Lecture 11 - Binge Eating Disorder

Question 1

What is BED characterised by?

Answer 1

Lack of control when binge eating. DSM only includes those who break a diet consistently when eating a regular sized portion.
Highly secretive and lots of excuses.
Typically obese due to eating till completely full.

Question 2

What are personal protective factors of BED?

Answer 2

High self-esteem, positive body image, critical processing of media images, being emotionally healthy, success in academia, and a genetic predisposition to thinness.

Question 3

What are family protective factors of BED?

Answer 3

Closer family units, belonging to the family is not attributed to body weight, and eating meals regularly together.

Question 4

What are the aims of BED treatment? (4)

Answer 4

To reduce binge eating, sustain weight loss (or prevent weight gain), increase ability to cope with negative affect and prevent relapse.

Question 5

What are the problems with BED treatment?

Answer 5

Very few studies about BED treatments. 13 sole studies and 5 mixed samples, and 70% used CBT.

Question 6

What is the effectiveness of BED treatment?

Answer 6

30-40% stopped binging at 6 month follow up. CBT is effective in psychological treatment, but poor at treating weight loss (and restriction triggers binges).

Question 7

How is IPT used in regards to BED?

Answer 7

Uses psychoanalysis to study interpersonal relatinships and addresses the negative relationship between negative affect and binge eating. Does not deal with weight issues or cognitive issues related to diet.

Question 8

How is Dialectical Behavioural Therapy used in relation to BED?

Answer 8

Regulates emotion and builds tolerance to distress. Effective in reducing binges and lowering body shape concerns, but no clear effect on weight loss, depression or anxiety.