Binge Eating Disorder Flashcards
BED Criterion A:
Recurrent episodes of binge eating, characterised by
- eating a large amount of food in a small frame of time
- a sense of lack of control during the episode (one cannot control how much they eat or when to stop)
BED Criterion B:
Binge is associated with 3+ of
- eating more rapidly
- eating until feeling uncomfortably full
- eating when not physically hungry
- eating alone because of embarrassment of how much they’re eating
- feeling disgusted with oneself, depressed or guilty afterwards
What are the different severities for BED?
1-3 Mild
4-7 Moderate
8-13 Severe
>14 Extreme
Binge Eating disorder is a ____ disorder in the DSM-5, as is ____ _____ eating disorder.
new
night time
When does BED usually develop? How many people with BED have other eating disorders?
early-mid 20s.
47%
Name some risk factors for BED
- low self esteem
- genetic loading
- poor regulation of emotional states
- dieting/restraint
- body dissatisfaction
- over-evaluation of weight and shape
- boredom
- interpersonal stress
Name some protective factors for BED
- high self esteem
- positive body image
- critical of images in the media
- emotional wellbeing, self-directive, assertive
- genetic predisposition to thinness
- academic achievement
- family connectedness that doesn’t emphasis body shape
- societal support of all body types
What medical issues are associated with BED?
Joint problems
Type II diabetes
Heart disease
Obesity
What psychological disorders are associated with BED?
54% depression
37% anxiety
25% substance abuse
Similarly to Bulimia, the _____ ______ _____ is used to assess BED. There is also a Binge Eating Scale, which assesses ____ and ______ aspects of eating and control of eating. Finally, there is the ____ _____ test, which is more for high school students and athletes.
Eating Disorders Examination
Binge Eating Scale
Cognitive and behavioural
Eating attitudes
Are anti-depressants effective for BED? What do these address?
Yes, efficacy has been seen for SSRIs - though not many changes in weight
SNRIs also showed reduced binging
They address the psychiatric comorbidities and reducing impulsivity with eating. No information on long term gains
Has DBT been shown to be effective for BED? What is it’s aim?
DBT was thought to be used for emotion regulation and distress tolerance
It was effective in reducing binges and lowering concerns about body shape
No evidence for effectiveness on depression, anxiety or weight loss
Is Interpersonal Therapy effective for BED? What is it’s aim?
IPT helps patients gain insight into interpersonal relationships - examines relationships, distressing emotions and using binging as a means of coping
It works quite well, even though there is no focus directly on diet, or cognitions related to dietary restrictions
Describe the cognitive behavioural model for binge eating disorder
low self esteem, self-worth based on weight, eating habits, shape, self-control –> extreme concerns about weight and shape –> binge eating –> strict dieting –> feeds into low self-esteem, extreme concerns about weight and leads to further binging
Long term follow up, effects were sustained.
Also, there is a relationship between negative affect and binge eating
____ is the most validated and effective treatment for BED, significantly reducing binge episodes, however, it is _______ and time-consuming, with modest effects on _____ _____.
CBT helps to alter _____ thinking styles and _____ that maintain BED. _____ _____ can also help to challenge unhelpful thoughts and beliefs about the importance of shape, _____, eating, and their _____ defining their _____ _____. It can also address additional factors such as ____ _____, perfectionism, and _____ regulation
CBT,
expensive
weight loss
unhelpful behaviours weight control self worth self esteem emotion
