BE which can improve their overall health and quality of life while reducing medical costs.

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27

McAulay, Claire Elise. "Eating Disorder Features in Bipolar Disorder: Course, Psychological Correlates, and Relationship with Quality of Life". Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21943.

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Despite growing interest in eating disorders (EDs) comorbid with bipolar disorder (BD), little research has considered the nature of ED features and their association with physical health and psychosocial outcomes. The current research aimed to assess ED features in people with BD and their association with BMI and psychological factors. People with BD (Aus=73, Netherlands=109) completed online questionnaires and 9 Australian participants with the comorbidity participated in a qualitative interview. In total, 31 (19%) were identified as having a probable ED, most commonly binge eating disorder (45%). Only one reported a formally-diagnosed ED. Comorbid EDs were associated with significantly poorer emotion regulation ability, reduced quality of life (QoL), and higher distress, but not impulsivity. Greater depressive symptoms and more frequent hospital admissions for depression were also reported. The most common ED features were weight/shape overvaluation (36%) and objective binge eating episodes (OBEs; 21%). OBEs and restriction uniquely contributed to poorer QoL in a regression model. Positive beliefs about the function of binge eating, but not OBEs, predicted higher body mass index (BMI). Interviews revealed that BD illness episodes often correlated with changes in eating and BMI. Most participants connected their experience of an ED and BD to traumatic experiences. None felt that concerns with their eating, weight gain and physical health had been adequately addressed. Results suggest that this double diagnosis and even subthreshold EDs in BD are associated with elevated ED cognitions and heightened difficulties with emotion regulation. Clinicians and researchers alike should consider more proactive screening for this comorbidity as a significant contributing factor to disability. Future interventions for this under-supported group could consider targeting cognitive processes, emotion regulation difficulties and comorbid traumatic stress disorders.

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28

Brauhardt, Anne, Zwaan Martina de y Anja Hilbert. "Der Psychotherapeutische Prozess in der Behandlung von Essanfällen". Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-212705.

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Während Leitlinien „Gold-Standards“ für die Psychotherapie bei bulimischen Essstörungen (Bulimia Nervosa und Binge-Eating-Störung) empfehlen, ist über psychotherapeutische Prozessfaktoren bei Essstörungen wenig bekannt. Ziel war es, mit Hilfe des etablierten Generic Model of Psychotherapy zur Systematisierung psychotherapeutischer Prozessfaktoren die aktuelle Literatur zum Einfluss dieser Faktoren auf den Therapieerfolg, operationalisiert als Symptomreduktion oder -remission, auf Basis einer systematischen Datenbanksuche zu sichten. Während der Einfluss des therapeutischen Settings nach bisheriger Forschungslage kaum Schlüsse hinsichtlich des Therapieerfolgs zulässt, konnte dieser durch spezifische Interventionen, frühe Symptomreduktionen und eine gute therapeutische Beziehung vorhergesagt werden. Weitere Forschung zu Prozessfaktoren bei bulimischen Essstörungen erscheint notwendig, um die praktische psychotherapeutische Arbeit zu unterstützen und Behandlungen effektiver gestalten zu können
While guidelines recommend gold standards for psychotherapy in bulimic eating disorders (bulimia nervosa and binge eating disorder), less is known about psychotherapeutic process aspects. We aimed to summarize the current literature on the impact of process aspects on significant symptom reductions and/or abstinence as treatment outcome using the Generic Model of Psychotherapy. A systematic literature search was conducted. While effects of treatment settings can not yet be estimated, specific interventions, rapid response, and the therapeutic bond repeatedly predicted outcome. Process-outcome research in bulimic eating disorders will be necessary to support clinical practice and to enhance treatment efficacy

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29

Reh, Christine. "An exploration of behavioral and affective dysregulation in a sample with clinical binge eating disorders". Thesis, Adler School of Professional Psychology, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3581657.

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The present study examines two theories of the development of binge eating disorders among a clinical population with a diagnosis of Binge Eating Disorder and Bulimia Nervosa. Specifically, this study addresses whether a behavioral theory or affective theory predicts binge eating behavior in adult women. One theory draws upon Linehan's (1993) established trajectory from the experience of an invalidating childhood environment to the development of emotion dysregulation and subsequent Borderline Personality Disorder and the suicidal and para-suicidal behavior associated with BPD (Linehan, 1993; Mountford, Corstophine, Tomlinson, & Waller, 2007). The second examined theory is the dietary restraint theory which theorizes that a prolonged period of dietary restraint creates physiological and psychological deprivation that leads to dysregulation of appetite and vulnerability to binge eating (Polivy & Herman, 1985). It is hypothesized that an affective theory of the development of binge eating disorder will predict more binge eating behavior than a behavioral theory of binge eating behavior development. The sample is made up of baseline data gathered at a Chicago hospital and consists of participants in a randomized clinical trial for the treatment of an eating disorder. As a component of the screening evaluation, each participant was administered the Eating Disorder Evaluation-Questionnaire (EDE-Q), the Invalidating Childhood Environment Scale (ICES), and the Difficulties in Emotion Regulation Scale (DERS). A regression analysis was conducted to analyze the relationship between dietary restraint, an invalidating childhood environment and binge eating behavior in adults. Based on the literature, there is evidence in support of both theories (Engelberg, Gauvin, & Steiger, 2005; Fairburn, 1997; Haslam, Mountford, Meyer, & Waller, 2008; Huon, 1996; Kaye, Gendall, & Strober, 1998; Killen et al., 1994; Killen et al., 1996; Mountford et al., 2007; Patton, Johnson-Sabine, Wood, Mann, & Wakeling, 1990; Polivy & Herman, 1985; Steiger et al., 2005; Stice, Killen, Hayword, & Taylor, 1998; Stice, Presnell, & Spangler, 2002; Wilson, Fairburn, Agras, Walsh, & Kraemer, 2002). This study adds a concurrent comparison of two theories. This study has implications for determining appropriate treatment for an individual with binge eating behavior based on their scores on the EDE-Q, ICES, and DERS and informing clinicians about treating BED, likely in the DSM-V.

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30

Hilbert, Anja. "Psychotherapie bei Essstörungen". Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-211408.

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Essstörungen sind prävalente psychische Störungen mit schwerwiegenden, oftmals langfristigen Auswirkungen auf die psychische und körperliche Gesundheit. Eine zunehmende Anzahl von klinischen Studien dokumentiert die Wirksamkeit verschiedener psychotherapeutischer Ansätze für spezifische Essstörungen. Im vorliegenden Themenheft 5 werden die Wirksamkeit von neuen Ansätzen zur Einzeltherapie und zur internet-basierten Rückfallprophylaxe, die Patientensicht auf die Therapie sowie die Relevanz von Faktoren des therapeutischen Prozesses bei verschiedenen Essstörungen beleuchtet. Weiterer Forschungsbedarf besteht insbesondere hinsichtlich des Prozesses und der Dissemination evidenzbasierter Psychotherapie für Essstörungen
Eating disorders are prevalent psychiatric disorders with severe and longstanding 15 implications for mental and physical health. An increasing number of clinical studies documents the efficacy of certain psychotherapeutic approaches for specific eating disorders. This special issue addresses the efficacy of novel approaches in face-to-face individual therapy and Internet-based relapse prevention, patient views of treatment, and the relevance of therapeutic process factors for diverse eating disorders. Further research is particularly 20 warranted regarding the process and dissemination of evidence-based psychotherapy for eating disorders

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31

Brauhardt, Anne, Zwaan Martina de y Anja Hilbert. "The therapeutic process in psychological treatments for eating disorders: a systematic review". International Journal of Eating Disorders (2014) 47, 6, S. 565-584, 2014. https://ul.qucosa.de/id/qucosa%3A15165.

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Objective: For eating disorders, a vast number of investigations have demonstrated the efficacy of psychological treatments. However, evidence supporting the impact of therapeutic process aspects on outcome (i.e., process-outcome research) has not been disentangled. Method: Using the Generic Model of Psychotherapy (GMP) to organize various process aspects, a systematic literature search was conducted on psychological treatment studies for anorexia nervosa, bulimia nervosa, binge-eating disorder, and eating disorders not otherwise specified. Results: Improved outcomes resulted for family-based treatment compared to individual treatment, for individual compared to group treatment, booster sessions, and positive patient expectations (GMP contract aspect); for nutritional counseling and exercising but not exposure with response prevention as adjunct interventions (therapeutic operations); for highly motivated patients and, to a lesser extent, for therapeutic alliance (therapeutic bond); as well as for rapid response and longer overall treatment duration (temporal patterns). Regarding other GMP aspects, studies on self-relatedness were completely lacking and in-session impacts were rarely investigated. Discussion: As most studies assessed only a limited number of process aspects, the ability to draw conclusions about their overall impact regarding outcome is rather limited. Therefore, future process-outcome research is needed beyond investigations of treatment efficacy for eating disorders.

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32

Cross, Janelle Louise. "Should She Just Have the Salad? Disordered Eating and Interpersonal Perception Among Women". Thesis, Griffith University, 2006. http://hdl.handle.net/10072/367531.

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The aim of the present thesis is to integrate clinical and social psychological research to explore the relationship between disordered eating symptomatology and interpersonal perception among women. Chapter 1 presents an overview of the epidemiology and aetiology of eating disorders. As it is clear that disordered eating can have pervasive, prolonged and usually detrimental effects on the psychosocial functioning of women, there is ongoing need for research regarding the development, management and prevention of symptoms. Further, efforts to clarify how social psychological processes are related to unhealthy attitudes about food and body weight are likely to improve current conceptualisations of disordered eating. Chapter 2 discusses the social psychology of food and eating behaviour. It is argued that social motives play an important role in shaping the way that men and women eat, but that women are particularly likely to manipulate their eating behaviour in response to impression management concerns. Motives for restricting the consumption of food in social situations are discussed, including the desire to convey a feminine identity to others (Leary, Tchividjian & Kraxberger, 1999) and to counter negative perceptions ofthe overweight (Crandall, 1994). Chapter 3 confirms that women are correct to be concerned about managing their eating behaviour in public. Evidence for the effect of meal size and meal content on first impressions of male and female consumers is presented. In addition, previous explanations for the influence of food on person perceptions are discussed. It is concluded that information about how disordered eating relates to interpersonal perception among women may help to elucidate why meal cues and body-shape variations affect judgements about women. Study 1, described in Chapter 4, examined whether impressions of a female consumer (Le., target) are influenced by her body weight, the amount of dietary fat that she consumes, and the severity of disordered eating experienced by the women who observe her. Using written stimuli and video vignettes, Study 1 demonstrated that unhealthy eating-related attitudes and behaviours moderate the effect of body shape and meal cues on perceptions of female targets. However, in contrast to previously published works, the results of Study 1 suggest that being overweight or consuming high fat meals may not be entirely detrimental for women who wish to make a favourable impression on others. Chapter 5 describes a second study that aimed to address the potential limitations of Study 1 and provide further clarification of the role of target- and perceiver-related variables in person perception among women. Data obtained in Study 2 replicated the finding that disordered eating moderates the extent to which body-weight and fat consumption colour impressions of female consumers. The results also suggested that women may experience ambivalence when perceiving novel female consumers.Finally, Chapter 6 presents an overview of Studies 1 and 2 and discusses difficulties faced by researchers who wish to explore the role of disordered eating in interpersonal perception among women. Concerns about internal and external validity, accurate assessment of impressions, and recruitment of women with eating disorders are explored. The chapter concludes with a summary of the implications of the research.
Thesis (PhD Doctorate)
School of Psychology
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33

Brauhardt, Anne, Zwaan Martina de y Anja Hilbert. "Der Psychotherapeutische Prozess in der Behandlung von Essanfällen". Zeitschrift für Psychiatrie, Psychologie und Psychotherapie (2014) 62, S. 9 - 17, 2015. https://ul.qucosa.de/id/qucosa%3A15035.

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Während Leitlinien „Gold-Standards“ für die Psychotherapie bei bulimischen Essstörungen (Bulimia Nervosa und Binge-Eating-Störung) empfehlen, ist über psychotherapeutische Prozessfaktoren bei Essstörungen wenig bekannt. Ziel war es, mit Hilfe des etablierten Generic Model of Psychotherapy zur Systematisierung psychotherapeutischer Prozessfaktoren die aktuelle Literatur zum Einfluss dieser Faktoren auf den Therapieerfolg, operationalisiert als Symptomreduktion oder -remission, auf Basis einer systematischen Datenbanksuche zu sichten. Während der Einfluss des therapeutischen Settings nach bisheriger Forschungslage kaum Schlüsse hinsichtlich des Therapieerfolgs zulässt, konnte dieser durch spezifische Interventionen, frühe Symptomreduktionen und eine gute therapeutische Beziehung vorhergesagt werden. Weitere Forschung zu Prozessfaktoren bei bulimischen Essstörungen erscheint notwendig, um die praktische psychotherapeutische Arbeit zu unterstützen und Behandlungen effektiver gestalten zu können.
While guidelines recommend gold standards for psychotherapy in bulimic eating disorders (bulimia nervosa and binge eating disorder), less is known about psychotherapeutic process aspects. We aimed to summarize the current literature on the impact of process aspects on significant symptom reductions and/or abstinence as treatment outcome using the Generic Model of Psychotherapy. A systematic literature search was conducted. While effects of treatment settings can not yet be estimated, specific interventions, rapid response, and the therapeutic bond repeatedly predicted outcome. Process-outcome research in bulimic eating disorders will be necessary to support clinical practice and to enhance treatment efficacy.

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34

Hilbert, Anja. "Psychotherapie bei Essstörungen". Zeitschrift für Psychiatrie, Psychologie und Psychotherapie (2014) 62, S. 5-7, 2014. https://ul.qucosa.de/id/qucosa%3A14982.

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Essstörungen sind prävalente psychische Störungen mit schwerwiegenden, oftmals langfristigen Auswirkungen auf die psychische und körperliche Gesundheit. Eine zunehmende Anzahl von klinischen Studien dokumentiert die Wirksamkeit verschiedener psychotherapeutischer Ansätze für spezifische Essstörungen. Im vorliegenden Themenheft 5 werden die Wirksamkeit von neuen Ansätzen zur Einzeltherapie und zur internet-basierten Rückfallprophylaxe, die Patientensicht auf die Therapie sowie die Relevanz von Faktoren des therapeutischen Prozesses bei verschiedenen Essstörungen beleuchtet. Weiterer Forschungsbedarf besteht insbesondere hinsichtlich des Prozesses und der Dissemination evidenzbasierter Psychotherapie für Essstörungen.
Eating disorders are prevalent psychiatric disorders with severe and longstanding 15 implications for mental and physical health. An increasing number of clinical studies documents the efficacy of certain psychotherapeutic approaches for specific eating disorders. This special issue addresses the efficacy of novel approaches in face-to-face individual therapy and Internet-based relapse prevention, patient views of treatment, and the relevance of therapeutic process factors for diverse eating disorders. Further research is particularly 20 warranted regarding the process and dissemination of evidence-based psychotherapy for eating disorders.

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35

Rofey, Dana Lynn. "Demand on Mental Workload: Relation to Cue Reactivity and Craving in Women with Disordered Eating and Problematic Drinking". Cincinnati, Ohio : University of Cincinnati, 2005. http://www.ohiolink.edu/etd/view.cgi?ucin1113751476.

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Thesis (Ph. D.)--University of Cincinnati, 2005.
Advisor: Kevin Corcoran. Title from electronic thesis title page (viewed May 20, 2008). Keywords: Stroop; Eating Disorders; Alcohol; Alcoholism; Binge Drinking; Mental Workload; Personality; Bulimia Nervosa. Includes abstract. Includes bibliographical references.

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36

Pearson, Carolyn M. "Eating Disorder Onset in Young Girls: A Longitudinal Trajectory Analysis". UKnowledge, 2014. http://uknowledge.uky.edu/psychology_etds/45.

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To investigate whether there are different patterns of development for binge eating and purging behavior among pre-adolescent and early adolescent girls, I conducted trajectory analyses of those behaviors in 938 girls across eight waves of data from the spring of 5th grade (the last year of elementary school) through the spring of 9th grade (the first year of high school). Analyses revealed four separate developmental trajectories for binge eating behavior (labeled none, increasing, decreasing, and high steady) and three separate developmental trajectories for purging behavior (labeled none, dabble, and increasing). Fifth grade scores on risk factors that were both personality-based (negative affect and negative urgency) and learning-based (expectancies for reinforcement from eating and from thinness) differentiated among the trajectory groups, in some cases before the groups differed in the target behaviors. These findings are the first, to my knowledge, to examine developmental trajectories for eating disorder onset in youth as young as elementary school. Clinical implications are discussed.

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37

Himes, Susan. "Examining an Acute Environmental Trigger for Dysfunctional Eating: Measuring the Immediate Impact of Fat Disparagement Media Exposure and its Effects on Body Dissatisfaction, Negative Affect, Weight Control Practice Intentions, and Sub-Clinical Binge Eating Behavior in College Women". Scholar Commons, 2009. https://scholarcommons.usf.edu/etd/2014.

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Binge eating is a maladaptive eating practice associated with unhealthy weight control methods (vomiting, laxative abuse) and the development of weight gain and obesity. Isolating psychological and environmental variables that trigger binge eating can prevent or potentially moderate eating disturbance. Previous research implicates media exposure as an environmental contributor to psychological and eating disturbance. The current study sought to uncover whether fat stigmatization media exposure is an acute environmental trigger for psychological disturbance and binge initiation by dismantling fat media messages and experimentally manipulating messages. Undergraduate women (N=197) were assigned to one of four media message conditions: a fat negative interaction, fat comedy, control stigmatization, or control comedy condition. Psychological functioning and weight control variables were assessed at baseline, pre-test, and post-test. Results indicated that fat message exposure resulted in significantly greater post-test perceived pressure to lose weight, negative affect, guilt, and anger than control conditions. Participants exposed to fat messages were significantly more likely to restrict food intake. Two subjects engaged in an analogue binge. Weight control intentions were similar across conditions at post-test. BMI was found to moderate the relationship between fat message exposure and negative affect and hostility, with overweight and obese women more vulnerable to negative psychological consequences of fat media exposure. A history of weight related teasing moderated the relationship between fat message exposure and negative mood dependent variables (negative affect, guilt, sadness, fear), with those who had a history of teasing more vulnerable to negative mood induction. The primary significant mediator between fat message exposure and body dissatisfaction was appearance activation. Eating disorder theories were upheld, with suggested minor modifications specific to the context of fat media exposure. Findings are discussed in the context of weight loss and eating disorders treatment. Limitations of the study and directions for future research are discussed.

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38

Vollert, Bianka, Ina Beintner, Peter Musiat, Gemma Gordon, Dennis Görlich, Barbara Nacke, Juliane Schmidt-Hantke et al. "Using internet-based self-help to bridge waiting time for face-to-face outpatient treatment for Bulimia Nervosa, Binge Eating Disorder and related disorders: Study protocol of a randomized controlled trial". Elsevier, 2018. https://tud.qucosa.de/id/qucosa%3A32367.

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Background: Eating disorders are serious conditions associated with an impaired health-related quality of life and increased healthcare utilization and costs. Despite the existence of evidence-based treatments, access to treatment is often delayed due to insufficient health care resources. Internet-based self-help interventions may have the potential to successfully bridge waiting time for face-to-face outpatient treatment and, thus, contribute to overcoming treatment gaps. However, little is known about the feasibility of implementing such interventions into routine healthcare. The aim of this study is to analyze the effects and feasibility of an Internet-based selfhelp intervention (everyBody Plus) specifically designed for patients with Bulimia Nervosa, Binge Eating Disorder and other specified feeding and eating disorders (OSFED) on a waiting list for outpatient face-to-face treatment. The aim of this paper is to describe the study protocol. Methods: A multi-country randomized controlled trial will be conducted in Germany and the UK. N=275 female patients awaiting outpatient treatment will be randomly allocated either to the guided online self-help intervention “everyBody Plus” or a waitlist control group condition without access to the intervention. everyBody Plus comprises eight weekly sessions that cover topics related to eating and exercise patterns, coping with negative emotions and stress as well as improving body image. Participants will receive weekly individualized feedback based on their self-monitoring and journal entries. Assessments will take place at baseline, post-intervention as well as at 6- and 12-months follow up. In addition, all participants will be asked to monitor core eating disorder symptoms weekly to provide data on the primary outcome. The primary outcome will be number of weeks after randomization until a patient achieves a clinically relevant improvement in core symptoms (BMI, binge eating, compensatory behaviors) for the first time. Secondary outcomes include frequency of core symptoms and eating disorder related attitudes and behaviors, as well as associated psychopathology. Additional secondary outcomes will be the participating therapists' confidence in treating eating disorders as well as perceived benefits of everyBody Plus for patients. Discussion: To the best of our knowledge, this is the first randomized controlled trial examining the effects of Internet-based self-help for outpatients with eating disorders awaiting face-to-face outpatient treatment. If proven to be effective and successfully implemented, Internet-based self-help programs might be used as a first step of treatment within a stepped-care approach, thus reducing burden and cost for both patients and health care providers.

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39

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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40

Smith, Kathryn Elizabeth. "THE URGE TO PURGE: AN ECOLOGICAL MOMENTARY ASSESSMENT OF PURGING DISORDER AND BULIMIA NERVOSA". Kent State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1416829240.

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41

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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42

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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43

MALIGHETTI, CLELIA. "La natura multisensoriale della percezione corporea: interventi virtuali per il cambiamento emotivo e percettivo nei disturbi alimentari". Doctoral thesis, Università Cattolica del Sacro Cuore, 2022. http://hdl.handle.net/10280/112848.

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I miei studi del dottorato si fondano sul presupposto che l'esperienza del corpo non è diretta, ma è mediata dall'integrazione di input multisensoriali. Le domande che mi sono posto inizialmente sono: cos'è l'integrazione multisensoriale? Come funziona? L'integrazione multisensoriale (MSI) si riferisce a come il cervello integra in una percezione coerente e uniforme diversi flussi di informazioni in arrivo dai diversi sensi presentati nello stesso contesto spazio-temporale. Tale modello concepisce il corpo come ricalibrato in relazione a previsioni fatte attraverso tre fonti di informazioni memorizzate sul corpo: concettuali, percettive ed episodiche. Secondo una recente teoria cognitiva, il nostro cervello impara ad anticipare questi stimoli in arrivo prima che siano effettivamente percepiti. Gli psicologi cognitivi chiamano questo processo codifica predittiva. Questa ipotesi sempre più popolare nelle neuroscienze suggerisce che il nostro cervello crea attivamente un modello interno (simulazione) del corpo e dello spazio circostante. Questo modello fornisce previsioni sull'input sensoriale atteso o minimizza il numero di errori di previsione. Ho quindi ipotizzato che questo processo influenzi non solo l'esperienza del corpo, ma anche le emozioni. Secondo questo modello, le emozioni non sono viste come sequenze iterative stimolo-risposta, ma come simulazioni corporee che, sulla base di una precedente esperienza individuale, vengono etichettate come emozioni. Studi recenti indicano che alterazioni in questo processo potrebbero essere coinvolte nell'eziologia di alcuni disturbi psicologici, compresi i disturbi alimentari. Lo scopo di questo lavoro è quello di contribuire alla ricerca sulla natura della percezione del corpo come risultato di un'integrazione multisensoriale e sul suo studio clinico e sperimentale. In particolare ho esplorato nuovi metodi per colpire i principali aspetti coinvolti nell'esperienza del corpo nei disturbi alimentari. Ho sviluppato tre interventi virtuali basati su una nuova metodologia incarnata - la realtà virtuale - aprendo un nuovo modo di studiare e trattare la percezione del corpo.
My PhD research started from the assumption that the experience of the body is not direct, but is mediated by the integration of multisensory inputs. The questions i originally asked are: what is multisensory integration? How does it work? Multisensory integration refers to how the brain integrates into a coherent and uniform percept, namely the body matrix, different streams of incoming information from the different senses presented in the same space-time context. Such a model conceives the body as being recalibrated in relation to predictions made through three sources of stored information about the body: conceptual (the meaning attributed to the body), perceptual (the size and the shape of the body), and episodic. According to a recent cognitive theory, our brains learn to anticipate these incoming stimuli before they are actually perceived. Cognitive psychologists call this process predictive coding. This increasingly popular hypothesis in neuroscience suggests that our brains actively create an internal model (simulation) of the body and the space around it. This model provides predictions about the expected sensory input or minimize the number of prediction errors. I have therefore assumed that this process influences not only the experience of the body, but also the emotions. According to this model, emotions are not seen as iterative stimulus-response sequences, but as bodily simulations that, on the basis of an individual’s previous experience are labeled as emotions. Simulations are prediction (top-down signals) that anticipate events in the sensory environment. Thanks to this internal model of predictions, our brain is able to give sense to our experience. Recent studies indicate that impairments in this process could be involved in the etiology of some psychological disorders, including eating disorders. The purpose of this dissertation is to contribute to the research on the nature of body perception as the result of a multisensory integration and on its clinical and experimental study. In particular I explored new methods to target the main aspects involved in the experience of the body among eating disorders. I developed three virtual interventions based on a new embodied methodology - virtual reality – opening a new way of studying and treating body perception.

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44

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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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.

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46

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.

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47

Santos, Amanda Maihara dos. "Prevalência de transtornos alimentares em gestantes: uma associação com ansiedade, depressão e atitudes alimentares". Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-23092015-145607/.

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Introdução: O estado nutricional da gestante constitui importante fator para o desenvolvimento do feto e da gravidez saudável. Mulheres que apresentam ingestão inadequada de nutrientes têm maior probabilidade de desenvolver gestação de risco. Essa problemática é especialmente intensa quando a mulher apresenta quadro de transtorno alimentar (TA). Este trabalho abordou aspectos históricos, etiologia e epidemiologia dos TA, contemplou os critérios diagnósticos, concebeu os TA no período gravídico puerperal e dissertou sobre TA, sintomatologia ansiosa e depressiva. Os objetivos deste estudo foram determinar a prevalência de TA em gestantes com intercorrências clínicas e verificar a associação com sintomatologia ansiosa, depressiva e atitudes alimentares. Método: Estudo prospectivo transversal foi realizado com 913 gestantes com intercorrências clínicas que estavam no 2° ou 3° trimestre gestacional no ambulatório da Divisão de Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Foi utilizada entrevista dirigida, para avaliação de picacismo; o EAT-26, para avaliar as atitudes alimentares; Structured Clinical Interview for DSM Disorders, para diagnóstico clínico de TA e a escala Hospital Anxiety and Depression, para análise da sintomatologia ansiosa e depressiva. Os dados deste estudo foram submetidos à análise quantitativa e avaliados por meio do programa IBM SPSS for Windows versão 20.0. Resultados: constatou-se prevalência de transtorno alimentar em 7,6% (n=69) (IC 95%: 5,84%-9,28%), sendo 0,1% (n=1), anorexia nervosa; 0,7% (n=6), bulimia nervosa; 1,1% (n=10), transtorno da compulsão alimentar e 5,7% (n=52), picacismo. Encontrou-se significância estatística quando associado TA com as variáveis: religião (p=0,02), abortamento provocado anterior (p < 0,01), tempo de relacionamento (p=0,01), renda per capita (p=0,04), número de gestações (p < 0,01) e número de filhos vivos (p < 0,01). Quanto às atitudes alimentares, observou-se significância estatística com \"sentir-se mal após comer doces\" (p=0,02) e \"passar muito tempo pensando em comida\" (p < 0,01). Constatou-se ainda associação positiva com sintomatologia ansiosa (p < 0,01) e com sintomatologia depressiva (p < 0,01). Conclusão: a prevalência de TA encontrada (7,6%) e sua associação com sintomatologia ansiosa e depressiva, durante a gestação, apontam para a necessidade de cuidados especializados no que diz respeito à prevenção, diagnóstico e tratamento. Dada a importância da alimentação adequada no período gestacional, tanto no que diz respeito à saúde materna, quanto ao desenvolvimento fetal, torna-se necessário implementar, pelos profissionais de saúde, avaliação específica com protocolo predeterminado para diagnóstico de TA no período gestacional
Introduction: The nutritional status of the pregnant woman represents an important factor for the development of the fetus and for a healthy pregnancy. Women who have inadequate nutrient intake are more likely to develop a risky pregnancy. This problem is particularly severe when the woman presents an eating disorder (ED). This paper discusses the historical aspects, etiology and epidemiology of ED, considers the diagnostic criteria, delineates ED in the puerperal pregnancy period and addresses ED, anxiety and depression symptoms. The aims of this study were to estimate the prevalence of ED in pregnant women with clinical complications and to assess the relationship between anxiety and depression symptoms and eating attitudes. Methods: A transversal and prospective study was conducted with 913 women between 2nd and 3rd trimester with high-risk pregnancies in the Obstetrics Clinic Division of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. We conducted structured interviews for the assessment of pica, Structured Clinical Interview for DSM Disorders for diagnostic of ED and Hospital Anxiety and Depression Scale for anxiety and depression symptoms, and applied the EAT-26 questionnaire for eating attitudes. The data analysis was quantitative and conducted with the IBM SPSS for Windows, version 20.0. Results: Lifetime prevalence of ED was 7.6% (n=69) (95% CI: 5.84%-9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. ED was statistically significant with respect to the following variables: religion (p=0.02), previous induced abortion (p < 0.01), being in a relationship (p=0.01), per capita income (p=0,04), number of previous pregnancies (p<0.01) and number of children (p < 0.01). For the eating attitudes, statistical significance was found with \"feeling ill after eating sweets\" (p < 0.02) and \"spend too much time thinking about food\" (p=0.05), as well as between ED and anxiety (p < 0.01) and depressive symptoms (p < 0.01). Conclusion: The prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy

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48

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.

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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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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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