Epidemiology, course, and outcome of eating disorders

Smink, Frédérique R. E.; Hoeken, Daphne van; Hoek, Hans W.

doi:10.1097/yco.0b013e328365a24f

Cited by 434 publications

(349 citation statements)

References 49 publications

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“…12,13 Although studies have estimated the epidemiologic implications of the updated DSM-5 BED criteria, [14][15][16] no large-scale surveys have used these criteria to assess BED prevalence or the demographic and clinical profiles of afflicted individuals. 17 This study estimated and compared BED prevalence based on DSM-5 and DSM-IV-TR criteria in a representative US adult population. It also determined the proportion of individuals meeting DSM-5 BED criteria who reported receiving a formal diagnosis of BED.…”

mentioning

confidence: 99%

Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States

Cossrow¹,

Pawaskar²,

Witt³

et al. 2016

J. Clin. Psychiatry

113

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Objective: To estimate binge eating disorder (BED) prevalence according to DSM-5 and DSM-IV-TR criteria in US adults and to estimate the proportion of individuals meeting DSM-5 BED criteria who reported being formally diagnosed. Methods: A representative sample of US adults who participated in the National Health and Wellness Survey were asked to respond to an Internet survey (conducted in October 2013). Assessments included 3-month, 12-month, and lifetime BED prevalence based on DSM-5 and DSM-IV-TR criteria and demographics, psychiatric comorbidities, and self-esteem (Rosenberg Self-Esteem Scale).Descriptive statistics are provided. Prevalence estimates were calculated using poststratification sampling weights. Results: Of 22,397 respondents, 344 (women, n = 242; men, n = 102) self-reported symptoms consistent with DSM-5 BED symptom criteria. The 3-month, 12-month, and lifetime DSM-5 prevalence estimates (95% CIs) projected to the US population were 1.19% (1.04%-1.37%), 1.64% (1.45%-1.85%), and 2.03%(1.83%-2.26%), respectively. The 12-month and lifetime projected DSM-IV-TR prevalence estimates were 1.15% (1.00%-1.32%) and 1.52% (1.35%-1.70%), respectively. Of respondents meeting DSM-5 BED criteria in the past 12 months, 3.2% (11/344) reported receiving a formal diagnosis. Compared with non-BED respondents, respondents meeting DSM-5 BED criteria in the past 12 months were younger (mean ± SD age = 46.01 ± 14.32 vs 51.59 ± 15.80 years; P < .001), had a higher body mass index (mean ± SD = 33.71 ± 9.36 vs 27.96 ± 6.68 kg/m 2 ; P < .001), and had lower self-esteem (mean ± SD score = 16.47 ± 6.99 vs 23.33 ± 6.06; P < .001). Conclusions: DSM-5 BED criteria resulted in higher BEDprevalence estimates than with DSM-IV-TR criteria. Most BED respondents did not report being formally diagnosed, indicating an unmet need in BED recognition and diagnosis. J Clin Psychiatry 2016;77(8) Binge eating disorder (BED), the general symptomatology of which was recognized as early as 1959, 1 was included in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) as a diagnosis for further study in the early 1990s.2-4 However, it did not receive official recognition as a distinct eating disorder until its inclusion in DSM-5 in 2013. 5 According to DSM-5 diagnostic criteria for BED (Table 1), binge eating must occur at least once a week for ≥ 3 months. These episodes are characterized by the consumption, in a discrete period of time, of a larger amount of food than is typical for most people under similar circumstances, by a sense of lack of control over eating, and by marked distress about binge eating. 5 Unlike bulimia nervosa (BN) and anorexia nervosa (AN), BED is not associated with recurrent inappropriate compensatory behaviors (eg, purging or excessive exercise). 5In the DSM-5, the binge episode frequency criterion was reduced from the DSM-IV Text Revision (DSM-IV-TR) criterion of ≥ 2 days per week for ≥ 6 months, 6 but other criteria were unchanged. Therefore, individuals previously not me...

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mentioning

confidence: 99%

Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States

Cossrow¹,

Pawaskar²,

Witt³

et al. 2016

J. Clin. Psychiatry

113

View full text Add to dashboard Cite

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“…Se caracteriza por la aparición de episodios de ingesta compulsiva (atracones) de una cantidad excesiva de comida -los cuales tienen lugar en un breve espacio de tiempo-, así como por la pérdida de control sobre dicha ingesta, malestar acusado respecto a los atracones y ausencia de conductas compensatorias (apa, 2013). Su prevalencia es mayor que la de otros trastornos de la alimentación (Reas y Grilo, 2015); y se sitúa entre el 1% y el 2% en población general (Ágh et al, 2015;Kessler et al, 2013;Smink, van Hoeken y Hoek, 2013), si bien Hudson, Coit, Lalonde y Pope (2010) estiman que con su inclusión en el dsm-5 esta experimentará un ligero aumento, logrando alcanzar el 2,9% en mujeres y el 3% en hombres. Los datos existentes acerca de los efectos a largo plazo del ta, incluyendo los de mortalidad y su curso, así como estudios de seguimiento al respecto son muy escasos, a diferencia de la extensa literatura que sobre estos aspectos se posee acerca de otros trastornos de la alimentación, como la bulimia o la anorexia nerviosa (Smink, van Hoeken y Hoek, 2013).…”

Section: Introductionunclassified

“…Su prevalencia es mayor que la de otros trastornos de la alimentación (Reas y Grilo, 2015); y se sitúa entre el 1% y el 2% en población general (Ágh et al, 2015;Kessler et al, 2013;Smink, van Hoeken y Hoek, 2013), si bien Hudson, Coit, Lalonde y Pope (2010) estiman que con su inclusión en el dsm-5 esta experimentará un ligero aumento, logrando alcanzar el 2,9% en mujeres y el 3% en hombres. Los datos existentes acerca de los efectos a largo plazo del ta, incluyendo los de mortalidad y su curso, así como estudios de seguimiento al respecto son muy escasos, a diferencia de la extensa literatura que sobre estos aspectos se posee acerca de otros trastornos de la alimentación, como la bulimia o la anorexia nerviosa (Smink, van Hoeken y Hoek, 2013). Lo que sí se conoce es que el ta es un problema común entre la población que presenta obesidad, la cual a su vez se asocia a diferentes enfermedades tales como la diabetes, la hipertensión, la hipercolesterolemia y enfermedades cardíacas que pueden conllevar serias consecuencias para la salud, afectar la calidad de vida de quienes las padecen e implicar un inadecuado funcionamiento social, tal como concluyeron Ágh et al (2015) tras una revisión de diversas investigaciones.…”

Section: Introductionunclassified

Tratamientos actuales del trastorno por atracón

González-Calderón

Ormaechea-Alegre

2016

Pensando Psicol.

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ResumenIntroducción: a pesar de que el trastorno por atracón (ta) constituye un importante problema de salud, menos de la mitad de quienes lo padecen reciben tratamiento. Objetivo: revisar la literatura reciente sobre las intervenciones llevadas a cabo en casos de ta. Método: con el fin de llevar a cabo la presente revisión narrativa, se han consultado las bases de datos Pubmed, Medline y Scielo. Solo se eligieron artí-culos en revistas indexadas en la Web of Science. La literatura revisada corresponde a los artículos más citados publicados en el período temporal que abarca desde el 2010 hasta el 2015. Resultados y conclusiones: los resultados muestran que las intervenciones más utilizadas son las de índole psicológica, entre las cuales se destacan la terapia cognitivo-conductual y la terapia interpersonal, recomendada esta última en pacientes con patología más severa. La terapia de conducta de pérdida de peso es menos eficaz al no reducir los atracones, por lo que no constituye el tratamiento de elección. Aunque algunos antidepresivos y antiepiléticos han mostrado cierta utilidad para reducir los atracones, el peso y patologías comórbidas, no hay evidencia de que la intervención farmacológica por sí sola sea más eficaz que la psicológica, ni de que mejore los resultados de la segunda cuando ambos se aplican conjuntamente. The results show that the most commonly used interventions are those of psychological nature, including cognitive behavioral therapy and interpersonal therapy, the latter recommended in patients with a more severe pathology. The behavioral therapy for weight loss is less effective by not reducing binge eating; therefore, it is not the treatment of choice. Although some antidepressant and antiepileptic drugs have shown some utility in reducing binge eating, weight and comorbidities, there is no evidence that pharmacological intervention alone is more effective than psychological intervention, or that it improves the results of the latter when both are applied together.

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“…The course of EDs is long; in many cases, patients need several years to recover. Moreover, a substantial number of patients do not recover fully or even partially and run the risk of developing a chronic disorder [6,7].…”

Section: Introductionmentioning

confidence: 99%

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Gonidakis¹,

Karapavlou²

2017

Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness

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Eating Disorders (EDs) are quite distinct and difficult to treat mental disorders. Remarkably, when reviewing studies on the recovery process of ED's, the patients' experience of the therapeutic process has rarely been taken into account. To address the issue of the patients perspective on their recovery a study was conducted among ED patients. The main aims of the study were to investigate treatment factors, according to the patients view, that contributed to their recovery. Also, if there was any significant improvement within the first six months of the treatment and whether subjective improvement was in accordance with objective ED improvement and finally possible, if any, differences between different diagnostic groups.Overall, four major conclusions were produced. First, most of the patients appreciate a structured therapy in a specialized unit for EDs with a caring therapist that can form a strong therapeutic alliance with them. Second, most of the patients regard as recovery a change that goes beyond ED symptomatology to a more "holistic" improvement. Third, the patients opinion on therapy and recovery is not influenced by the diagnosis of the ED. Finally, the opinion of the patient and the objective evaluation of recovery present more similarities than differences.

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Epidemiology, course, and outcome of eating disorders

Cited by 434 publications

References 49 publications

Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States

Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States

Tratamientos actuales del trastorno por atracón

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

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