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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...

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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

Published on: May 10, 2022

Do mental disorders and eating patterns affect long-term weight loss maintenance?

Tanja Marina Legenbauer¹, Martina de Zwaan, Barbara Mühlhans

¹Department of Psychosomatic Medicine and Psychotherapy, LWL-Klinik Dortmund, Ruhr-University Bochum, 44287 Dortmund, Germany. tanja.legenbauer@ruhr-uni-bochum.de

General Hospital Psychiatry

|March 23, 2010

Summary

Mental health conditions and specific eating behaviors like grazing impact long-term weight loss maintenance after a very-low-calorie diet program. Addressing these can improve self-regulation and sustained weight management.

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Published on: November 21, 2025

Area of Science:

Obesity Research
Behavioral Medicine
Psychiatry

Background:

Weight loss maintenance remains a significant challenge for many individuals.
Very-low-calorie diets (VLCDs) can achieve initial success but long-term adherence is difficult.
The role of mental health disorders in sustained weight management is not fully understood.

Purpose of the Study:

To investigate the influence of mental disorders on weight loss maintenance.
To identify factors associated with successful long-term weight management following a VLCD program.

Main Methods:

A prospective longitudinal study followed 251 obese individuals for 4 years.
Mental disorders and eating patterns were assessed using structured interviews and questionnaires.
Intention-to-treat analysis was employed to evaluate weight loss maintenance at 3-year follow-up.

Main Results:

Of 166 initial successful weight losers, only 28.3% maintained ≥5% weight loss at 3 years.
History of substance abuse/dependence and pre-treatment grazing predicted successful maintenance.
High cognitive control and low disinhibition at follow-up were also associated with sustained weight loss.

Conclusions:

Overcoming mental health challenges may enhance self-regulation and cognitive control over eating.
Interventions targeting mental health and eating behaviors could improve long-term weight loss maintenance.
Sustained weight management requires addressing psychological factors alongside dietary changes.