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[Binge eating disorder].
1Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen. martina.dezwaan@psych.imed.uni-erlangen.de
Therapeutische Umschau. Revue Therapeutique
|August 31, 2006
Summary
Binge eating disorder (BED) affects 2% of the population and is more common in women. While psychotherapy and medication can reduce binge eating episodes, weight loss is modest and long-term drug treatment effectiveness is unclear.
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorders
Context:
- Binge eating disorder (BED) was provisionally categorized in DSM-IV in 1994.
- BED affects 2% of the general population, with women 1.5 times more likely to be affected.
- Up to 30% of individuals in weight loss programs meet BED criteria.
Purpose:
- To review the characteristics, treatment goals, and therapeutic outcomes for binge eating disorder.
- To compare BED with bulimia nervosa (BN) regarding eating behaviors and psychopathology.
- To assess the efficacy of psychotherapeutic and pharmacologic treatments for BED.
Summary:
- BED is distinct from BN as restrictive eating is not a prerequisite.
- Obese individuals with BED exhibit higher general and eating-related psychopathology.
- Treatment goals include reducing binge eating, improving psychopathology, managing weight, and reducing co-morbid conditions.
Impact:
- Psychotherapy (e.g., CBT) and pharmacologic treatments demonstrate success in reducing binge eating episodes.
- Remission rates for BED are high (over 50% with CBT), with a better prognosis than BN.
- While abstinence from binge eating correlates with weight loss, the amount is modest and may not meet patient expectations.
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