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Related Experiment Videos

[Binge eating disorder].

M de Zwaan1, H C Friederich

  • 1Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen. martina.dezwaan@psych.imed.uni-erlangen.de

Therapeutische Umschau. Revue Therapeutique
|August 31, 2006
PubMed
Summary
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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.

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  • 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.