A Review of Binge-Eating Disorder in Black Women: Treatment Recommendations and Implications for Healthcare Providers

Goode, Rachel W.; Webster, Cheryl; Gwira, Rebecca

doi:10.1007/s11920-022-01383-8

Cited by 6 publications

(6 citation statements)

References 80 publications

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“…Consideration of other culture-related factors is also warranted when assessing for EDs among diverse youth, including those whose current culture and culture of origin differ. Acculturation (ie, the process of psychosocial change that occurs when a group or individual acquires the cultural values, language, norms, and behaviors of dominant society) to Western culture has been identified as a risk factor for greater ED pathology, 165 including among Asian adolescents, Muslim women, 166 , 167 South Asian American women, 168 Black women 160 , 164 and men 169 and Hispanic adolescents and adults. 170 , 171 The EDE does not assess for the potential role of acculturation or differential body image ideals by culture, and thus may have some limitations with regard to capturing certain ED attitudes and behaviors among culturally diverse adolescents.…”

Section: Considerations For Using the Ede With Specific Adolescent Su...mentioning

confidence: 99%

“…People who administer the EDE to youth with marginalized racial/ethnic identities can begin to combat these inequities by increasing awareness of the prejudices they may have regarding what ED symptoms “look like”. 173 Being aware of the additional cultural factors that can impact ED symptoms (eg, alternative body ideals, disordered eating as a means to cope with racism and oppression, industrialization and urbanization, social stigma) 160 , 174 , 175 may help interviewers identify manifestations of EDs in youth, despite potentially lower scores on the EDE, and refer individuals to appropriate treatments.…”

Section: Considerations For Using the Ede With Specific Adolescent Su...mentioning

confidence: 99%

“…More generally, some research has found that compared to non-Hispanic White, Asian-American, and Hispanic-American peers, Black women report lower levels of body dissatisfaction and disparate body image ideals. [158][159][160] However, the lack of culturally sensitive assessments of body image may have inaccurately perpetuated this notion of greater body satisfaction in certain racial and ethnic groups. 161 Other evidence indicates that non-Hispanic Black individuals do indeed report clinically relevant levels of body dissatisfaction.…”

Section: Marginalized Racial/ethnic Groupsmentioning

confidence: 99%

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Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Parker¹,

Lavender²,

Schvey³

et al. 2023

AHMT

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Approximately 35 years after its initial publication, the Eating Disorder Examination (EDE) remains one of the most widely used semi-structured interviews for assessing eating disorder diagnoses and symptomatology. Although the interview provides certain advantages over other common measurement approaches (ie, questionnaires), there are particular considerations regarding the EDE that warrant attention, including in its use with adolescents. The aims of this paper are therefore to: 1) provide a brief overview of the interview itself, as well as a description of its origin and underlying conceptual framework; 2) describe relevant factors for administering the interview with adolescents; 3) review potential limitations regarding use of the EDE with adolescents; 4) address considerations for using the EDE with pertinent subpopulations of adolescents who may experience distinct eating disorder symptoms and/or risk factors; and 5) discuss the integration of self-report questionnaires with the EDE. Advantages of using the EDE include the ability for interviewers to clarify complex concepts and mitigate inattentive responding, enhanced orientation to the interview timeframe to improve recall, increased diagnostic accuracy compared to questionnaires, and accounting for potentially salient external factors (eg, food/eating rules imposed by a parent/guardian). Limitations include more extensive training requirements, greater assessment burden, variable psychometric performance across subgroups, lack of items evaluating muscularity-oriented symptoms and avoidant/restrictive food intake disorder diagnostic criteria, and lack of explicit consideration for salient risk factors other than weight and shape concerns (eg, food insecurity).

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Section: Considerations For Using the Ede With Specific Adolescent Su...mentioning

confidence: 99%

Section: Considerations For Using the Ede With Specific Adolescent Su...mentioning

confidence: 99%

Section: Marginalized Racial/ethnic Groupsmentioning

confidence: 99%

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Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Parker¹,

Lavender²,

Schvey³

et al. 2023

AHMT

View full text Add to dashboard Cite

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“…13,14 Barriers to treatment include cost, limited recognition of eating disorder symptoms, bias in receiving referrals from medical providers and assuming cultural roles that may prioritize care of others over care of self. 15,16 Innovation is needed to offer a treatment programme that they will attend.…”

Section: Interventions To Treat Binge Eatingmentioning

confidence: 99%

“…First, despite the evidence of effective interventions for BED, Black women are less likely to access them and/or may be more likely to dropout 13,14 . Barriers to treatment include cost, limited recognition of eating disorder symptoms, bias in receiving referrals from medical providers and assuming cultural roles that may prioritize care of others over care of self 15,16 . Innovation is needed to offer a treatment programme that they will attend.…”

Section: Interventions To Treat Binge Eatingmentioning

confidence: 99%

Creating an appetite awareness and lifestyle modification intervention for Black women at risk for binge eating disorder: A pilot open trial

et al. 2023

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SummaryDespite the availability of evidence‐based interventions to improve binge eating, Black women have some of the lowest rates of access to care for eating disorders. Innovation is needed to offer accessible and culturally relevant treatment options. To this end, using an open trial design, we investigated the feasibility and acceptability of a group‐based, appetite awareness training (AAT) + lifestyle modification (LM) programme in Black women at risk for BED in a primary care setting. Participants (n = 20) were Black women recruited from a family medicine centre affiliated with a local public university, and who reported at least two binge eating episodes in the last 28 days. Participants completed a 16‐session AAT + LM programme over 4 months. Key outcomes were objective binge eating (assessed by the EDE and the EDE‐Q), body dissatisfaction, and weight change, all assessed at baseline, four (post‐treatment) and 6 months (2‐month follow‐up). Ninety‐five percent of participants completed assessments at post‐treatment and attended nearly 60% of intervention sessions. Among completers (n = 19), body dissatisfaction and objective binge eating decreased from baseline to post‐treatment and this decrease was maintained at the 2‐month follow‐up. In exit interviews, participants reported programme satisfaction. Providing training in appetite awareness combined with lifestyle modification principles may be useful in the treatment of body dissatisfaction and binge eating among Black women.

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The relationship between gendered racism and binge eating symptoms among young adult U.S. Black women: Identity shifting as a mediator

Dickens,

Cabirou,

Womack

et al. 2024

Eating Behaviors

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A Review of Binge-Eating Disorder in Black Women: Treatment Recommendations and Implications for Healthcare Providers

Cited by 6 publications

References 80 publications

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Creating an appetite awareness and lifestyle modification intervention for Black women at risk for binge eating disorder: A pilot open trial

The relationship between gendered racism and binge eating symptoms among young adult U.S. Black women: Identity shifting as a mediator

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