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1
Hilbert, Anja. "Binge-Eating Disorder." Elsevier, 2019. https://ul.qucosa.de/id/qucosa%3A75711.
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Binge-eating disorder (BED) was first included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) within the Feeding and Eating Disorders section.1 BED’s hallmark feature is recurrent binge eating, involving the consumption of an amount of food that is definitively larger than what others would eat under comparable circumstances within a certain time, associated with a feeling of loss of control over eating. Diagnosis of BED according to DSM-5 (307.59) requires this objective binge eating to occur at least once per week over 3 months. In contrast to binge eating in bulimia nervosa, binge eating in BED occurs without regular inappropriate compensatory behaviors aimed at preventing weight gain, such as self-induced vomiting, fasting, or laxative misuse. Binge eating in BED is further characterized by behavioral abnormalities, such as eating rapidly or until feeling uncomfortably full, and results in marked distress.
2
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.
3
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.
4
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.
6
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.
7
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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9
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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10
Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206020.
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A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
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Brauhardt, Anne, Almut Rudolph, and Anja Hilbert. "Implicit cognitive processes in binge-eating disorder and obesity." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-215567.
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Objectives: Binge-eating disorder (BED) is characterized by recurrent binge eating episodes, associated eating disorder and general psychopathology, and commonly occurs in obese individuals. Explicit self-esteem and explicit weight bias have been linked to BED, while little is known about implicit cognitive processes such as implicit self-esteem and implicit weight bias.
Methods: Obese participants with BED and an individually matched obese only group (OB) and normal weight control group (CG; each N = 26) were recruited from the community to examine group differences and associations in explicit and implicit self-esteem and weight bias, as well as the impact of implicit cognitive processes on global eating disorder psychopathology. Implicit cognitive processes were assessed using the Implicit Association Test.
Results: Significantly lower explicit self-esteem, as well as higher exposure to explicit weight bias, compared to CG and OB was found in the BED group. All groups showed positive implicit self-esteem, however, it was significantly lower in BED when compared to CG. BED and CG demonstrated equally high implicit weight bias whereas OB did not. Explicit and implicit measures were not significantly correlated. Global eating disorder psychopathology was predicted by explicit and implicit self-esteem.
Conclusions: The results of the present study add to the importance of implicit self-esteem and implicit weight bias beyond explicit measures in BED, while both were previously shown to be associated with onset and maintenance of BED. In conclusion, implicit cognitive processes should be focused on in interventions for BED to investigate their impact on psychological treatments.
12
Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Journal of abnormal child psychology (2015) 43, 7, S. 1369–1377, 2015. https://ul.qucosa.de/id/qucosa%3A14806.
Full textAbstract:
A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
13
Brauhardt, Anne, Almut Rudolph, and Anja Hilbert. "Implicit cognitive processes in binge-eating disorder and obesity." Journal of Behavior Therapy and Experimental Psychiatry (2014) 45, 2, S. 285-290, 2014. https://ul.qucosa.de/id/qucosa%3A15164.
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Objectives: Binge-eating disorder (BED) is characterized by recurrent binge eating episodes, associated eating disorder and general psychopathology, and commonly occurs in obese individuals. Explicit self-esteem and explicit weight bias have been linked to BED, while little is known about implicit cognitive processes such as implicit self-esteem and implicit weight bias.
Methods: Obese participants with BED and an individually matched obese only group (OB) and normal weight control group (CG; each N = 26) were recruited from the community to examine group differences and associations in explicit and implicit self-esteem and weight bias, as well as the impact of implicit cognitive processes on global eating disorder psychopathology. Implicit cognitive processes were assessed using the Implicit Association Test.
Results: Significantly lower explicit self-esteem, as well as higher exposure to explicit weight bias, compared to CG and OB was found in the BED group. All groups showed positive implicit self-esteem, however, it was significantly lower in BED when compared to CG. BED and CG demonstrated equally high implicit weight bias whereas OB did not. Explicit and implicit measures were not significantly correlated. Global eating disorder psychopathology was predicted by explicit and implicit self-esteem.
Conclusions: The results of the present study add to the importance of implicit self-esteem and implicit weight bias beyond explicit measures in BED, while both were previously shown to be associated with onset and maintenance of BED. In conclusion, implicit cognitive processes should be focused on in interventions for BED to investigate their impact on psychological treatments.
14
Hilbert, Anja, Thomas Hildebrandt, W. Stewart Agras, Denise E. Wilfley, and G. Terence Wilson. "Rapid response in psychological treatments for binge-eating disorder." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-223542.
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Objective: Analysis of short- and long-term effects of rapid response across three different treatments for binge-eating disorder (BED). Method: In a randomized clinical study comparing interpersonal psychotherapy (IPT), cognitive-behavioral guided self-help (CBTgsh), and behavioral weight loss (BWL) treatment in 205 adults meeting DSM-IV criteria for BED, the predictive value of rapid response, defined as ≥ 70% reduction in binge-eating by week four, was determined for remission from binge-eating and global eating disorder psychopathology at posttreatment, 6-, 12-, 18-, and 24-month follow-up. Results: Rapid responders in CBTgsh, but not in IPT or BWL, showed significantly greater rates of remission from binge-eating than non-rapid responders, which was sustained over the long term. Rapid and non-rapid responders in IPT and rapid responders in CBTgsh showed a greater remission from binge-eating than non-rapid responders in CBTgsh and BWL. Rapid responders in CBTgsh showed greater remission from binge-eating than rapid responders in BWL. Although rapid responders in all treatments had lower global eating disorder psychopathology than non-rapid responders in the short term, rapid responders in CBTgsh and IPT were more improved than those in BWL and non-rapid responders in each treatment. Rapid responders in BWL did not differ from non-rapid responders in CBTgsh and IPT. Conclusions: Rapid response is a treatment-specific positive prognostic indicator of sustained remission from binge-eating in CBTgsh. Regarding an evidence-based stepped care model, IPT, equally efficacious for rapid and non-rapid responders, could be investigated as a second-line treatment in case of non-rapid response to first-line CBTgsh.
15
Nasser, Jessica Diana. "Dietary Restraint in Individuals with Symptoms of Binge Eating Disorder: Manifestation and Its Relation to Binge Eating Behavior." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1465071529.
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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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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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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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PsychologyPh.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
19
Mingione, Carolyn. "Psychometric Properties of the Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating in individuals with Binge Eating Disorder." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1445341935.
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LaCaille, Lara Schultz. "Binge Eating Disorder and Its Relationship to Bulimia Nervosa and Obesity." DigitalCommons@USU, 2002. https://digitalcommons.usu.edu/etd/6192.
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Recent research indicates that 2% to 4% of the population meet diagnostic criteria for the newly proposed binge eating disorder, and that it is much more common (30%) among the treatment-seeking obese. Although recognized as a significant problem, binge eating disorder is l1l not well understood, and there is debate about whether binge eating disorder is a distinct disorder. It has been argued that binge eating disorder is simply a variant or milder form of bulimia nervosa and not a separate and distinct disorder. Researchers have begun to study this population in greater depth in order to assess the characteristics of individuals with binge eating disorder, the similarities and differences between individuals with binge eating disorder, bulimia nervosa, and obese individuals who do not engage in binge eating, and the effectiveness of various treatments for binge eating disorder. Previous reviews of the literature (using non-meta-analytic strategies) have examined these areas and have yielded inconsistent conclusions. Therefore, a more comprehensive, current, and empirical integration of the data was conducted.
In total, 297 studies of individuals with binge eating disorder, bulimia nervosa and/or obese individuals who do not engage in binge eating were collected, coded, and statistically analyzed across studies (by calculating standardized mean difference effect sizes). The key characteristics of individuals with binge eating disorder were assessed, diagnostic groups were systematically compared, and treatment outcomes (from 19 studies) were evaluated. The results indicated that individuals with binge eating disorder have a number of differences from both bulimia nervosa and obese non binge eating individuals. However, the extent of these differences was not great, and there was a general trend for binge eating disorder individuals to fall between the two groups on most measures of disturbed eating and psychopathology. These findings tend to support the continuum/variant conceptualization of binge eating disorder rather than that of a distinct disorder. In addition, data from primary research studies on the treatment of binge eating disorder indicated that, overall, psychosocial interventions were helpful in decreasing binge eating and psychopathological symptoms, but were less effective at reducing weight. The clinical implications of these findings are discussed, as are suggestions for future research.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206167.
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Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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Sitnikov, Lilya. "Emotion Regulation Strategies in Binge Eating Disorder: Rumination, Distress Tolerance, and Expectancies for Eating." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/499.
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Binge Eating Disorder (BED) is characterized by recurrent episodes of binge eating without the use of compensatory behaviors. Functional accounts of BED propose that negative affect is an antecedent to binge eating because binge eating serves to alleviate negative affect. However, previous studies investigating the association between negative affect and binge eating have yielded inconsistent findings, perhaps due to individual vulnerability factors that moderate the effects of negative affect on binge eating behavior. As one candidate, the current study investigated emotion regulation strategies that may be implicated in the maintenance of binge eating in BED, particularly under conditions of negative affect: brooding rumination, distress tolerance, and mood-related expectancies for eating. These emotion regulation strategies were: a) compared in 38 women with BED vs. 36 non-eating disordered female controls, b) examined in relation to markers of current binge eating severity among BED women, and c) used as predictors of caloric intake and urge to eat in response to a personally-relevant dysphoric mood induction upon presentation of snack foods in a "taste task." Results revealed that women with BED endorsed higher brooding rumination, more positive expectancies that eating serves to ameliorate negative affect, and lower distress tolerance than controls. Among women with BED, higher brooding rumination was associated with greater binge eating severity, and stronger expectancies that eating reduces negative affect were associated with more frequent binge eating episodes and greater urge to eat in response to depression. Surprisingly, better distress tolerance was associated with more frequent binge eating episodes. Women with BED consumed more calories and reported greater loss of control as well as a greater sense of guilt in response to the taste task relative to control participants. Contrary to hypothesis, there were no direct or indirect effects of any of the three emotion regulation strategies on change in urge to eat or calories consumed on the taste task following sad mood induction in BED women. In controls, better distress tolerance and stronger expectancies that eating alleviates negative affect were associated with decreased caloric intake on the taste task after mood induction. Overall, these findings highlight the importance of considering trans-diagnostic processes in BED as well as the need to identify other theoretically-relevant factors that contribute to the cognitive and behavioral features of BED. Limitations and directions for future studies are discussed.
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Douglas, Valerie Jane. "An Examination of the Link Between Weight Stigma and Binge Eating." Diss., North Dakota State University, 2019. https://hdl.handle.net/10365/31557.
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Past research shows that weight-related teasing is linked to binge eating, but little is known about the individual risk factors that render certain people more vulnerable than others. The current study examined three potential risk factors for binge eating in response to weight-related teasing: weight stigmatization experiences, weight bias internalization, and emotion dysregulation. The current study empirically investigated how these factors interacted to predict concurrent binge eating behavior through a self-report questionnaire and eating behavior in a laboratory following exposure to a weight stigma vignette. First, it was hypothesized that higher levels of weight stigmatization and emotion dysregulation would be associated with higher levels of binge eating, which was consistent with the results of a multiple linear regression analysis. Second, it was predicted that higher levels of weight stigmatization and emotion dysregulation would predict greater quantities of cookie consumption during a bogus taste test following exposure to a weight stigma vignette. The hypothesis was not supported by a multiple linear regression. Third, we posited that weight bias internalization would moderate the relationship between weight stigmatization and emotion dysregulation on disordered eating, such that higher levels of weight bias internalization would be associated with higher levels of binge eating. This was not supported by a hierarchical regression analysis. Overall, the results highlight variables pertinent to the relationship between weight stigma and binge eating. Future research should test the model in clinical samples to see if it is more relevant to people with more severe levels of eating pathology.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Surgery for obesity and related diseases (2015) 11, 3, S. 621-626, 2014. https://ul.qucosa.de/id/qucosa%3A14817.
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Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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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.
Full textAbstract:
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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Clyne, Courtney. "Emotion-Focussed Psychoeducational Group Therapy for Binge Eating Disorder in Women and Men." Thesis, University of Canterbury. Psychology, 2007. http://hdl.handle.net/10092/1384.
Full textAbstract:
A plethora of research has linked negative affect with binge eating in people with binge eating disorder (BED). Cognitive behavioural therapy (CBT) and interpersonal therapy (IPT) have not traditionally addressed emotional regulation deficits. Failure to address emotional aspects of binge eating may explain why some individuals do not respond to CBT or IPT, and why many of those who do respond relapse shortly after finishing treatment. Dialectical behaviour therapy (DBT) specifically targets the inability to accurately recognise and regulate affect. Preliminary investigations have shown that DBT may be efficacious in treating BED. However, it can take up to 10 months, and a shorter intervention targeting affect regulation and recognition may produce similar effects. Four studies evaluating a ten session emotion-focussed group psychoeducational intervention for BED were conducted. In the first, 25 women diagnosed with subthreshold or full syndrome BED (using DSM-IV-TR criteria) were treated. The second study tested whether the specific components of the intervention, or the treatment as a whole, was required to produce positive outcomes in women. Study three, examined the efficacy of the treatment programme with three men diagnosed with subthreshold or full syndrome BED (also using DSM-IV-TR criteria). The fourth study compared the women's and men's response to treatment. Following the intervention with women, binge abstinence rates, comparable to those of CBT and IPT, and various other positive changes to eating and general pathology, were observed. These effects were well-maintained up to one-year later. Overall, it was concluded that the whole treatment programme was necessary to produce the optimum outcome for BED in women. A positive outcome was measured in the men, although the effects were not as dramatic as those found in the women. Suggestions for improvements, and suggestions for further research, are discussed. The results provide support for the Affect Regulation Model of BED in women and men.
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Wallace, Sonia. "The role of emotion regulation and coping in binge eating disorder." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4605/.
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Background: Obesity has reached epidemic proportions in the developed world; this has implications for quality of life and demand on healthcare systems. Current treatment approaches for obesity appear effective in achieving short-term weight loss for some, but gains are not always maintained long-term. Treatments for Binge Eating Disorder (BED) can reducing binging but are not shown to have a significant impact on body weight. Evidence suggests that current treatments lack effectiveness because they do not target the factors underlying chronic weight and eating problems. Aims: To investigate, from the perspective of the affected individual, the role of emotion regulation and coping in BED. Methods: Nine participants took part in a non-directive, semi-structured interview. All were classified as obese: four met criteria for BED. Interviews were transcribed and analysed using Interpretative Phenomenological Analysis. Results: Five main themes were found; 1) Early life experiences, 2) The development of weight problems, 3) Use of food, 4) Attitudes to coping and 5) Beliefs about self. Differences were noted across these key themes between the BED and non-BED group with those in the BED group relying more on maladaptive strategies for coping, having more negative childhood experiences and having more negative self-perceptions. The results of this study highlight the need for treatment to focus on increasing individual’s resources for managing emotions, by widening their coping strategies.
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Brauhardt, Anne, Zwaan Martina de, Stephan Herpertz, Stephan Zipfel, Jennifer Svaldi, Hans-Christoph Friederich, and Anja Hilbert. "Therapist adherence in individual cognitive-behavioral therapy for binge-eating disorder." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-215587.
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While cognitive-behavioral therapy (CBT) is the most well-established treatment for binge-eating disorder (BED), little is known about process factors influencing its outcome. The present study sought to explore the assessment of therapist adherence, its course over treatment, and its associations with patient and therapist characteristics, and the therapeutic alliance.
In a prospective multicenter randomized-controlled trial comparing CBT to internet-based guided self-help (INTERBED-study), therapist adherence using the newly developed Adherence Control Form (ACF) was determined by trained raters in randomly selected 418 audio-taped CBT sessions of 89 patients (25% of all sessions). Observer-rated therapeutic alliance, interview-based and self-reported patient and therapist characteristics were assessed. Three-level multilevel modeling was applied.
The ACF showed adequate psychometric properties. Therapist adherence was excellent. While significant between-therapist variability in therapist adherence was found, within-therapist variability was non-significant. Patient and therapist characteristics did not predict the therapist adherence. The therapist adherence positively predicted the therapeutic alliance.
The ACF demonstrated its utility to assess therapist adherence in CBT for BED. The excellent levels of therapist adherence point to the internal validity of the CBT within the INTERBED-study serving as a prerequisite for empirical comparisons between treatments. Variability between therapists should be addressed in therapist trainings and dissemination trials.
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Sperling, Ingmar, Sabrina Baldofski, Patrick Lüthold, and Anja Hilbert. "Cognitive Food Processing in Binge-Eating Disorder: An Eye-Tracking Study." MDPI, 2017. https://ul.qucosa.de/id/qucosa%3A33741.
Full textAbstract:
Studies indicate an attentional bias towards food in binge-eating disorder (BED), however, more evidence on attentional engagement and disengagement and processing of multiple attention-competing stimuli is needed. This study aimed to examine visual attention to food and non-food stimuli in BED. In n = 23 participants with full-syndrome and subsyndromal BED and n = 23 individually matched healthy controls, eye-tracking was used to assess attention to food and non-food stimuli during a free exploration paradigm and a visual search task. In the free exploration paradigm, groups did not differ in initial fixation position. While both groups fixated non-food stimuli significantly longer than food stimuli, the BED group allocated significantly more attention towards food than controls. In the visual search task, groups did not differ in detection times. However, a significant detection bias for food was found in full-syndrome BED, but not in controls. An increased initial attention towards food was related to greater BED symptomatology and lower body mass index (BMI) only in full-syndrome BED, while greater maintained attention to food was associated with lower BMI in controls. The results suggest food-biased visual attentional processing in adults with BED. Further studies should clarify the implications of attentional processes for the etiology and maintenance of BED.
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Hilbert, Anja, Stephan Herpertz, Ross D. Cosby, Stephan Zipfel, Hans-Christoph Friedrich, Andreas Mayr, Brunna Tuschen-Caffier, and Martinade Zwaan. "Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder." Elsevier, 2019. https://ul.qucosa.de/id/qucosa%3A75708.
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Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change—including moderate and low decreasing—as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (≥ 10% reduction in binge eating at week 1, ≥ 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.
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Burton, Amy. "Beliefs about Binge Eating: Psychometric Properties and Clinical Utility of the Eating Beliefs Questionnaire." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/19627.
Full textAbstract:
Binge eating (BE) is a core feature of eating disorder presentations, common to bulimia nervosa, anorexia nervosa (binge/purge type), and binge eating disorder. A sound understanding of the underlying mechanisms that maintain BE is crucial for developing effective treatments. The aim of this thesis was to better understand the metacognitive factors that maintain BE, such as the positive, negative, and permissive beliefs about BE described by Cooper, Wells and Todd (2004). This thesis reports a series of studies that aimed to validate and improve upon an existing measure, the Eating Beliefs Questionnaire (EBQ). The EBQ is a self-report tool that measures positive and negative metacognitive beliefs about BE. The first study aimed to validate the EBQ by conducting a confirmatory factor analysis and investigate the psychometric properties of this measure. The second study extended this measure with the addition of a scale that assesses permissive beliefs about BE. The second study also presented a short-form of the revised three-subscale EBQ, the EBQ-18. A third study validated the factor structure and psychometric properties of the EBQ-18 in both a clinical and non-clinical sample. Across the psychometric studies, the EBQ and EBQ-18 were found to provide valid and reliable measures of beliefs related to BE, with evidence for test-retest reliability, and treatment sensitivity. Furthermore, differences in EBQ and EBQ-18 scores were observed between clinical and non-clinical samples, and clinical cut-off scores were identified. In the final empirical chapter, a metacognitive and behavioural model of BE was proposed and tested using structural equations modelling; the new model provided a good fit to the data. These studies further contribute by enhancing the theoretical understanding of the metacognitive maintaining factors involved in BE.
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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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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.
Full textAbstract:
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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Hilbert, Anja, Elmar Brähler, Winfried Häuser, and Markus Zenger. "Weight bias internalization, core self-evaluation, and health in overweight and obese persons." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-211373.
Full textAbstract:
Objective: Weight bias has strong associations with psychopathology in overweight and obese individuals. However, self-evaluative processes, as conceptualized in the process model of self-stigma, and implications for other health-related outcomes, remain to be clarified.
Design and Methods: In a representative general population sample of N = 1158 overweight and obese individuals, the impact of core self-evaluation as a mediator between weight bias internalization and mental and global health outcomes as well as between weight bias internalization and health care utilization, was examined using structural equation modeling.
Results: In overweight and obese individuals, greater weight bias internalization predicted lower core self-evaluation, which in turn predicted greater depression and anxiety, lower global health, and greater health care utilization. These mediational associations were largely stable in subsample analyses and after controlling for sociodemographic variables.
Conclusions: The results show that overweight and obese individuals with internalized weight bias are at risk for impaired health, especially if they experience low core self-evaluation, making them a group with which to target for interventions to reduce self-stigma. Weight bias internalization did not represent a barrier to health care utilization, but predicted greater health care utilization in association with greater health impairments.
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Funke, Markus. "Reaktivität und Habituation während der Nahrungsmittelkonfrontation bei Frauen mit Binge-eating Disorder." [S.l.] : [s.n.], 2001. http://archiv.ub.uni-marburg.de/diss/z2002/0074/.
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Mac, Vie Jenissa D. "The Association between Emotion Regulation Strategies and Symptoms of Binge Eating Disorder." Thesis, California Lutheran University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10146447.
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Current research indicates that college students report a significant degree of unhealthy eating behavior. Research has increasingly focused on emotional models as predictors of eating disorder symptoms. These studies have specifically focused on whether undergraduate students with binge eating behavior have fewer strategies to regulate their emotional experience. Research has not, however, examined whether these findings might be due to general deficits in coping apart from difficulties in managing emotions. The purpose of this project is to replicate and expand on prior work by examining the unique and overlapping nature of emotion regulation strategies and general coping strategies as predicting of binge-eating behavior in a non-clinical, college sample. Results suggest that the number of self-reported episodes of binge-eating behavior is significantly correlated to difficulties regulating emotions and use of positive and negative coping strategies.
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Morgan, Angela Dee. "Mindfulness and Binge Eating from a Transdiagnostic Framework: Findings from a Randomised Control Trial." Thesis, Griffith University, 2009. http://hdl.handle.net/10072/367098.
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Abstract: Bulimia Nervosa and Binge Eating Disorder are chronic disorders which significantly impact on the quality of life of individuals who suffer from them. There remains considerable diagnostic, etiological and treatment uncertainty regarding them and the ED-NOS category, which is thought to be the most common clinical presentation. This thesis has introduced a Transdiagnostic Process Model of Binge Eating which has provided a parsimonious explanation for the development and maintenance of BN, BED and ED-NOS. This thesis has identified the need for more effective group treatments for BN and BED, as current group treatments have demonstrated modest success. The relatively new area of mindfulness-based treatments has shown encouraging findings on bingeing and psychological variables for BED. There are as yet no known mindfulness-based treatment studies for BN. Further, proposed mindfulness components target the processes outlined in the Transdiagnostic Process Model of Binge Eating. The aim of the thesis was to investigate the effectiveness of a mindfulness group treatment for BN, BED, and ED-NOS. Measures of both primary (eating disorder behaviours) and secondary (psychological factors) variables were included, and clinical significance was assessed. A randomised-controlled trial was conducted, in which 126 females (aged 19 to 66 years) were randomly assigned to an eight session group-mindfulness treatment (n = 61) or waitlist condition (n = 65), of which 45 women completed the active treatment. Results showed that the mindfulness treatment resulted in significant reductions on both primary and secondary variables, with large effect sizes, compared to a Waitlist control group, with the exception of purging behaviours. A substantial proportion of participants evidenced clinically significant change, and mean post-treatment frequencies of bingeing and compensatory behaviours no longer met diagnostic criteria. These improvements were maintained at one-month follow-up. Pre to post treatment increases in mindfulness significantly predicted symptom change, whereas group cohesion and homework mindfulness practice was not significantly related to outcome. The findings of the current study have suggested that mindfulness may be an effective treatment for binge eating, and tentative support has been provided for the Transdiagnostic Process Model of Binge Eating.Thesis (PhD Doctorate)
Doctor of Philosophy in Clinical Psychology (PhD ClinPsych)
School of Psychology
Griffith Health
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Nauta, Helga Mariëtte. "Nothing to lose? cognitive and behavioral therapy for obesity and binge eating disorder /." Maastricht : Maastricht : Universiteit Maastricht ; University Library, Maastricht University [Host], 2001. http://arno.unimaas.nl/show.cgi?fid=7007.
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Harb, Lauren. "The use of Cognitive Behavioral Therapy to address shame in Binge Eating Disorder." Thesis, Pepperdine University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3630236.
Full textAbstract:
To date, research on Binge Eating Disorder is limited compared to studies on other eating disorders, including Anorexia Nervosa and Bulimia Nervosa. Given that Binge Eating Disorder recently became an independent diagnosis in the DSM-5, has significant medical implications, and commonly involves psychiatric comorbidity, it is worthwhile to explore contributing factors and evidence-based treatment for the disorder. Cognitive Behavioral Therapy is an evidence-based treatment for Binge Eating Disorder, and most experts agree that while it yields positive treatment results, there is room for improvement in treatment. Shame is an important contributing factor in the development and maintenance of Binge Eating Disorder. The purpose of this review of the literature was to examine shame literature in order to explore potential methods for improving evidence-based Cognitive Behavioral Therapy for Binge Eating Disorder. The importance of researching Binge Eating Disorder is reviewed, and then shame is explored from a cognitive behavioral standpoint. Cognitive Behavioral Therapy for Binge Eating Disorder is outlined, and limited techniques that address shame in treatment are identified. Recommendations for addressing shame more directly in Cognitive Behavioral Therapy for Binge Eating Disorder are then made prior to suggestions for future research.
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Rudolph, Almut, and Anja Hilbert. "A novel measure to assess self-discrimination in binge eating disorder and obesity." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-205783.
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Stigmatized obese individuals tend to internalize the pervasive weight stigma which might lead to self-discrimination and increased psychopathology. While explicit and implicit weight stigma can be measured using self-report questionnaires and Implicit Association Tests (IAT), respectively, the assessment of self-discrimination relied solely on self-report. The present study sought to develop an IAT measuring implicit self-discrimination (SD-IAT) in samples of obese individuals with and without binge-eating disorder (BED). Seventy-eight individuals were recruited from the community and individually matched in three groups. Obese participants with BED, obese participants without BED (OB), and a normal weight control group without eating disorder psychopathology (HC) were assessed with the SD-IAT and other measures relevant for convergent and discriminant validation. Results revealed significantly higher implicit self-discrimination in the BED group when compared to both OB and HC. Furthermore, significant correlations were found between the SD-IAT with body mass index, experiences of weight stigma, depressive symptoms, and implicit self-esteem. Finally, implicit self-discrimination predicted eating disorder psychopathology over and above group membership, and experiences of weight stigma. This study provides first evidence of the validity of the SD-IAT. Assessing implicit self-discrimination might further increase understanding of weight stigma and its significance for psychosocial functioning among vulnerable obese individuals.
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Spyrou, Spyroula. "Exploring men's experiences and understanding of binge eating disorder : an interpretative phenomenological analysis." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/1100/.
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Binge Eating Disorder (BED) appears to have a fairly equal prevalence in men and women. However, men with BED have been overlooked in research as studies have mainly focused on women. As a result, there appears to be a limited understanding of men’s experiences and treatment needs of BED, including from a Counselling Psychology perspective. A qualitative study was undertaken to explore men’s experiences and understanding of BED including their experiences in seeking, accessing and receiving treatment. Semi-structured interviews were carried out with six men who had a diagnosis of BED. Data was analysed using Interpretative Phenomenological Analysis resulting in four super-ordinate themes: the experience of BED; the process of understanding; the stigmatised male self and the experience of treatment. The experience of BED was described as a divergent experience of negative and positive facets, characterised by a futile struggle to control their eating. The men described living a constrained life with BED similar to living in an inescapable trap. In trying to make sense of their BED, the men discussed the function of BED in their lives and they compared BED to an addiction. The experience of BED in men encompassed feelings of isolation and stigma due to having what they perceived as a female and/or homosexual disorder. These men discussed their strong adherence to male stereotypes of masculinity and having BED was perceived as unacceptable and emasculating. The participants’ struggles with treatment were emphasised as they sought to find unavailable support and received what they felt to be inadequate treatment care. The applicability of these findings for professional practice and Counselling Psychology practice are discussed and include exploring men’s recommendations towards tailoring treatment to meet their needs, for example all-male group therapy and addressing masculinity and stigma.
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Rudolph, Almut, and Anja Hilbert. "A novel measure to assess self-discrimination in binge eating disorder and obesity." International journal of obesity (2014) 39, 2, S. 368-370, 2014. https://ul.qucosa.de/id/qucosa%3A14790.
Full textAbstract:
Stigmatized obese individuals tend to internalize the pervasive weight stigma which might lead to self-discrimination and increased psychopathology. While explicit and implicit weight stigma can be measured using self-report questionnaires and Implicit Association Tests (IAT), respectively, the assessment of self-discrimination relied solely on self-report. The present study sought to develop an IAT measuring implicit self-discrimination (SD-IAT) in samples of obese individuals with and without binge-eating disorder (BED). Seventy-eight individuals were recruited from the community and individually matched in three groups. Obese participants with BED, obese participants without BED (OB), and a normal weight control group without eating disorder psychopathology (HC) were assessed with the SD-IAT and other measures relevant for convergent and discriminant validation. Results revealed significantly higher implicit self-discrimination in the BED group when compared to both OB and HC. Furthermore, significant correlations were found between the SD-IAT with body mass index, experiences of weight stigma, depressive symptoms, and implicit self-esteem. Finally, implicit self-discrimination predicted eating disorder psychopathology over and above group membership, and experiences of weight stigma. This study provides first evidence of the validity of the SD-IAT. Assessing implicit self-discrimination might further increase understanding of weight stigma and its significance for psychosocial functioning among vulnerable obese individuals.
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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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DeWeese-Giddings, Tamela Cheri. "Evaluation of a functional treatment for binge eating associated with Bulimia Nervosa." [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002476.
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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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Francione, Caren Leigh. "Examining the psychological correlates of binge eating disorder symptomatology in a morbidly obese presurgical sample /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3280552.
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Hilbert, Anja, Kathleen Pike, Andrea Goldschmidt, Denise Wilfley, Christopher Fairburn, Faith-Anne Dohm, Timothy Walsh, and 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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Richard, Katie. "Treating Binge Eating Disorder with Eye Movement Desensitisation Reprocessing: A preliminary randomised controlled trial." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/18905.
Full textAbstract:
Cognitive Behavioural Therapy and Interpersonal Therapy have been recognized as the gold standard treatments used for people with binge eating disorder (BED). However, these treatments are lengthy - usually about 22 sessions and usually exclude the goal of weight loss despite the fact that the majority of binge eaters struggle with weight management. Because Eye Movement Desensitization Reprocessing (EMDR) is an evidence-based treatment found to an effective and efficient treatment for post traumatic stress disorder (PTSD) and trauma is prevalent in the BED population, a newly developed EMDR protocol was trialled for BED. This new protocol was based on Forester’s bulimia nervosa EMDR protocol designed in a ten 1-hour session format and included a resource development to improve engagement in exercise. Results indicated that the 16 participants randomly assigned to the EMDR treatment, administered by three trained experienced registered psychologists with EMDR training/certification, fared better than the 22 waitlisted participants in terms of BED symptoms (as assessed by the Eating Disorder Examination, Binge Eating Scale, Eating Beliefs Questionnaire), weight loss, mental health symptoms including anxiety and sleep (as assessed by the Trauma Symptom Checklist-40) and engagement in exercise (IPAQ). Though this is only a preliminary trial with a limited sample size, was not compared to an active control group and no follow-up period to see if results are maintained and weight further decreases, results are nevertheless encouraging. Furthermore, BED and comorbid weight management problems may be best treated with a multidisciplinary approach.
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Maxwell, Hilary. "Binge-Eating Disorder and Obesity in Women: The Role of Attachment States of Mind." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36063.
Full textAbstract:
There is evidence that functions related to attachment may play an important role in the etiology and maintenance of eating disorders, particularly anorexia and bulimia nervosa (Kuipers & Bekker, 2012; Tasca & Balfour, 2014). However, there is little research available on attachment functioning in those with binge-eating disorder (BED). This dissertation consists of three studies that examine the role of attachment states of mind and attachment dimensions in understanding BED and co-morbid overweight, and to examine mechanisms related to group treatment response for those with BED. The first study assessed attachment state of mind classifications (i.e., attachment categories) to understand better: 1) the psychopathology and maintenance of BED and co-morbid overweight, and 2) the treatment response of women with BED who receive Group Psychodynamic Interpersonal Psychotherapy (GPIP; Tasca, Mikail, & Hewitt, 2005). Overweight women with BED (subsequently referred to as women with BED), overweight women without BED, and normal weight women without BED completed the Adult Attachment Interview (AAI; Main, Goldwyn, & Hesse, 2002). Those with BED completed the AAI pre- and six months post- GPIP and those without BED completed the AAI at one-time point. Women with BED have significantly higher rates of insecure (preoccupied) and unresolved/disorganized attachment states of mind compared to normal weight women without BED. Women with BED had similar rates of insecure and unresolved/disorganized attachment states of mind as overweight women without BED. With respect to treatment completers, changes in attachment states of mind were not statistically significant. However, follow-up analyses indicated clinically meaningful changes which are discussed in the study. The second study used attachment dimensions of coherence of mind and reflective functioning (measured using the AAI) to add to our understanding of the psychopathology and maintenance of BED and co-morbid overweight. Higher Reflective Functioning scores differentiated normal weight women from both women with BED and overweight women without BED, and the latter two groups did not differ from each other. Coherence of Mind scores did not differentiate the groups. The third study used attachment dimensions of coherence of mind and reflective functioning to understand better group psychotherapy response for those with BED who received GPIP. Greater reflective functioning at pre-treatment was associated with a decline in binge eating frequency at 12 months post-treatment. Pre-treatment levels of coherence of mind was not related to group treatment outcomes. Reflective Functioning scores significantly improved from pre- to six months post-treatment. Further, more than 39% of participants demonstrated clinically reliable improvement and almost 32% experienced clinically reliable recovery with respect to reflective functioning. These results were moderated by pre-treatment self-reported attachment anxiety. That is, those with lower attachment anxiety showed significant improvement in reflective functioning, whereas those with higher attachment anxiety did not show this improvement. A third of participants experienced clinically significant improvement in coherence of mind, but this change was not statistically significant. Overall, attachment dimensions and attachment state of mind classification contribute to our understanding of the etiology and maintenance of BED and co-morbid overweight, as well as to our understanding of the group treatment response of those with BED. Addressing attachment insecurity and low reflective functioning in those with BED may improve treatment outcomes.
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Hilbert, Anja, D. Petroff, S. Herpertz, R. Pietrowsky, B. Tuschen-Caffier, S. Vocks, and R. Schmidt. "Meta-analysis of the efficacy of psychological and medical treatments for binge-eating disorder." American Psychological Association, 2019. https://ul.qucosa.de/id/qucosa%3A75713.
Full textAbstract:
To provide a comprehensive meta-analysis on the efficacy of psychological and medical treatments for binge-eating disorder (BED), including those targeting weight loss. Method: Through a systematic search before March 2018, 81 published and unpublished randomized-controlled trials (RCTs), totaling 7,515 individuals with BED (Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition [DSM–IV] and Fifth Edition [DSM–5]), were retrieved and analyzed using random-effect modeling. Results: In RCTs with inactive control groups, psychotherapy, mostly consisting of cognitive-behavioral therapy, showed large-size effects for the reduction of binge-eating episodes and abstinence from binge eating, followed by structured self-help treatment with medium-to-large effects when compared with wait-list. Pharmacotherapy and pharmacological weight loss treatment mostly outperformed pill placebo conditions with small effects on binge-eating outcome. These results were confirmed for the most common treatments of cognitive-behavioral therapy, self-help treatment based on cognitive-behavioral therapy, and lisdexamfetamine. In RCTs with active control groups, there was limited evidence for the superiority of one treatment category or treatment. In a few studies, psychotherapy outperformed behavioral weight loss treatment in short- and long-term binge-eating outcome and led to lower longer-term abstinence than self-help treatment, while combined treatment revealed no additive effect on binge-eating outcome over time. Overall study quality was heterogeneous and the quality of evidence for binge-eating outcome was generally very low. Conclusions: This comprehensive meta-analysis demonstrated the efficacy of psychotherapy, structured self-help treatment, and pharmacotherapy for patients with BED. More high quality research on treatments for BED is warranted, with a focus on long-term maintenance of therapeutic gains, comparative efficacy, mechanisms through which treatments work, and complex models of care.