MedWorm: Binge Eating Disorder

Register Now for National Eating Disorders Awareness Week

Psychology Today Parenting Center — Mon, 06 Feb 2012 01:43:29 +0100

Incidence of eating disorders rises; we all know someone affected. read more (Source: Psychology Today Parenting Center)

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A comparison of the accuracy of self-reported intake with measured intake of a laboratory overeating episode in overweight and obese women with and without binge eating disorder

European Journal of Nutrition — Thu, 02 Feb 2012 17:57:45 +0100

Conclusions Findings confirm that those with BED consume significantly more than controls during a laboratory binge and controls tended to be more accurate in recalling their intake 24 h later. Content Type Journal ArticleCategory Original ContributionPages 1-10DOI 10.1007/s00394-012-0302-zAuthors Lindsay T. Bartholome, Department of Psychiatry, University of Minnesota Medical School, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN 55454, USARoseann E. Peterson, Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA 23220, USASusan K. Raatz, USDA Human Nutrition Research Center, Grand Forks, ND 58203, USANancy C. Raymond, Department of Psychiatry, University of M...

Online Cognitive–Behavioural Treatment of Bulimic Symptoms: A Randomized Controlled Trial

Clinical Psychology — Wed, 01 Feb 2012 05:00:00 +0100

ConclusionThis study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.Key Practitioner MessageIn comparison with no treatment and unsupported bibliotherapy, online CBT induces strong reductions in bulimic symptoms.Internet‐delivered treatment may provide an acceptable treatment alternative for bulimic patients who are reticent about face‐to‐face contact.Therapist support appears to be a critical determinant of treatment adherence and effectiveness.Unsupported bibliotherapy may have only small immediate effects but may increase the probability of recovery in the long term by promoting positive attitudes towards treatment. (Source: Clinical Psychology)

Bulimic Behaviors and Alcohol Use: Shared Genetic Influences.

Behavior Genetics — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Slane JD, Burt SA, Klump KL Abstract Bulimic behaviors are frequently associated with alcohol use disorders. However, extant family and twin study findings have been inconsistent with regard to whether these behaviors share etiologic influences. A sample of 292 young adult, female twins was used to examine genetic and environmental factors underlying the association between binge eating and compensatory behaviors (e.g., vomiting) and alcohol use. Binge eating and compensatory behaviors were assessed using the Minnesota Eating Behavior Survey. Alcohol use was measured using the Alcohol Use Disorders Identification Test. Univariate models indicated that the heritability of binge eating, compensatory behaviors, and alcohol use was 41, 28, and 78%, respectively, with the remai...

Alexithymia and suicide ideation in a sample of patients with binge eating disorder. - Carano A, De Berardis D, Campanella D, Serroni N, Ferri F, Di Iorio G, Acciavatti T, Mancini L, Mariani G, Martinotti G, Moschetta FS, Di Giannantonio M.

SafetyLit: All (Unduplicated) — Mon, 30 Jan 2012 15:32:08 +0100

Objective. The goal of this cross-sectional study was to evaluate the relationships between alexithymia and suicide ideation in 80 adult outpatients with a DSM-IV diagnosis of binge eating disorder (BED). Methods. Alexithymia was measured with the 20-item ... (Source: SafetyLit: All (Unduplicated))

Fathers, Daughters and the "Touch Taboo"

Psychology Today Parenting Center — Sun, 29 Jan 2012 22:37:42 +0100

Our culture's objectification of women and its high incidence of sexual abuse have given rise to the "touch taboo," the phenomenon of fathers halting all expressions of physical affection toward their physically maturing daughters, read more (Source: Psychology Today Parenting Center)

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Maternal eating disorders and infant temperament: Findings from the norwegian mother and child cohort study

International Journal of Eating Disorders — Sat, 28 Jan 2012 05:00:00 +0100

Discussion:Mothers with eating disorders may rate their infants as more difficult because of information‐processing biases or because their infants are emotionally difficult. Maternal perception of infant temperament may be a risk factor for children's emotional development. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) (Source: International Journal of Eating Disorders)

Are You Eating Your Sexual Desire?

Psychology Today Food and Diet Center — Thu, 26 Jan 2012 12:56:48 +0100

Eating is accessible and provides an immediate rush of pleasure. Eating compulsively can also put us in a kind of trance state and numb us for what we may be really wanting. This does beg the question: "Why are we substituting food for sex?"read more (Source: Psychology Today Food and Diet Center)

Bulimia Nervosa

About.com Eating Disorders — Wed, 25 Jan 2012 05:00:00 +0100

a serious, possibly life-threatening eating disorder characterized by repeated episodes of binge eating and compensatory behaviors such as self-induced vomiting (Source: About.com Eating Disorders)

Possible association of the DRD4 gene with a history of attention‐deficit/hyperactivity disorder in women with bulimia nervosa

International Journal of Eating Disorders — Tue, 24 Jan 2012 05:00:00 +0100

Discussion:Our findings suggest that although DRD4 may not be associated with the diagnosis of BN, its variants are associated with a history of childhood ADHD in BN probands. This may have relevance for the understanding, prevention, and treatment of BN that evolves in the context of childhood ADHD. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) (Source: International Journal of Eating Disorders)

Eating disorders and oral health: a matched case–control study

European Journal of Oral Sciences — Fri, 20 Jan 2012 05:00:00 +0100

In conclusion, oral health problems frequently affect ED patients, and this needs to be considered in patient assessment and treatment decisions. (Source: European Journal of Oral Sciences)

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Substance Abuse and "Pain Management" in Borderlines, Narcissists

Psychology Today Personality Center — Wed, 18 Jan 2012 20:59:32 +0100

Human beings have remarkably inventive ways to rid themselves from painful feelings. The more agonizing the emotion, the more resourceful one has to be. People with borderline and narcissistic disorders experience may experience a great deal of pain, so they get pretty savvy. read more (Source: Psychology Today Personality Center)

Binge eating, purging and non-purging compensatory behaviours decrease from adolescence to adulthood: A population-based, longitudinal study

BMC Public Health - Latest articles — Fri, 13 Jan 2012 05:00:00 +0100

Conclusions: Individuals affected by purging need to be targeted as a high-risk group. The distinction in severity among the subclinical ED may indicate the need for the reformulation of the eating disorder not otherwise specified category in the Diagnostic and Statistical Manual of Mental Disorders-V. (Source: BMC Public Health - Latest articles)

Children's binge eating and development of metabolic syndrome

International Journal of Obesity — Tue, 10 Jan 2012 05:00:00 +0100

Authors: M Tanofsky-Kraff, L B Shomaker, E A Stern, R Miller,, N Sebring, D DellaValle, S Z Yanovski, V S Hubbard & J A Yanovski (Source: International Journal of Obesity)

Getting Your Eating Back on Track With a Food Plan

Psychology Today Food and Diet Center — Tue, 10 Jan 2012 03:32:27 +0100

Our guide to getting the most out of a food plan to normalize eating read more (Source: Psychology Today Food and Diet Center)

Cocktails and cheer?

Psychology Today Food and Diet Center — Wed, 04 Jan 2012 21:30:55 +0100

The holiday party. Whether it be an office party, friend, or family event, many of us are invited to at least one holiday cocktail party this time of year. For those who stuggle with weight and eating issues, this invitation may be another source of stress during this already stressful time of year.read more (Source: Psychology Today Food and Diet Center)

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Tips for dealing with emotional eating during the holiday season (and beyond)

Psychology Today Food and Diet Center — Wed, 04 Jan 2012 21:30:39 +0100

The holidays are upon us. The santas are ringing their bells on the street corners, the decorations are in the store windows, and holiday tunes seem to play from every speaker in NYC. If these images bring up more anxiety than feelings of joy and merryment- you are not alone.read more (Source: Psychology Today Food and Diet Center)

Want to Kick a Bad Habit? Change Your Scenery

Psychology Today Addiction Center — Tue, 03 Jan 2012 03:55:03 +0100

As we turn our calendars to 2012 and our attention to New Year's resolutions, it's worth taking a moment to remember a critical, yet too-often overlooked ingredient in the recipe for self-improvement: context. Primary Topic: Addiction read more (Source: Psychology Today Addiction Center)

Does the overvaluation of shape and weight predict initial symptom severity or treatment outcome among patients with binge eating disorder?

International Journal of Eating Disorders — Sun, 01 Jan 2012 05:00:00 +0100

Discussion:Overvaluation of shape and weight was associated with symptom severity in patients with BED, but additional research is needed to determine whether this construct holds clinically useful predictive validity for treatment outcome. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) (Source: International Journal of Eating Disorders)

Examining associations between disordered eating and serotonin transporter gene polymorphisms

International Journal of Eating Disorders — Sun, 01 Jan 2012 05:00:00 +0100

This study suggests that utilizing polymorphisms in and near SLC6A4, including 5‐HTTLPR, may not be useful in identifying genetic risk factors for disordered eating. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) (Source: International Journal of Eating Disorders)

Autonomous Motivation: A Predictor of Treatment Outcome in Bulimia‐Spectrum Eating Disorders

European Eating Disorders Review — Sun, 01 Jan 2012 05:00:00 +0100

Discussion:These results indicate that autonomous motivation may be an important predictor of outcome following treatment for BSED. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association. (Source: European Eating Disorders Review)

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Guess Who's Coming to Dinner: Eating Disorders in African Americans

Psychology Today Food and Diet Center — Thu, 29 Dec 2011 17:59:39 +0100

Little was known about disordered eating in Black people until recently. Although anorexia nervosa is much less common, African Americans struggle with eating issues too. Primary Topic: Eating Disorders read more (Source: Psychology Today Food and Diet Center)

Looking Back on a Year of Eating Disorders News

Psychology Today Parenting Center — Thu, 29 Dec 2011 01:21:31 +0100

They seem to be increasing in numbers, yet we know more about eating disorders and how to diagnose and treat them than ever before Primary Topic: Eating Disorders read more (Source: Psychology Today Parenting Center)

Is There Such a Thing as "Shame" Power?

Psychology Today Food and Diet Center — Tue, 27 Dec 2011 18:47:42 +0100

A recent blog post I wrote has been generating debate in the comments section: Does shame motivate self-control? And more specifically, can shame encourage people to lose weight? Primary Topic: Diet read more (Source: Psychology Today Food and Diet Center)

Eating Disorder Examination Questionnaire (EDE-Q): An initial trial in Spanish male undergraduates.

European Journal of Psychological Assessment — Mon, 26 Dec 2011 05:00:00 +0100

Discussion: Lower scores in EDE-Q subscales provide country differences between Spain and United States and support the existence of gender differences in eating disorders attitudes. These data should help clinicians and researchers to interpret the EDE-Q scores of college men in Spain. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: European Journal of Psychological Assessment)

DSM‐IV versus DSM‐5: Implementation of proposed DSM‐5 criteria in a large naturalistic database

International Journal of Eating Disorders — Fri, 23 Dec 2011 23:52:51 +0100

Discussion:Remaining problems with the proposed changes were also highlighted, and possible further refinement is discussed. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011) (Source: International Journal of Eating Disorders)

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Relations between pure dietary and dietary-negative affect subtypes and impulsivity and reinforcement sensitivity in binge eating individuals.

Eating Behaviors — Fri, 23 Dec 2011 22:08:35 +0100

This study investigated the relationships between the two subtypes and impulsivity and reinforcement sensitivity. Ninety-two women meeting threshold and subthreshold criteria for BED diagnosis filled out questionnaires to determine eating disorder severity, impulsivity and reinforcement sensitivity before and after participating in an online guided self-help program for BED. Cluster analyses revealed a pure dietary subtype (N=66, 71.7%) and a dietary-negative affect subtype (N=26, 28.3%). Compared to the pure dietary subtype, the dietary-negative affect subtype reported a higher frequency of objective binge episodes, more severe eating disorders, higher urgency scores (defined as a tendency to act rashly in the context of negative affect), a greater sensitivity to punishment, and a higher ...

Nibbling: Frequency and relationship to BMI, pattern of eating, and shape, weight, and eating concerns among university women.

Eating Behaviors — Fri, 23 Dec 2011 22:06:53 +0100

DISCUSSION: Nibbling occurred frequently among young women but did not appear to have significant consequences for BMI, the overall pattern or eating, shape or weight concerns, or for any measured pathological eating behaviors. PMID: 22177400 [PubMed - in process] (Source: Eating Behaviors)

Addictive personality and maladaptive eating behaviors in adults seeking bariatric surgery.

Eating Behaviors — Fri, 23 Dec 2011 22:06:43 +0100

This study examined the relationship between addictive personality and maladaptive eating behaviors in bariatric surgery candidates. Ninety-seven bariatric surgery candidates completed the Eysenck Personality Questionnaire (EPQ-R) Addiction Scale, the Overeating Questionnaire (OQ), binge-eating questions from the Questionnaire of Eating and Weight Patterns (QEWP-R), and the Eating Attitudes and Behaviors Questionnaire. Participants with Binge Eating Disorder (BED) displayed addictive personality scores comparable to individuals addicted to substances (M=17.5, SD=5.3). Addictive personality was associated with Overeating (r=.45, p<.001), Cravings (r=.31, p=.005), Affective Disturbances (r=.62, p<.001) and Social Isolation (r=.53, p<.001). Addictive personality was associated with m...

Binge Eating And Depression Often Linked In Teenage Girls

Health News from Medical News Today — Thu, 22 Dec 2011 18:00:00 +0100

After carrying out a US-wide study, researchers report that depressed adolescent girls are two times more likely to begin binge eating as girls who are not depressed. In addition, girls who regularly binge-eat are twice as likely to develop symptoms of depression. The findings indicate that adolescent girls who show signs of either binge-eating or depression should be screened for both disorders. The study appears in the current issue of the Journal of Adolescent Health... (Source: Health News from Medical News Today)

Stress-induced laboratory eating behavior in obese women with binge eating disorder.

Appetite — Fri, 16 Dec 2011 05:00:00 +0100

Authors: Schulz S, Laessle RG Abstract Aim of the study was to compare the microstructural eating behavior of obese patients with and without binge eating disorder (BED) after stress induction in laboratory. Seventy-one female subjects were investigated (mean BMI 36.9). Thirty-five fulfilled criteria for BED. A 2×2 factorial design with repeated measurement (stress vs. no stress) on the second factor was applied. Stress was induced by the Trier Social Stress Test (TSST) and chocolate pudding served as laboratory food. Variables of eating behavior were measured by a universal eating monitor (UEM). Only in participants with BED stress was associated with an increase in the initial eating rate and a diminished deceleration of eating at the end of the meal. Generally, BED subjects ate...

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Depression and Binge Eating Linked in Teen Girls

MedicineNet Depression General — Wed, 14 Dec 2011 07:00:00 +0100

Title: Depression and Binge Eating Linked in Teen GirlsCategory: Health NewsCreated: 12/14/2011 11:01:00 AMLast Editorial Review: 12/14/2011 (Source: MedicineNet Depression General)

Feelings of Depression and Binge Eating Go Hand in Hand in Teen Girls

Health Behavior News Service — Tue, 13 Dec 2011 05:25:01 +0100

12/13/2011, Journal of Adolescent Health, Teenage girls who feel depressed are twice as likely to start binge eating as other girls are, according to a new study in the Journal of Adolescent Health. The reverse is also true: Girls who engage in regular binge eating face double the normal risk of depressive symptoms. (Source: Health Behavior News Service)

[The Prevalence of Eating Disorders (EDs) and Comorbid Psychiatric Disorders in Adolescents: A Two-Stage Community-Based Study].

Turkish Journal of Psychiatry — Mon, 12 Dec 2011 13:54:02 +0100

CONCLUSION: The results of this study show that whereas the point prevalence rate for EDs among all the participants was 2.3%, it was 4.03% among the female participants. Moreover, ED not otherwise specified was the most prevalent ED, and binge eating disorder was the most common ED among the males. The prevalence rates in the present study are similar to those observed in Western countries, except for the prevalence rate for anorexia nervosa, which in the present study was lower. Major depression and generalized anxiety disorder were the most prevalent comorbid disorders in the ED group. PMID: 22143945 [PubMed - in process] (Source: Turkish Journal of Psychiatry)

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Restrictive anorexia nervosa: a silent enemy for the eyes and vision

British Journal of Ophthalmology — Mon, 12 Dec 2011 05:00:00 +0100

Anorexia nervosa (AN) is an eating disorder (ED) characterised by the refusal to maintain body weight at or above normal, intense fear of gaining weight, disturbance of body shape perception, and amenorrhoea in women.1 There are two types of AN3: restrictive (reduction in daily energy intake) and binge/purging (binge-eating episodes followed by compensatory behaviour to prevent weight gain: vomiting, drug misuse, excessive physical exercise).2 A recent publication by Moschos et al3 showed a lower foveal and inferior retinal nerve fibre layer (RNFL) thickness and significantly lower dopamine levels in 13 women with AN compared with controls. Multifocal electroretinography showed poorer macular function but no differences in best corrected visual acuity (BCVA) in the women with AN. The autho...

Solutions to Binge Eating

Psychology Today Food and Diet Center — Mon, 12 Dec 2011 03:44:01 +0100

Most people with eating disorders will engage in binge eating at some time over the course of their disorder whether they suffer from anorexia, bulimia, or binge-eating disorder itself. Binge eating is a distinctive behavioral pattern in which attempts to restrict eating (which may or may not result in actual dietary restriction) are interrupted by repeated episodes of binge eating. Primary Topic: Diet read more (Source: Psychology Today Food and Diet Center)

Analyses of the facilitatory effect of orexin on eating and masticatory muscle activity in rats

Journal of Neurophysiology — Thu, 08 Dec 2011 05:00:00 +0100

The orexins (orexin-A and orexin-B) are neuropeptides that are secreted from neurons in the lateral hypothalamus and that participate in the regulation of feeding behavior. It remains to be determined, however, how the orexins exert their effects on feeding behavior, including masticatory movements. To this end, we analyzed food intake behavior and masticatory muscle activity using video analysis and electromyography (EMG) recording methods. The results showed that the cumulative food intake over 4 h was larger in rats intraventricularly injected with either orexin-A or orexin-B than in saline-injected control rats. The latency to eating and the feeding time for a fixed amount of pellets were shortened by injections of orexins in a dose-dependent manner, with a more potent effect by orexin...

Relationship between the absorption of 5-hydroxytryptophan from an integrated diet, by means of Griffonia simplicifolia extract, and the effect on satiety in overweight females after oral spray administration.

Eating and weight disorders : EWD — Mon, 05 Dec 2011 05:00:00 +0100

In conclusion, this study shows that the 5-hydroxytryptophan present in the Griffonia extract, administered via spray to the oral cavity, is adequately absorbed, as confirmed by the increase in 24-h urinary 5-HIAA and that the supplementation of the diet of overweight women with 5- hydroxytryptophan increases the feeling of satiety associated with a decrease in BMI. PMID: 22142813 [PubMed - as supplied by publisher] (Source: Eating and weight disorders : EWD)

What is eating you? Stress and the drive to eat.

Appetite — Sun, 04 Dec 2011 05:00:00 +0100

Authors: Groesz L, McCoy S, Carl J, Saslow L, Stewart J, Adler N, Laraia B, Epel E Abstract Non-human animal studies demonstrate relationships between stress and selective intake of palatable food. In humans, exposure to laboratory stressors and self-reported stress are associated with greater food intake. Large studies have yet to examine chronic stress exposure and eating behavior. The current study assessed the relationship between stress (perceived and chronic), drive to eat, and reported food frequency intake (nutritious food vs. palatable non-nutritious food) in women ranging from normal weight to obese (N=457). Greater reported stress, both exposure and perception, was associated with indices of greater drive to eat-including feelings of disinhibited eating, binge eating, hu...

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Brave Girl Eating: A Family’s Struggle with Anorexia

Psych Central — Thu, 01 Dec 2011 20:24:47 +0100

Between three and six percent of all teens struggle with some type of eating disorder, be it bulimia, binge eating, or anorexia. Because these illnesses involve eating, they seem to take a blow at family traditions, celebrations, and expressions of togetherness. Thus, parents, siblings, and even relatives all suffer, as Harriet Brown so adroitly shows us in her memoir Brave Girl Eating: A Family’s Struggle with Anorexia, a heartbreaking story about a mother who’s ready to march to the end of the earth to save her daughter from anorexia. From all outward appearances, Kitty looked like the girl who had it all: a straight-A student; an accomplished gymnast; and a happy, well-liked teen who loved reading, horses, and even cooking. By sixth grade, however, she began counting calorie...

Internet Therapie: Leipziger Forscher behandeln Patienten mit Essstörungen

ICMCC: The International Council on Medical and Care Compunetics — Tue, 29 Nov 2011 11:23:26 +0100

Source: e-Health-com News Content: “Wissenschaftler der Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie des Universitätsklinikums Leipzig haben eine Internettherapie entwickelt, die speziell auf die Essstörung “Binge Eating” ausgerichtet ist. Mit ihnen wollen sie jetzt Betroffenen “online” helfen.” Article (German) e-Health-com News, 28 November 2011 (Source: ICMCC: The International Council on Medical and Care Compunetics)

Two novel treatments to reduce overeating in overweight children: A randomized controlled trial.

Journal of Consulting and Clinical Psychology — Mon, 28 Nov 2011 05:00:00 +0100

Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. Because these data are preliminary, further treatment development and randomized controlled studies are needed. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

The dual-pathway and cognitive-behavioural models of binge eating: prospective evaluation and comparison

European Child and Adolescent Psychiatry — Sat, 26 Nov 2011 06:42:23 +0100

Abstract To evaluate and compare the dual-pathway, original cognitive-behavioural, and enhanced “transdiagnostic” cognitive-behavioural models of binge eating, using prospective data from a pre-adolescent sample. Models were tested using multilevel longitudinal structural equation modelling. Participants were 236 children (48% male) aged between 8 and 13 years at baseline, who were interviewed annually over a 2-year period. Binge eating was assessed using the Child Eating Disorder Examination. The dual-pathway and enhanced cognitive-behavioural models provided an acceptable fit to the data, whereas the original cognitive-behavioural model did not. Partial support is provided for the prospective validity of the dual-pathway and enhanced cognitive-behavioural models...

Older bariatric surgery candidates: is there greater psychological risk than for young and midlife candidates?

Fri, 25 Nov 2011 05:00:00 +0100

CONCLUSION: Although medical risks may cause concern, older adults do not demonstrate any increased psychological risk factors compared with midlife or young adult surgical candidates and evidenced equivalent weight loss. However, concerns with lower ratings on consent and expectations warrant additional research. PMID: 22197385 [PubMed - as supplied by publisher] (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)

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Automatic and Intentional Processing of Body Pictures in Binge Eating Disorder

Psychotherapy and Psychosomatics — Thu, 24 Nov 2011 23:00:00 +0100

Psychother Psychosom 2012;81:52–53 (DOI:10.1159/000329110) (Source: Psychotherapy and Psychosomatics)

Tips for trimming the fat when trimming the turkey

USATODAY.com Health — Thu, 24 Nov 2011 20:00:00 +0100

Thanksgiving is a time for friends, family and thanks. But sometimes it also becomes a time for binge eating. (Source: USATODAY.com Health)

Holiday time can be really stressful for patients with eating disorders - here is what to do

Clinical Cases and Images — Thu, 24 Nov 2011 14:38:00 +0100

From Mayo Clinic YouTube channel:For people with eating disorders such as binge eating disorder, bulimia nervosa and anorexia nervosa, the holiday season can be a nightmare.People with eating disorders usually begin to worry about food consumption at holiday gatherings weeks sometimes even months - before the event, says Leslie Sim, Ph.D., clinical director of the Mayo Clinic Eating Disorders Program. "It's really a stressful time because there are large amounts of food around."Dr. Sim suggests a few tips to navigate through holiday gatherings:- Have a plan. People with eating disorders should eat like they would on a normal day and not skip any meals. Make sure to eat breakfast, lunch, and a light snack in addition to the meal. People who starve themselves are more likely to skip out on t...

Mayo Clinic Psychologist Available to Speak about Coping with Eating Disorders During Holiday Season

News from Mayo Clinic — Wed, 23 Nov 2011 20:41:32 +0100

For those with eating disorders such as binge eating disorder, bulimia nervosa and anorexia nervosa, the holiday season can be a nightmare. Mayo Clinic shares tips for navigating the season. (Source: News from Mayo Clinic)

Coping with Holiday Health

Psychology Today Parenting Center — Tue, 22 Nov 2011 23:29:57 +0100

The holidays are a time of family togetherness, and for the typical family, that often means plenty of holiday food and lots of time spent together. But for families coping with eating disorders, holiday meals can so often be more of a struggle than a celebration. Primary Topic: Eating Disorders read more (Source: Psychology Today Parenting Center)

Different Moderators of Cognitive-Behavioral Therapy on Subjective and Objective Binge Eating in Bulimia Nervosa and Binge Eating Disorder: A Three-Year Follow-Up Study

Karger Publishers — Mon, 21 Nov 2011 23:00:00 +0100

Psychother Psychosom 2012;81:11–20 (DOI:10.1159/000329358) (Source: Karger Publishers)

Therapeutic factors affecting the cognitive behavioral treatment of bulimia nervosa via telemedicine versus face-to-face delivery.

Behaviour Research and Therapy — Mon, 21 Nov 2011 16:36:49 +0100

The objective of the current study was to examine ratings of therapeutic alliance factors in TV-CBT and FTF-CBT. METHOD: Data obtained from 116 adults who met criteria for BN or eating disorder-not otherwise specified with binge eating or purging weekly and six doctoral-level psychologists who delivered the therapy were used in the analyses. RESULTS: Therapists generally endorsed greater differences between the treatment delivery methods than patients. Patients tended to make significantly higher ratings of therapeutic factors than therapists. DISCUSSION: TV-CBT is an acceptable method for the delivery of BN treatment compared to FTF-CBT, and TV-CBT is more easily accepted as a treatment delivery method by patients than therapists. © 2010 by Wiley Periodicals, Inc. (Int J Eat ...

Eating Disorders and Obesity

The Psychiatric Clinics of North America — Fri, 18 Nov 2011 16:56:51 +0100

An understanding of the relationship between obesity and eating disorders has grown in recent years. Obesity is characterized by an excessive amount of fat in tissues of the body. Body fat typically is estimated by the body mass index, calculated as weight in kilograms divided by height in meters squared. Persons with a body mass index of 30 kg/m2 or greater are considered obese. In 2007 and 2008, the prevalence of obesity among US adult men was 32.2% and among adult women was 35.5%, although the rate of increase in prevalence of adult obesity has slowed over the past 10 years. In the past, obesity had itself been considered to be an eating disorder. We have learned, however, that most overweight and obese persons do not overeat in any distinctive pattern. For a smaller number, however, 2 ...

A higher response of plasma neuropeptide Y, growth hormone, leptin levels and extracellular glycerol levels in subcutaneous abdominal adipose tissue to Acipimox during exercise in patients with bulimia nervosa: single-blind, randomized, microdialysis study

Nutrition and Metabolism — Thu, 17 Nov 2011 05:00:00 +0100

Conclusions: We confirm the results of a single-blind, randomized, microdialysis study, i.e. that the Aci-induced elevation in plasma NPY and GH levels during the exercise is higher in BN patients and that Aci increased plasma leptin levels in the post-exercise recovering phase (90-minute) more in BN patients. The post-exercise rise (45-minute) in AT glycerol is much more attenuated by acute Aci treatment in BN patients. Simultaneously, we found facilitated turnover of plasma glycerol after the exercise together with Aci administration in BN. Our results support the hypotheses that Aci exerts an effect on the FFA-independent and cAMP-dependent mechanism.Trial Registration: ANZ Clinical Trials ACTRN12611000955910 (Source: Nutrition and Metabolism)

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From Growing Pains to Starving Secrets

Psychology Today Food and Diet Center — Thu, 17 Nov 2011 01:15:56 +0100

A reality show about eating disorders? Really? Yes, Lifetime TV premieres Starving Secrets, hosted by Tracey Gold, starting Dec. 2. It sounds like the worst idea since Bridalplasty, an E! series pitting 12 women against each other to win a plastic surgery procedure and a dream wedding. Primary Topic: Eating Disorders read more (Source: Psychology Today Food and Diet Center)

The Moderating Role of Father's Care on the Onset of Binge Eating Symptoms Among Female Late Adolescents with Insecure Attachment.

Child Psychiatry and Human Development — Fri, 11 Nov 2011 05:00:00 +0100

Authors: Pace U, Cacioppo M, Schimmenti A Abstract The present study examined the association between quality of attachment, perception of the father's bond, and binge eating symptoms in a sample of female late adolescents. In total, 233 female students aged between 18 and 20 years completed measures on binge eating, quality of attachment and parent-child relationship. Data showed that respondents with binge symptoms reported lower scores on secure attachment and father's care, and higher scores on preoccupied and fearful attachment. Binge eating symptoms were associated with father's care, but not with father's overprotection. Also, binge symptoms were negatively associated with secure attachment styles, and positively with preoccupied and fearful attachment. The data, finally, p...

Self-Weighing among Adolescents: Associations with Body Mass Index, Body Satisfaction, Weight Control Behaviors, and Binge Eating

Journal of the American Dietetic Association — Mon, 07 Nov 2011 05:00:00 +0100

This study examines cross-sectional and longitudinal associations between frequency of self-weighing and body mass index (BMI), body satisfaction, weight control behaviors, and binge eating among a diverse population of adolescent girls. The study was conducted in the Minneapolis/St Paul, MN, metropolitan area between 2007 and 2009. The study population included 356 adolescent girls (mean age 15.7 years); 46.2% of the girls were overweight or obese and >75% were from a racial/ethnic minority group. Anthropometric and survey data were collected at baseline and at follow-up 9 months later. Hierarchical linear regression models were developed to test associations. Cross-sectionally, frequent self-weighing was associated with lower body satisfaction (P=0.034) and higher rates of healthy (P=0.0...

The EDE-Q, BULIT-R, and BEDT as self-report measures of binge eating disorder.

Eating Behaviors — Sun, 06 Nov 2011 19:12:11 +0100

Authors: Vander Wal JS, Stein RI, Blashill AJ Abstract Binge eating disorder, currently classified as an eating disorder not otherwise specified, is a valid and clinically useful psychiatric diagnosis. Given its probable inclusion in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), identification of self-report measures with high levels of diagnostic utility should improve the likelihood and accuracy of screening. The aim of the current study was to assess the diagnostic utility of two widely used measures of eating disorder symptoms, namely the Eating Disorder Examination-Questionnaire (EDEQ) and the Bulimia Test-Revised (BULIT-R), as well as a factor of the BULIT-R (coined the Binge Eating Disorder Test or BEDT), newly created specifically f...

Food thought suppression: A matched comparison of obese individuals with and without binge eating disorder.

Eating Behaviors — Sun, 06 Nov 2011 19:12:01 +0100

This study compared food thought suppression in 60 obese patients with BED to an age-, gender-, and body mass index (BMI)-matched group of 59 obese persons who do not binge eat (NBO). In addition, this study examined the associations between food thought suppression and eating disorder psychopathology within the BED and NBO groups and separately by gender. Participants with BED and women endorsed the highest levels of food thought suppression. Food thought suppression was significantly and positively associated with many features of ED psychopathology in NBO women and with eating concerns in men with BED. Among women with BED, higher levels of food thought suppression were associated with higher frequency of binge eating, whereas among men with BED, higher levels of food thought suppressio...

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Binge Eating Disorder and body image perception among university students.

Eating Behaviors — Sun, 06 Nov 2011 19:11:44 +0100

Authors: Nicoli MG, Junior RD Abstract Binge Eating Disorder (BED) is characterized by recurrent episodes of compulsive eating, without any compensatory behavior to avoid possible gain weight. Individuals who suffer from eating disorders often show negative self-image. The present paper aimed to assess BED prevalence and self-image disorders among university students in the city of São José do Rio Preto, State of São Paulo, Brazil. The survey had the participation of 217 undergraduates. The following procedures were carried out: a personal data questionnaire, the Binge Eating Scale and a figure scale. In the surveyed population, 12.90% showed BED. Most subjects (86.32%) chose larger figures when compared to their current BMI, overestimating their body size. Furthermore, BED indi...

Predicting premature termination within a randomized controlled trial for binge-eating patients.

Behavior Therapy — Fri, 04 Nov 2011 08:45:48 +0100

Authors: Flückiger C, Meyer A, Wampold BE, Gassmann D, Messerli-Bürgy N, Munsch S Abstract Understanding the dropout rates of efficacious forms of psychotherapy for patients with binge eating disorder (BED) is an unsolved problem within this increasing population. Up until now the role of psychotherapy process characteristics as predictors of premature termination has not been investigated in the BED literature. Within a randomized controlled trial (N=78) we investigated the degree to which early psychological process characteristics, such as components of the therapeutic relationship and the experiences of mastery and motivational clarification, predicted premature termination of treatment. We statistically controlled for the influences of covariates such as rapid response of tr...

Gender and Sequelae of Child Versus Adult Onset of Sexual Victimization: Body Mass, Binge Eating, and Promiscuity

Journal of Applied Social Psychology — Tue, 01 Nov 2011 04:00:00 +0100

This research investigated gender differences in and behavioral sequelae of adult vs. childhood sexual victimization among a group of undergraduates in a midwestern city. We administered a survey about sexual experiences, eating habits, and weight to individuals who were first victimized in childhood (< age 15); were first victimized in adulthood (> age 18); or had not been sexually victimized. We predicted that those victimized as children would have higher body weight and display more sexual activity than would those victimized as adults. We demonstrated that participants victimized in childhood had significantly higher body mass and weight than did nonvictims or those victimized in adulthood. Men sexually abused as children displayed more promiscuity than did men victimized in adu...

Are there ethnic differences in impulsive/compulsive behaviors in Parkinson’s disease?

European Journal of Neurology — Mon, 31 Oct 2011 04:00:00 +0100

Conclusions: The prevalence of ICB is lower in Taiwan as compared with the Caucasians, with similar risk factors. The possible reasons include differences in ethnicity, environmental, cultural, and social factors as well as the dosage and selection of dopaminergic medications. (Source: European Journal of Neurology)

Examining the stability of DSM–IV and empirically derived eating disorder classification: Implications for DSM–5.

Journal of Consulting and Clinical Psychology — Mon, 31 Oct 2011 04:00:00 +0100

Conclusion: Empirically derived classes of ED symptoms showed greater longitudinal stability than DSM–IV diagnoses over a 2-year time period, suggesting that modifying the criteria to be consistent with empirically based classification (e.g., reducing frequency requirements of binge eating and purging) may reduce ED diagnostic crossover in DSM–5. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

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Why men should be included in research on binge eating: Results from a comparison of psychosocial impairment in men and women

International Journal of Eating Disorders — Fri, 28 Oct 2011 16:23:32 +0100

This study compared demographic and clinical correlates of binge eating in a large employee sample of men and women.Method:Cross‐sectional data from 21,743 men and 24,608 women who participated in a health risk self assessment screening were used. Group differences in obesity, hypertension, dyslipidemia, Type 2 diabetes, depression, stress, sleep, sick days, work impairment, and nonwork activity impairment were tested using chi‐square tests (categorical variables) and independent sample t‐tests (continuous variables).Results:Effect size estimates indicate that men (n = 1,630) and women (n = 2,754) who binge eat experience comparable levels of clinical impairment. They also report substantially greater impairment when compared with men and women who do not binge eat.Discussion:The und...

Study Shows Why Underrepresented Men Should Be Included In Binge Eating Research

Health News from Medical News Today — Fri, 28 Oct 2011 08:00:00 +0100

Binge eating is a disorder which affects both men and women, yet men remain underrepresented in research. A new study published in the International Journal of Eating Disorders has found that the medical impact of the disorder is just as damaging to men as it is to women, yet research has shown that the number of men seeking treatment is far lower than the estimated number of sufferers. "Binge eating is closely linked to obesity and excessive weight gain as well as the onset of hypertension, diabetes and psychiatric disorders such as depression," said lead author Dr Ruth R... (Source: Health News from Medical News Today)

Binge Eating Often Overlooked in Men

MedicineNet Cholesterol General — Fri, 28 Oct 2011 07:00:00 +0100

Title: Binge Eating Often Overlooked in MenCategory: Health NewsCreated: 10/28/2011 11:00:00 AMLast Editorial Review: 10/28/2011 (Source: MedicineNet Cholesterol General)

Transdermal rotigotine causes impulse control disorders in patients with restless legs syndrome

Parkinsonism and Related Disorders — Fri, 28 Oct 2011 04:00:00 +0100

Conclusion: This is the first report of ICD in patients treated with transdermal rotigotine for RLS. In contrast to literature, even low doses of rotigotine (mean 3.8 mg/d) can cause ICD. Therefore every prescribing physician should be aware that ICD may emerge in both RLS and PD patients on any dopaminergic treatment, and should actively ask for such symptoms. The ZICD questionnaire not only replicated the findings of detailed history taking but also showed an increased tendency towards impulsive behaviour in subjects that did not develop ICD. (Source: Parkinsonism and Related Disorders)

Binge Eating Often Overlooked in Men

WebMD Health — Fri, 28 Oct 2011 00:13:38 +0100

Men are rarely included in research studies on binge eating and its consequences and treatments, a study shows. (Source: WebMD Health)

Men not exempt from binge eating

Health News - UPI.com — Thu, 27 Oct 2011 05:54:29 +0100

MIDDLETOWN, Conn., Oct. 27 (UPI) -- Binge eating is a disorder that affects both men and women, but men are underrepresented in research, U.S. researchers say. (Source: Health News - UPI.com)

Binge Eating Often Overlooked in Men

WebMD Health — Thu, 27 Oct 2011 05:00:00 +0100

Men are rarely included in research studies on binge eating and its consequences and treatments, a study shows. (Source: WebMD Health)

Study shows why underrepresented men should be included in binge eating research

EurekAlert! - Social and Behavioral Science — Wed, 26 Oct 2011 04:00:00 +0100

(Wiley-Blackwell) Binge eating is a disorder which affects both men and women, yet men remain underrepresented in research. A new study published in the International Journal of Eating Disorders has found that the medical impact of the disorder is just as damaging to men as it is to women, yet research has shown that the number of men seeking treatment is far lower than the estimated number of sufferers (Source: EurekAlert! - Social and Behavioral Science)

Novel Treatment Options of Binge Eating Disorder.

Current Medicinal Chemistry — Wed, 26 Oct 2011 04:00:00 +0100

Authors: Marazziti D, Rossi L, Baroni S, Consoli G, Hollander E, Catena-Dell'osso M Abstract Obesity is a major problem of modern societies that sometimes, but not necessarily, is associated with binge-eating disorder (BED), a relatively new disorder characterized by binge eating without purging. The purpose of this article is to review the rationale for the potential use of pharmacological treatments in BED, and the potential use of the recently proposed compounds. Therefore, a careful medline of published articles from 1980 to December 2010 was carried out using the following keywords: BED and treatment, topiramate, zonisamide, sibutramine, venlafaxine, duloxetine, ghrelin, opiate blockers. Single case reports, observational studies, opinion articles, and studies concerning adult...

How to tell where 'liking' ends and 'wanting' begins.

Appetite — Tue, 25 Oct 2011 04:00:00 +0100

Authors: Havermans RC Abstract Food reward is thought to comprise food 'liking' and 'wanting'. The distinction between 'liking' and 'wanting' is generally assumed to give a more detailed view on the regulation of appetite and to provide a better handle on determining what exactly is wrong in case of unhealthy dietary habits (e.g., binge eating). In response to Finlayson and Dalton (2011), I argue however, that after operationally defining 'liking' and 'wanting', one forgot to validate these measures. Such validation requires carefully formulating when and how 'liking' and 'wanting' are uncoupled. In the absence of a priori predictions concerning when and how 'liking' and 'wanting' should dissociate, interpreting any dissociation between supposed measures for 'liking' and 'wanting' ...

[Does bariatric surgery affect addiction to overeating and eating disorders?]

Der Chirurg — Fri, 21 Oct 2011 04:00:00 +0100

DISCUSSION: A precise interdisciplinary evaluation is a prerequisite for deciding between gastric banding and the bypass technique as well as to define the need for preoperative and postoperative psychotherapy. PMID: 22012418 [PubMed - as supplied by publisher] (Source: Der Chirurg)

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Comorbidity of partial and subthreshold ptsd among men and women with eating disorders in the national comorbidity survey‐replication study

International Journal of Eating Disorders — Fri, 21 Oct 2011 02:02:47 +0100

This study included PTSD and ED data from male (n = 2,382) and female (n = 3,310) National Comorbidity Survey‐Replication study participants.Results:The vast majority of women and men with anorexia nervosa, bulimia nervosa (BN), and binge eating disorder (BED) reported a history of interpersonal trauma. Rates of PTSD were significantly higher among women and men with BN and BED. Subthreshold PTSD was more prevalent than threshold PTSD among women with BN and women and men with BED.Discussion:Interpersonal forms of trauma, PTSD, and subthreshold/partial PTSD, were prevalent among men and women with EDs. Findings highlight the importance of assessing for trauma and PTSD in ED patients. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011) (Source: International Journal of Eating Disor...

Comparisons of Energy Intake and Energy Expenditure in Overweight and Obese Women With and Without Binge Eating Disorder.

Obesity — Thu, 20 Oct 2011 04:00:00 +0100

Authors: Raymond NC, Peterson RE, Bartholome LT, Raatz SK, Jensen MD, Levine JA Abstract The purpose of this study was to determine whether there are differences in energy intake or energy expenditure that distinguish overweight/obese women with and without binge eating disorder (BED). Seventeen overweight/obese women with BED and 17 overweight/obese controls completed random 24-h dietary recall interviews, and had total daily energy expenditure (TDEE) assessed by the doubly labeled water (DLW) technique with concurrent food log data collection. Participants received two baseline dual-energy X-ray absorptiometry (DXA) scans and had basal metabolic rate (BMR) and thermic effect of food (TEF) measured using indirect calorimetry. Results indicated no between group differences in TDEE,...

Association of Post-Traumatic Stress Disorder and Obesity in a Nationally Representative Sample.

Obesity — Thu, 20 Oct 2011 04:00:00 +0100

Authors: Pagoto SL, Schneider KL, Bodenlos JS, Appelhans BM, Whited MC, Ma Y, Lemon SC Abstract Recent studies suggest a possible link between post-traumatic stress disorder (PTSD) and obesity risk, which would have implications for the development of obesity-related diseases in this population. The present study examined the association between PTSD and obesity and whether this association differed by sex in a representative sample of the US population. A secondary objective was to determine whether the association between PTSD and obesity was mediated by binge eating disorder (BED). Data were from the Collaborative Psychiatric Epidemiology Surveys (CPES), which comprises three nationally representative cross-sectional surveys that were conducted between 2001 and 2003. Logistic re...

Brain Scan Backlash, Insurance Education and More

Psychology Today Food and Diet Center — Mon, 17 Oct 2011 07:12:56 +0100

NEDA's annual conference is a mix of research reports, professional and family workshops and patient advocacy Primary Topic: Eating Disorders read more (Source: Psychology Today Food and Diet Center)

Treatment of eating disorders in primary care: A systematic review

Journal of Health Psychology — Mon, 17 Oct 2011 04:00:00 +0100

This review evaluated psychological treatments for Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder conducted in primary care. Five studies met inclusion criteria. Guided self-help cognitive-behavioral therapy via a self-help book may be a beneficial, first-line treatment for reducing binging and purging symptoms. Outcomes combining self-help with antidepressants remain unclear, although antidepressants alone may provide reduction of symptoms. High attrition and non-compliance rates among studies reviewed indicate the importance of a strong therapeutic alliance between provider and patient. Further research in primary care is needed to develop a standard of care for patients with eating disorders. (Source: Journal of Health Psychology)

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Can We Stop Binge Drinking on College Campuses?

Psychology Today Addiction Center — Sat, 15 Oct 2011 22:02:43 +0100

A secret weapon in the fight against college binge drinking Primary Topic: Addiction read more (Source: Psychology Today Addiction Center)

A history of bingeing on fat enhances cocaine seeking and taking.

Behavioral Neuroscience — Mon, 10 Oct 2011 04:00:00 +0100

Binge eating and substance dependence are disorders characterized by a loss of control over consummatory behaviors. Given the common characteristics of these two types of disorders, it is not surprising that the comorbidity between eating disorders and substance abuse disorders is high (20–40%; Conason et al., 2006). It is unknown, however, whether loss of control in one disorder predisposes an individual to loss of control in the other. The present study, therefore, used a rodent model to test whether a history of binge eating would augment subsequent responding for cocaine. Using the limited access protocol described by Corwin et al. (1998), 45 adult male Sprague–Dawley rats were maintained on one of four dietary protocols for a period of six weeks: chow only (Chow; n = 9), continuou...

OBESITY: Girls Happy With Their Bodies Don't Binge Eat (CME/CE)

MedPage Today Psychiatry — Sat, 08 Oct 2011 11:43:05 +0100

ORLANDO (MedPage Today) -- Among overweight adolescent girls, those who are more satisfied with their bodies appear to be less likely to develop binge eating disorder, researchers found. (Source: MedPage Today Psychiatry)

Treatment of Binge Eating Disorder

The Psychiatric Clinics of North America — Wed, 05 Oct 2011 04:00:00 +0100

Binge eating disorder (BED) was originally included in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) as a provisional eating disorder diagnosis within the category of Eating Disorder Not Otherwise Specified. It is now listed as a free-standing diagnosis among the proposed Draft Revisions to DSM Disorders and Criteria for DSM-5. BED is defined by recurrent binge eating (once a week, on average, over the previous 3 months) without the regular use of inappropriate compensatory weight control methods. Binge eating itself is characterized by (a) eating, in a discrete period of time, an amount of food that is unambiguously greater than most people would eat in a similar period of time under similar conditions, and (b) a sense of lack of control over eating durin...

Finding the Right Help

Psychology Today Food and Diet Center — Tue, 04 Oct 2011 20:49:59 +0100

What does recovery look like? A sunny road of constant progress? You wish. With eating disorders, at best it's "two steps forward, one step back." For my family, the key was finding the right person to help our daughter, Lisa, get started. Primary Topic: Eating Disorders read more (Source: Psychology Today Food and Diet Center)

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Frequency of impulse control behaviours associated with dopaminergic therapy in restless legs syndrome

BMC Neurology — Wed, 28 Sep 2011 04:00:00 +0100

Conclusion: RLS patients treated with dopaminergic agents and dopamine agonists in particular, should be forewarned of potential side effects. A careful history of risk factors should be taken. (Source: BMC Neurology)

A randomized controlled trial for obesity and binge eating disorder: Low-energy-density dietary counseling and cognitive-behavioral therapy.

Behaviour Research and Therapy — Wed, 28 Sep 2011 04:00:00 +0100

Authors: Masheb RM, Grilo CM, Rolls BJ Abstract The present study examined a dietary approach - lowering energy density - for producing weight loss in obese patients with binge eating disorder (BED) who also received cognitive-behavioral therapy (CBT) to address binge eating. Fifty consecutive participants were randomly assigned to either a six-month individual treatment of CBT plus a low-energy-density diet (CBT+ED) or CBT plus General Nutrition counseling not related to weight loss (CBT+GN). Assessments occurred at six- and twelve-months. Eighty-six percent of participants completed treatment, and of these, 30% achieved at least a 5% weight loss with rates of binge remission ranging from 55% to 75%. The two treatments did not differ significantly in weight loss or binge remission...

Eating Disorders: Talking Is Good Medicine

DukeHealth.org: Duke Health Features — Tue, 27 Sep 2011 17:55:03 +0100

Nancy Zucker, PhD“You suddenly go, I’m watching her die, I’m literally watching her die, and you think I can’t do anything about it.”This is how Jim Brown [the family’s names have been changed] described his realization that his 11-year-old daughter had an eating disorder, and that he had to try anything and everything to save his daughter’s life.He and his wife, Sarah, turned to Nancy Zucker, PhD, director of the Duke Center for Eating Disorders, for help. Parents' Self-Care Promotes Daughter's Healing Once their daughter was in treatment, Zucker suggested the Browns participate in a parent support group. The support group allowed them to see that their family was not alone in the fight against an eating disorder -- and that to help their daughter recover, Sarah and Jim woul...

Restoring Our Bodies, Reclaiming Our Lives: Recovery from Eating Disorders

Psych Central — Sun, 25 Sep 2011 19:42:22 +0100

Aimee Liu writes with a gentleness and an understanding that only someone who has been through the painful process of recovery can truly possess: Her 1979 memoir, Solitaire, was the first discussion of anorexia nervosa published in America. Since then, Liu also has written fiction and self-help books. Liu teaches creative writing at Goddard University’s MFA program, and her background comes through in the book. To begin, she doesn’t preach. She simply approaches the toughest issue about eating disorders (or ‘EDs’ as she refers to them): that no patient ever thinks they can get better. Then she gives step-by-step advice, accompanied by multiple real-life examples, to help encourage readers to begin a path to recovery. While the main audience is intended to be people with an ED, ...

Brain-Derived Neurotrophic Factor, Food Intake Regulation, and Obesity

Archives of Medical Research — Fri, 23 Sep 2011 04:00:00 +0100

Abstract: Brain-derived neurotrophic factor (BDNF) is a neurotrophin that plays a fundamental role in development and plasticity of the central nervous system (CNS). It is currently recognized as a major participant in the regulation of food intake. Multiple studies have shown that different regulators of appetite such as leptin, insulin and pancreatic polypeptide (PP) potentially exert anorexigenic effects through BDNF. Low circulating levels of BDNF are associated with a higher risk of eating disorders such as anorexia nervosa (AN) and bulimia nervosa (BN). Strict food restriction reduces BDNF and may trigger binge-eating episodes and weight gain. The existence of mutations that cause haploinsufficiency of BDNF as well as some genetic variants, notably the BDNF p.Val66Met polymorphism, a...

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Momentary Affect Surrounding Loss of Control and Overeating in Obese Adults With and Without Binge Eating Disorder.

Obesity — Thu, 22 Sep 2011 04:00:00 +0100

This study examined the unique contributions of LOC and episode size to negative affect surrounding eating episodes in binge eating disorder (BED) and obesity. Twenty-two obese adults with (n = 9) and without (n = 13) BED completed daily records of eating patterns and mood using ecological momentary assessment (EMA). Linear mixed modeling revealed that across groups, greater premeal self-reported LOC was associated with higher premeal negative affect independent of episode size. For individuals with BED, greater premeal self-reported LOC was associated with higher postmeal negative affect, regardless of the amount of food eaten, whereas for obese controls, the combination of LOC and consumption of large amounts of food was associated with lower postmeal negative affect. Results indicate th...

Eating Disorder Risk Factors and Recovery Tools in the Jewish Community

Psychology Today Relationships Center — Tue, 20 Sep 2011 16:17:59 +0100

Question: Is being Jewish as risk factor or protective against eating disorders? Answer: It's both Primary Topic: Eating Disorders read more (Source: Psychology Today Relationships Center)

Bupropion Versus Sertraline in the Treatment of Depressive Patients with Binge Eating Disorder: Retrospective Cohort Study

Psychiatric Quarterly — Sat, 17 Sep 2011 05:48:48 +0100

This study sought to compare Bupropion versus Sertraline in the treatment of depressed patients with Binge Eating Disorder (BED) prescribed off-label. Medical records of outpatients with diagnosis of BED and Depression (DSM-IV-TR criteria) were selected: 15 patients were treated with bupropion 150 mg/per day, and 15 with sertraline 200 mg/per day. During the screening and control visits (2°–6°–14°–24° week), the selected patients were first weighed and then evaluated using the following questionnaires: Binge Eating Disorder-Clinical Interview (BEDCI), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory X (STAI-X) and Arizona Sexual Experience Scale (ASEX). Both drugs reduced anxious-depressive symptoms and binge frequency: Bupropion showed a better...

Rapid response predicts 12-month post-treatment outcomes in binge-eating disorder: theoretical and clinical implications.

Psychological Medicine — Fri, 16 Sep 2011 04:00:00 +0100

CONCLUSIONS: Rapid response to treatment in BED has prognostic significance through 12-month follow-up, provides evidence for treatment specificity and has clinical implications for stepped-care treatment models for BED. Rapid responders who receive BWL benefit in terms of both binge eating and short-term weight loss. Collectively, these findings suggest that BWL might be a candidate for initial intervention in stepped-care models with an evaluation of progress after 1 month to identify non-rapid responders who could be advised to consider a switch to a specialized treatment. PMID: 21923964 [PubMed - as supplied by publisher] (Source: Psychological Medicine)

Controlling Shopping and Eating Binges

Psychology Today Food and Diet Center — Sat, 03 Sep 2011 11:25:54 +0100

What makes us binge on food and shopping? What can we do to change?read more (Source: Psychology Today Food and Diet Center)

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Taking Charge: Shopping and Eating Binges

Psychology Today Food and Diet Center — Sat, 03 Sep 2011 11:25:54 +0100

What makes us binge on food and shopping? What can we do to change?read more (Source: Psychology Today Food and Diet Center)

Evidence that 'food addiction' is a valid phenotype of obesity.

Appetite — Sat, 03 Sep 2011 04:00:00 +0100

Authors: Davis C, Curtis C, Levitan RD, Carter JC, Kaplan AS, Kennedy JL Abstract There is growing evidence of 'food addiction' (FA) in sugar- and fat-bingeing animals. The purpose of this study was to investigate the legitimacy of this disorder in the human condition. It was also our intention to extend the validation of the Yale Food Addiction Scale (YFAS) - the first tool developed to identify individuals with addictive tendencies towards food. Using a sample of obese adults (aged 25-45 years), and a case-control methodology, we focused our assessments on three domains relevant to the characterization of conventional substance-dependence disorders: clinical co-morbidities, psychological risk factors, and abnormal motivation for the addictive substance. Results were strongly supp...

Anorexia Nervosa as a Disorder of Emotion Dysregulation: Theory, Evidence, and Treatment Implications

Clinical Psychology: Science and Practice — Thu, 01 Sep 2011 04:00:00 +0100

[Clin Psychol Sci Prac 18: 203–207, 2011]At present, no evidence‐based treatments are available showing benefit for adults with anorexia nervosa (AN). Reasons for the absence of large‐scale controlled trials include AN’s relative rarity and challenges regarding participant retention. A promising investigative field is neuropsychology. Findings that AN patients demonstrate specific deficits in executive functioning are currently being translated into clinical interventions (e.g., cognitive remediation therapy). Emerging in parallel is literature emphasizing the role of emotion regulation deficits in disordered behavior. Originally developed for borderline personality disorder, emotion regulation–based treatments have been adapted for bulimia and binge eating. Haynos and Fruzzetti ...

[Diagnostic criteria for eating disorders : What will DSM-5 feature?]

Der Nervenarzt — Wed, 31 Aug 2011 23:00:00 +0100

This article describes the suggested modifications of the diagnostic criteria for eating disorders for the DSM-5. The DSM-5 abstains from setting a specific numerical standard for weight for AN and reduces the required minimum frequency for BN and binge eating disorder (BED) to once a week over the last 3 months. This will likely reduce the number of cases in the EDNOS category. In addition, the DSM-5 provides brief descriptions of several conditions of potential clinical significance without providing detailed criteria in order to stimulate additional research. PMID: 21879399 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)

Effects of reducing the frequency and duration criteria for binge eating on lifetime prevalence of bulimia nervosa and binge eating disorder: Implications for DSM‐5

International Journal of Eating Disorders — Tue, 30 Aug 2011 23:00:00 +0100

Discussion:The proposed changes to the DSM‐5 binge eating frequency and duration criteria would allow for better detection of binge eating pathology without resulting in a markedly higher lifetime prevalence of BN or BED. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011) (Source: International Journal of Eating Disorders)

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Bulimia nervosa presenting as rectal purging and rectal prolapse: Case report and literature review

International Journal of Eating Disorders — Tue, 30 Aug 2011 23:00:00 +0100

We describe a young woman with bulimia nervosa and irritable bowel syndrome who used rectal purging as a method of counteracting the effects of her binge eating and who underwent two corrective surgeries for rectal prolapse in a 15‐month interval. Further research into the relationship between eating disorders, rectal purging, and gastrointestinal dysfunction is called for. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011) (Source: International Journal of Eating Disorders)

An examination of the food addiction construct in obese patients with binge eating disorder

International Journal of Eating Disorders — Mon, 29 Aug 2011 23:00:00 +0100

This study examined the psychometric properties of the Yale food addiction scale (YFAS) in obese patients with binge eating disorder (BED) and explored its association with measures of eating disorder and associated psychopathology.Method:Eighty‐one obese treatment‐seeking BED patients were given the YFAS, structured interviews to assess psychiatric disorders and eating disorder psychopathology, and other pathology measures.Results:Confirmatory factor analysis revealed a one‐factor solution with an excellent fit. Classification of “food addiction” was met by 57% of BED patients. Patients classified as meeting YFAS “food addiction” criteria had significantly higher levels of depression, negative affect, emotion dysregulation, eating disorder psychopathology, and lower self‐e...

Interpersonal processes in psychodynamic-interpersonal and cognitive behavioral group therapy: A systematic case study of two groups.

Psychotherapy: Theory, Research, Practice, Training — Sun, 28 Aug 2011 23:00:00 +0100

This mixed method systematic case study applied an interpersonal stage model of the therapeutic process to examine interpersonal processes among a highly adherent Group Psychodynamic-Interpersonal Psychotherapy (GPIP) therapist and a highly adherent Group Cognitive Behavioral Therapy (GCBT) therapist and their groups of binge eating disordered (BED) patients. This is the first case study to apply the interpersonal stage model of psychotherapy to compare GCBT and GPIP methods and the first to apply the model to group therapy. Early-, middle-, and late-stage transcribed video recordings of sequential interactions among therapists and patients in each of these two time-limited group therapies were analyzed with the Structural Analysis of Social Behavior (SASB). We also provide qualitative pre...

Implicit wanting and explicit liking are markers for trait binge eating. A susceptible phenotype for overeating.

Appetite — Sat, 27 Aug 2011 04:00:00 +0100

Authors: Finlayson G, Arlotti A, Dalton M, King N, Blundell J Abstract The present study used a measure of trait binge eating (Binge Eating Scale; BES) to examine its association with behavioural markers of appetite and food reward. Non-obese female participants consumed a preload before freely selecting and consuming from a test meal. Subjective hunger and hedonic measures of explicit liking and implicit wanting for food were obtained. Food selection and intake of the test meal were measured. Findings were compared according to individual differences in trait binge eating. BES scores correlated with BMI, food intake and selection of high fat sweet foods in the test meal. Comparison of BES scores revealed that higher scores were associated with weaker suppression of hunger after th...

Science News » Biology, Not Just Society, May Increase Risk of Binge Eating During Puberty

National Institute of Mental Health — Fri, 26 Aug 2011 13:26:32 +0100

Biological changes associated with puberty may influence the development of binge eating and related eating disorders, according to a recent study on female rats conducted by NIMH-funded researchers. (Source: National Institute of Mental Health)

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Hypomania across the binge eating spectrum. A study on hypomanic symptoms in full criteria and sub-threshold binge eating subjects

Journal of Affective Disorders — Wed, 24 Aug 2011 14:32:08 +0100

Conclusions: Patients with more severe binge eating might be more likely to have a comorbid bipolar spectrum disorder. Hypomanic symptoms should be assessed and mood stabilizing treatment should be considered in these patients. (Source: Journal of Affective Disorders)

Cognitive–behavioral therapy, behavioral weight loss, and sequential treatment for obese patients with binge-eating disorder: A randomized controlled trial.

Journal of Consulting and Clinical Psychology — Mon, 22 Aug 2011 04:00:00 +0100

Conclusions: CBT was superior to BWL for producing reductions in binge eating through 12-month follow-up, while BWL produced statistically greater, albeit modest, weight losses during treatment. Results do not support the utility of the sequential approach of providing BWL following CBT. Remission from binge eating was associated with significantly greater percent BMI loss. Findings support BWL as an alternative treatment option to CBT for BED. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

The impact of exposure to images of ideally thin models in TV commercials on eating behavior: An experimental study with women diagnosed with bulimia nervosa.

Body Image — Wed, 17 Aug 2011 23:00:00 +0100

This study investigates whether eating behavior in women with diagnosed bulimia nervosa is influenced by prior exposure to images of ideally thin models. Twenty-six participants diagnosed with bulimia nervosa (BN) and 30 normal controls (NC) were exposed to body-related and neutral TV commercials; then food that typically triggers binge eating was provided, and the amount of food eaten was measured. No significant difference for food intake between NC and BN could be found, but food intake for BN was predicted by the degree of thoughts related to eating behaviors during exposure to the thin ideal. No impact of general body image or eating pathology on food intake could be found. The results emphasize the importance of action-relevance of dysfunctional cognitions for the maintenance of eati...

Reformulating and testing the perfectionism model of binge eating among undergraduate women: A short-term, three-wave longitudinal study.

Journal of Counseling Psychology — Mon, 15 Aug 2011 04:00:00 +0100

This study reformulates and tests the PMOBE, with a focus on addressing limitations observed in the perfectionism and binge-eating literature. In the reformulated PMOBE, concern over mistakes is seen as a destructive aspect of perfectionism contributing to a cycle of binge eating via 4 binge-eating maintenance variables: interpersonal discrepancies, low interpersonal esteem, depressive affect, and dietary restraint. This test of the reformulated PMOBE involved 200 undergraduate women studied using a 3-wave longitudinal design. As hypothesized, concern over mistakes appears to represent a vulnerability factor for binge eating. Bootstrapped tests of mediation suggested concern over mistakes contributes to binge eating through binge-eating maintenance variables, and results supported the incr...

Clinical aspects of impulsive compulsive behaviours in Parkinson's disease

Journal of the Neurological Sciences — Fri, 12 Aug 2011 04:00:00 +0100

Abstract: Impulsive–compulsive behaviours (ICBs) are an increasingly well-recognised adverse-effect of dopaminergic medications used to treat Parkinson's disease. ICBs include pathological gambling, compulsive sexual behaviour, compulsive buying, and binge eating, together with punding and the addiction-like compulsive use of dopamine replacement therapy, or dopamine dysregulation syndrome. The prevalence of ICBs was approximately 14% in a large study undertaken in specialist movement disorder clinics.Dopamine dysregulation syndrome is more associated with compulsive l-dopa use, whereas other ICBs are more linked with oral dopamine agonist use. Other mechanisms implicated in the development and perpetuation of ICBs in PD include aberrant learning from reward-related situations, including...

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Screening High School Students for Eating Disorders: Validity of Brief Behavioral and Attitudinal Measures

Journal of School Health — Thu, 11 Aug 2011 15:51:23 +0100

CONCLUSION: High school administrators should include items that assess both preoccupation with thinness as well as behavioral items that deal with eating disorders on student health surveys. (Source: Journal of School Health)

Preoperative Predictors of Weight Loss Following Bariatric Surgery: Systematic Review

Obesity Surgery — Thu, 11 Aug 2011 06:03:22 +0100

Conclusions Further studies are necessary to investigate whether preoperative factors can predict a clinically meaningful difference in weight loss after bariatric surgery. The identification of predictive factors may improve patient selection and help develop interventions targeting specific needs of patients. Content Type Journal ArticlePages 1-20DOI 10.1007/s11695-011-0472-4Authors Masha Livhits, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 LeConte Ave, 72-215 CHS, Los Angeles, CA 90095, USACheryl Mercado, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 LeConte Ave, 72-215 CHS, Los Angeles, CA 90095, USAIrina Yermilov, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 LeConte Ave, 72-215 CHS, Los ...

[Psychotherapy and obesity : Strategies, challenges and possibilities.]

Der Nervenarzt — Wed, 10 Aug 2011 23:00:00 +0100

Authors: Teufel M, Becker S, Rieber N, Stephan K, Zipfel S Abstract One fifth of the German population is obese with increasing prevalence. Psychotherapy plays an important role in weight loss programmes. Cognitive behaviour therapy, targeting lifestyle changes, including exercise and eating behaviour, is the evidence-based treatment of choice. Especially the lack of motivation or absence of weight loss, further weight gain or psychosocial burden makes psychotherapy essential. The treatment of a comorbid binge eating disorder should be initiated prior to focusing on weight loss. Remarkably difficult stages in the treatment of obesity are the initiation of changes as well as the maintenance of the achieved weight loss. Internet-based attempts will become increasingly important. ...

Mindful Eating, or Mindlessly Eating Better?

Psychology Today Food and Diet Center — Tue, 09 Aug 2011 23:42:02 +0100

At the annual conference of the American Psychological Association this week, Brian Wansink -- famous for his research on mindless eating -- took a position that would raise the ire of the mindfulness community (that is, if they weren't too busy taking a deep breath and letting go of attachment). Mindful eating is impossible, he argues, or at least impractically difficult.read more (Source: Psychology Today Food and Diet Center)

Reward-Seeking Behavior in Human Narcolepsy

Journal of Clinical Sleep Medicine : JCSM — Mon, 08 Aug 2011 17:42:10 +0100

Conclusions: We found that narcoleptics with or without cataplexy generally have normal risk-taking behavior, but narcoleptics with cataplexy were more impulsive and more prone to binge eating than patients without cataplexy and controls. Our findings shed new light on the relation between sleepiness and impulsiveness. Furthermore, rates of depression and anxiety were higher in all narcoleptic subjects. However, using the current methods, no evidence could be found to support the hypothesis that hypocretin deficiency would affect reward-processing in humans. Keywords: Narcolepsy, cataplexy, hypocretin, orexin, risk-taking, addiction, reward-seeking, substance abuse, sleep, sleepiness (Source: Journal of Clinical Sleep Medicine : JCSM)

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Women with bulimia nervosa exhibit attenuated secretion of glucagon-like peptide 1, pancreatic polypeptide, and insulin in response to a meal.

The American Journal of Clinical Nutrition — Tue, 02 Aug 2011 23:00:00 +0100

CONCLUSIONS: Women with BN secrete abnormally low amounts of GLP-1 and PP, possibly because of the adaption to large meals in the form of enlarged gastric capacity and reduced muscle tone in the gastric wall. Attenuated secretion of these gastrointestinal satiety peptides may play a role in the maintenance of bulimic behavior. PMID: 21813805 [PubMed - as supplied by publisher] (Source: The American Journal of Clinical Nutrition)

A Former Anorexic Enjoys Food Again

Psychology Today Food and Diet Center — Tue, 02 Aug 2011 17:08:01 +0100

Four years after being hospitalized, ten years after starting anorexia in high school, my daughter, Lisa, is enjoying food again, on her terms. Here is her news from the front:read more (Source: Psychology Today Food and Diet Center)

The Eating Disorder Diagnostic Scale: Psychometric Features Within a Clinical Population and a Cut‐off Point to Differentiate Clinical Patients from Healthy Controls

European Eating Disorders Review — Sun, 31 Jul 2011 23:00:00 +0100

AbstractThe Eating Disorder Diagnostic Scale (EDDS) is a brief self‐report measure for diagnosing anorexia nervosa, bulimia nervosa and binge eating disorder. Research has provided evidence of the reliability and validity of this scale in non‐clinical populations. Our study is the first to examine the psychometric features of the EDDS in a clinical population of eating disordered patients. We identified a cut‐off point that differentiates clinical patients from healthy controls. A clinical group of 59 Dutch female eating disordered patients and a control group of 45 Dutch students completed the EDDS, the Eating Disorder Examination Interview, the Body Attitude Test and the Beck Depression Inventory—II. The EDDS showed good test–retest reliability, internal consistency, criterion ...

Attention‐deficit/Hyperactivity Disorder in a Prebariatric Surgery Sample

European Eating Disorders Review — Tue, 26 Jul 2011 23:00:00 +0100

Conclusion: As ADHD appears to be a common condition in morbidly obese individuals, the impact of adult ADHD on postsurgical weight loss needs to be examined. Besides, the causal link between obesity and ADHD in adults should be further investigated. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association. (Source: European Eating Disorders Review)

A comparative analysis of Type 2 diabetes and binge eating disorder in a bariatric sample.

Eating Behaviors — Sun, 24 Jul 2011 06:16:09 +0100

Authors: Webb JB, Applegate KL, Grant JP An emerging literature has illuminated an important link between Type 2 diabetes mellitus (DM) and binge eating disorder (BED) within obese cohorts. However, prior work has not examined this relationship specifically in a weight loss surgery (WLS) sample or fully explored potential psychosocial factors associated with this co-occurrence. Therefore, the present investigation sought to identify socio-demographic (i.e. age, education, BMI, ethnicity, gender, age of obesity onset) and psychological (i.e. depressive symptoms, hedonic hunger/food locus of control beliefs, severity of binge eating-related cognitions) correlates of the co-occurrence of Type 2 DM and BED among bariatric surgery candidates. An archival sample of 488 patients seeking surgi...

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Effects of stress and coping on binge eating in female college students.

Eating Behaviors — Sun, 24 Jul 2011 06:15:57 +0100

Authors: Sulkowski ML, Dempsey J, Dempsey AG Limited research exists on the association between stress, coping, and binge eating. To address this paucity, this study explores these associations in a sample of 147 female college students, an at-risk population for binge eating. We hypothesized that emotional and avoidant coping would be positively associated with stress and binge eating. Conversely, we expected that rational and detached coping would be negatively related to stress and binge eating. Furthermore, we expected these coping styles to mediate the relationship between stress and binge eating. As predicted, emotion-focused and avoidant coping were positively associated with stress and binge eating. Additionally, emotion-focused coping partially mediated the relationship betwee...

College students' definitions of an eating "binge" differ as a function of gender and binge eating disorder status.

Eating Behaviors — Sun, 24 Jul 2011 06:15:14 +0100

College students' definitions of an eating "binge" differ as a function of gender and binge eating disorder status. Eat Behav. 2011 Aug;12(3):225-7 Authors: Reslan S, Saules KK Males and females engage in comparable rates of binge eating, but gender differences in what constitutes a "binge" may contribute to the disproportionate likelihood of females meeting diagnostic criteria for binge eating disorder (BED). Using data from one university enrolled in the 2010 Healthy Minds Study, we investigated the differences in "eating binge" definitions as a function of gender, BED status, and their interaction. This sample of 969 undergraduate college students was 64.0% female, and 9.3% (10.7% of women; 6.9% of males) met the screening criteria for BED. Open-ended responses defining a "b...

“What I wish parents knew about eating disorders…”

Thrive, Children's Hospital Boston — Wed, 20 Jul 2011 13:56:40 +0100

In the following blog, a teenager who has overcome an eating disorder reflects on what she wishes more parents knew about the condition. For more information visit Children’s Center for Young Women website, or this parent’s guide to eating disorders. It was never about weight. I just wanted to feel like I had some control. I never thought I was fat. In fact, I liked the way I looked before I developed an eating disorder and liked my body less and less as I continued to lose weight. What a lot of people, including my parents, didn’t understand is that an eating disorder functions as a coping mechanism for other problems in someone’s life. As I met more people who suffered from eating disorders, I realized that many of us had something in common. Many felt some sort of los...

Eating Disorders Spike Among Middle-Aged and Older Women

Psych Central — Tue, 19 Jul 2011 15:15:35 +0100

When you hear the term, eating disorder, many people may typically think of a perfectionistic adolescent girl heavily into sports or dance, being raised by an over-controlling parent. By starving herself or binge eating and purging, she is rebelling against the prison of her home. This disease is devastating to young girls: Anorexia is the third most common chronic illness among adolescents; 95 percent of those who have eating disorders are between the ages of 12 and 25; 50 percent of girls between the ages of 11 and 13 see themselves as overweight; And 80 percent of 13-year-olds have attempted to lose weight. However, an increasing number of middle-aged and older women are suffering from eating disorders, as well. It’s really no wonder when you consider our culture’s obsession ...

The clinical utility of personality subtypes in patients with anorexia nervosa.

Journal of Consulting and Clinical Psychology — Mon, 18 Jul 2011 04:00:00 +0100

Conclusions: Findings support the clinical utility of personality subtypes in AN. Future work is needed to identify mechanisms that explain diminished treatment response in undercontrolled patients and to develop interventions for this high-risk group. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

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Latent class analysis of eating and impulsive behavioral symptoms in Taiwanese women with bulimia nervosa

Journal of Psychosomatic Research — Mon, 18 Jul 2011 04:00:00 +0100

Conclusion: This study provides empirical support for the existence of an impulsive subgroup with distinctive features among a non-Western group of BN patients. This study also suggests that mechanisms other than impulse dysregulation may exist for the development of binge-eating and purging behaviors in bulimia nervosa patients, or the mechanisms contributing to binge-eating and impulsive behaviors may be different. (Source: Journal of Psychosomatic Research)

[Internet-based approaches in the therapy of eating disorders.]

Der Nervenarzt — Thu, 14 Jul 2011 23:00:00 +0100

Authors: Fichter MM, Quadflieg N, Nisslmüller K, Lindner S, Vorderholzer U, Wünsch-Leiteritz W, Osen B, Huber T, Zahn S, Meermann R, Irrgang V, Bleichner F Recent technological developments of communication media offer new approaches to diagnostic and therapeutic interactions with patients. One major development is Internet-based primary prevention in vulnerable individuals not yet suffering as well as the development of new therapeutic approaches for affected individuals based on the experiences of guided self-help through CD, DVD or bibliotherapy. The eating disorder literature shows several interesting, partly controlled and randomized, studies on bulimia nervosa, a few studies on binge eating disorder and no studies on anorexia nervosa. As part of the German Eating Disorder Netwo...

[Eating disorders associated with obesity and diabetes.]

Der Nervenarzt — Wed, 13 Jul 2011 23:00:00 +0100

Authors: Munsch S, Herpertz S Binge eating disorder is one of the most frequent comorbid mental disorders associated with overweight and obesity. Binge eating disorder patients often suffer from other mental disorders and longitudinal studies indicate a continuous weight gain during the long-term course. As in other eating disorders gender is a risk factor, but the proportion of male binge eating disorder patients is surprisingly high.In young women with type 1 diabetes the prevalence of subclinical types of bulimia nervosa is increased. In addition, insulin purging as a characteristic compensatory behavior in young diabetic women poses a considerable problem. In patients with type 1 diabetes, disturbed eating and eating disorders are characterized by insufficient metabolic control and...

Health Tip: Binge Eating May Lead to Weight Gain

Pediatrics News - Doctors Lounge — Wed, 13 Jul 2011 12:00:00 +0100

And type 2 diabetes and heart disease, among other complications (Source: Pediatrics News - Doctors Lounge)

Meal schedule influences food restriction-induced locomotor sensitization to methamphetamine

Psychopharmacology — Wed, 13 Jul 2011 06:02:39 +0100

Conclusions These results support a role for feeding schedule and plasma corticosterone levels in food restriction-induced enhancement of the effects of methamphetamine. Content Type Journal ArticlePages 1-9DOI 10.1007/s00213-011-2401-6Authors Amanda L. Sharpe, Department of Physiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC7756, San Antonio, TX 78229, USAJoshua D. Klaus, Department of Physiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC7756, San Antonio, TX 78229, USAMichael J. Beckstead, Department of Physiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC7756, San Antonio, TX 78229, USA Journal PsychopharmacologyOnline ISSN 1432...

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Eating Disorders May Impact Brain Function

Health News from Medical News Today — Tue, 12 Jul 2011 13:00:00 +0100

Bulimia nervosa is a severe eating disorder associated with episodic binge eating followed by extreme behaviors to avoid weight gain such as self-induced vomiting, use of laxatives or excessive exercise. It is poorly understood how brain function may be involved in bulimia. A new study led by Guido Frank, MD, assistant professor, Departments of Psychiatry and Neuroscience and Director, Developmental Brain Research Program at the University of Colorado Anschutz Medical Campus, studied the brain response to a dopamine related reward-learning task in bulimic and healthy women... (Source: Health News from Medical News Today)

New brain research suggests eating disorders impact brain function

EurekAlert! - Social and Behavioral Science — Mon, 11 Jul 2011 04:00:00 +0100

(University of Colorado Denver) Bulimia nervosa is a severe eating disorder associated with episodic binge eating followed by extreme behaviors to avoid weight gain such as self-induced vomiting, use of laxatives or excessive exercise. It is poorly understood how brain function may be involved in bulimia. (Source: EurekAlert! - Social and Behavioral Science)

Binge eating may be a high all its own

USATODAY.com Health — Sat, 09 Jul 2011 15:00:00 +0100

The same mechanism that gives pot smokers the "munchies" -- that is, a nearly irresistible desire to eat -- appears to help explain why people ... (Source: USATODAY.com Health)

Women With Binge Eating Pay More Attention To Ugly Parts Of The Body

Health News from Medical News Today — Sat, 09 Jul 2011 07:00:00 +0100

This German study found evidence that both binge eaters (BE) and nonbinge eaters (NBE) have a bias towards ugly body parts, which might explain overweight individuals' body dissatisfaction. More importantly they found that BE look at ugly body parts even longer and more often than NBE. In a study published in a recent issue of Psychotherapy and Psychosomatics by a group of German investigators, a new characterization of women with binge eating disorder emerges. Body dissatisfaction is markedly increased in individuals with binge eating disorder (BED)... (Source: Health News from Medical News Today)

Alkermes Announces Results From Phase 2 Study Of ALKS 33 For Treatment Of Binge Eating Disorder

Health News from Medical News Today — Fri, 08 Jul 2011 15:00:00 +0100

Alkermes, Inc. (NASDAQ: ALKS) today announced topline results from a phase 2 clinical study of ALKS 33 in the treatment of binge eating disorder. This randomized, double-blind, placebo-controlled, 12-week study was designed to assess the safety and efficacy of daily oral administration of ALKS 33 or placebo in 68 patients with binge eating disorder. While ALKS 33 demonstrated a significant reduction from baseline in the efficacy endpoint of self-reported weekly binge eating episodes, the reduction was not significantly different from that observed with placebo... (Source: Health News from Medical News Today)

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Concerns related to eating, weight, and shape: Typologies and transitions in men during the college years

International Journal of Eating Disorders — Thu, 07 Jul 2011 23:00:00 +0100

Discussion:The results contribute to the growing literature on empirically derived classifications of CREWS and indicate that for many men CREWS are a chronic presence during the college years. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011;) (Source: International Journal of Eating Disorders)

Duloxetine in the treatment of binge eating disorder with depressive disorders: A placebo‐controlled trial

International Journal of Eating Disorders — Thu, 07 Jul 2011 23:00:00 +0100

This study evaluated duloxetine in the treatment of binge eating disorder (BED) with comorbid current depressive disorders.Method:In this 12‐week, double‐blind, placebo‐controlled trial, 40 patients with Diagnostic and Statistical Manual of Mental Disorders‐IV‐TR BED and a comorbid current depressive disorder received duloxetine (N = 20) or placebo (N = 20). The primary outcome measure was weekly binge eating day frequency.Results:In the primary analysis, duloxetine (mean 78.7 mg/day) was superior to placebo in reducing weekly frequency of binge eating days (p = .04), binge eating episodes (p = .02), weight (p = .04), and Clinical Global Impression‐Severity of Illness ratings for binge eating (p = .02) and depressive disorders (p = .01). Changes in body mass index and measures ...

AG.03 Impulsive and compulsive behaviours in Parkinson's disease

Journal of Neurology, Neurosurgery and Psychiatry — Wed, 06 Jul 2011 23:00:00 +0100

Impulsive-compulsive behaviours (ICBs) are an increasingly well-recognised side-effect of dopaminergic medications used to treat Parkinson's disease (PD). These include pathological gambling, hypersexuality, compulsive shopping, binge eating, punding and compulsive use of DRT, or dopamine dysregulation syndrome. The association between these ICBs and other behaviours such as impulsive smoking, excessive hoarding, impaired sleeping and reckless generosity has recently been described. Mechanisms implicated in the development and perpetuation of ICBs in PD includes altered learning from reward-related situations, increased risk preferences, and a strong preference for immediate over future rewards. These cognitive processes are modulated by dopamine, and the use of dopamine replacement therap...

Relax, Relapse Is Normal

Psychology Today Parenting Center — Wed, 06 Jul 2011 21:06:46 +0100

Relapses happen during recovery from an eating disorder; the important thing is getting back on trackread more (Source: Psychology Today Parenting Center)