Binge eating disorder (BED) und Adipositas

Abstract

Binge Eating Disorder (BED) and Obesity In 1997, binge eating disorder (BED) was included into the DSM-IV as a provisional diagnostic category requiring further study. About 30% of the participants in weight loss programs meet criteria for BED. The prevalence of BED in the general population is 2%; BED is 1.5 times more common in women than men. In treating obese patients with BED there are several potential goals of treatment, including cessation of binge eating and improvement of eating-related psychopathology (e.g. concerns about weight and shape, restraint eating), weight loss or prevention of further weight gain, improvement of physical health, and reduction of psychiatric comorbidity. Contrary to expectations, weight loss programs do not appear to worsen the eating disorder, and successful treatment of binge eating does not automatically promote weight loss. Controlled treatment studies have shown that psychotherapeutic approaches and drug treatment may successfully reduce binge eating episodes in patients with BED. Remission rates are generally high (e.g. 50% and more following cognitive behavioral therapy), and the overall prognosis is better than for patients with bulimia nervosa. Patients who achieve complete abstinence from binge eating lose more weight compared to patients who remain symptomatic.

Different Facets of Body Image Disturbance in Binge Eating Disorder: A Review

“…It is assumed that about 65–70% of people fulfilling the criteria for BED also suffer from obesity, defined by the World Health Organization (WHO) as having a body mass index (BMI) of 30 kg/m 2 or above [ 7 , 10 , 11 ]. In addition, the proportion of participants with obesity in weight reduction programs, who also suffer from BED, is estimated at 20–30% [ 12 , 13 ]. Concerning mental comorbidities, about 70–79% of patients suffering from BED fulfill the criteria for other mental disorders such as affective disorders and anxiety disorders, and show an elevated risk for suicide, even after controlling for depression [ 14 , 15 ].…”

Stress‐induced laboratory eating behavior in obese women with binge eating disorder

“…The prevalence of the disorder in community samples is about 2-5%. [1][2][3][4] In clinical samples up to 30% suffer from BED. 3 Laboratory studies show that obese patients with BED consumed significantly more calories than obese patients without BED in particular, when they were asked to simulate a binge.…”

Kindesmisshandlung bei Binge-Eating-Störung: Ein systematischer Literaturüberblick

“…Darüber hinaus spielt Substanzmissbrauch häufig eine Rolle [16]. Die BES führt in der Regel zu Übergewicht und Adipositas [10,17,18]. Yanovski u. Kollegen [16] legen fanden Ähnliches [13]: 30 % der übergewichtigen Teilnehmer in Abnehmprogrammen waren von der BES betroffen.…”

“…Yanovski u. Kollegen [16] legen fanden Ähnliches [13]: 30 % der übergewichtigen Teilnehmer in Abnehmprogrammen waren von der BES betroffen. Die Ursachen für die BES sind weitestgehend unklar [10,12,14]. Wie für Essstörungen im Allgemeinen wird ein Zusammenspiel aus biologischen, psychologischen und sozialen Faktoren angenommen [12, 14, 19 -21].…”