Binge Eating Flashcards
Binge eating disorder in DSM-4 versus DSM-5?
DSM-4: ‘a diagnosis in need of further study’ DSM-5: classified as a disorder
what is a subjective binge eating episode?
a subjectively large amount of food, not objectively. e.g. a slice of cake - and loss of control present
frequency criteria for BED?
at least once a week for 3 months
what change was made to the BED frequency criteria in DSM-5 and what was the impact
lowered the frequency criteria - people who previously had ED NOS now meet criteria - good for treatment
differential diagnosis of BED and BN?
BED has no compensatory behaviours. BED tend to gain weight while BN tend to maintain
BED specifier?
severity mild -> extreme based on no. of binge eating episodes per week
number of episodes for each BED specifier?
mild = 1-3 moderate = 4-7 severe = 8-13 extreme = 14+
how many obese people meet BED criteria
about 50%
how many people with BED have had obesity?
88%
what is the population prevelance for BED
13% once weekly binge. compared to only 2.7% in 1998
whats the HRQoL for BED
health related quality of life is attenuated over time and recurrent episodes. score similarly to population norms
what is distress commonly associated with for BED
50% say they dont experience distress related to binge eating but to QoL impairment and days out of role.
what is most common comorbidity for BED
depression
what would it mean to class BED as an impulse control disorder
theory that BED is an urge or impulse paired with an inability to control that impulse. like substance-disorder
3 assessment tools for BED
SCOFFS (any ED), BES and BEDS-7
2 optimal treatments for BED?
dialectical behaviour therapy DBT and interpersonal psychotherapy IPT
what two subcomponents does psychotherapy address
BE and weight
· CBT –> decreases BE but little impact on weight
· IPT –> decreases BE but not weight
· BWL –> evidence of decrease in BE, improves weight
· DBT –> no impact on weight again
whats HAPIFED
integration of weight loss management and CBT-E (enhanced to address mindfulness)
what is BEeT
binge eating E-Therapy
what is the 3 hour rule?
try to minimise the break between food/ period of restriction that sets you up for the binge.
what is the medication approved for BED
vyvanse (LDX) - significant decrease and very low relapse
what does LDX address that CBT doesnt
weight loss and sympathetic nervous system arousal
what evidence points to BED being an addictive disorder
some neurotransmitters involved after eating
