Epidemiology, health-related quality of life and economic burden of binge eating disorder: a systematic literature review

Ágh, Tamás; Kovaćs, Gábor L.; Pawaskar, Manjiri; Supina, Dylan; Inotai, András; Vokó, Zoltán

doi:10.1007/s40519-014-0173-9

Cited by 127 publications

(71 citation statements)

References 54 publications

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“…Binge eating disorder (BED) is the newest defined and most frequent eating disorder with a significant mental burden and a high comorbidity with obesity and subsequent somatic diseases [1]. The main criterion of BED according to DSM-5 [2] is the occurrence of binge eating (BE) episodes, at least once a week in 3 months, accompanied by a subjective loss of control.…”

Section: Introductionmentioning

confidence: 99%

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

Schag¹,

Rennhak²,

Leehr

et al. 2019

Psychother Psychosom

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Background: Impulsivity is a risk factor for binge eating disorder, and binge eating (BE) equates to impulsive eating behaviour. Hence, we developed IMPULS, a cognitive behavioural group intervention focusing on impulsive eating. Methods: We randomised 41 patients to the IMPULS group and 39 to the control group. The IMPULS group participated in the IMPULS treatment, while both groups completed weekly self-observations. We compared both groups concerning BE episodes in the past 4 weeks at the end of treatment (primary outcome). As secondary outcomes, we investigated eating pathology, depression, general impulsivity and body mass index (BMI) at the end of treatment and in a 3-month follow-up. Results: The primary outcome failed, because BE episodes in the past 4 weeks were reduced in both groups at the end of treatment. At follow-up, the IMPULS group showed further improvement, contrary to the control group. The BE days/episodes in the 2 months before were overall reduced in both groups. Eating pathology was reduced in the IMPULS group at the end of treatment and partly in both groups at the follow-up. Depression was only reduced in the IMPULS group. General impulsivity and BMI did not change. Conclusions: The IMPULS study has a negative primary outcome. However, secondary outcomes indicate that the IMPULS treatment might be promising, as BE, eating pathology and depression were reduced in the IMPULS group. The initially reduced BE in the control group might represent a short-term effect from the self-observations. General impulsivity and BMI might need a longer time or more intensive treatment to change.

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Section: Introductionmentioning

confidence: 99%

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

Schag¹,

Rennhak²,

Leehr

et al. 2019

Psychother Psychosom

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“…Moreover, pathological eating is increased in patients with obesity seeking bariatric surgery [4,20]. Particularly, the diagnosis of a binge eating disorder (BED) in patients who wait for bariatric surgery, with a point prevalence of 13.4% and 14.6% of subthreshold binge eating, is remarkably high [21], compared with the lifetime prevalence of 1.1%–1.9% in the general population [22]. Concerning the impact of the affective state , several studies indicate that people with obesity show pathological eating behavior especially in negative mood [23], which is in line with the negative urgency concept of impulsivity [15].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Impulsivity on Weight Loss Four Years after Bariatric Surgery

et al. 2016

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Bariatric surgery has serious implications on metabolic health. The reasons for a failure of bariatric surgery, i.e., limited weight loss, are multifactorial and include psychological factors. We established a theoretical model of how impulsivity is related to weight loss outcome. We propose that depressive symptoms act as a mediator between impulsivity and pathological eating behavior, and that pathological eating behavior has a direct impact on weight loss outcome. We calculated excessive weight loss (%EWL) and assessed self-reported impulsivity (using the Baratt Impulsiveness Scale (BIS-15) total score), depressive symptoms (the Patient Health Questionnaire (PHQ-9) score), and pathological eating behavior (the Eating Disorder Inventory 2 (EDI-2) total score) in 65 patients four years after laparoscopic sleeve gastrectomy. Regression and mediation analyses were computed to validate the theoretical model. The BIS-15, PHQ-9, and EDI-2 have medium to high correlations between each other, and EDI-2 correlated with %EWL. The mediation analysis yielded that the PHQ-9 represents a significant mediator between BIS-15 and EDI-2. The regression model between EDI-2 and %EWL was also significant. These results support our theoretical model, i.e., suggest that impulsivity has an indirect impact on weight loss outcome after bariatric surgery, mediated by depression and transferred through pathological eating behavior. Thus, the underlying psychological factors should be addressed in post-operative care to optimize weight loss outcome.

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“…Another study drawn from the same population showed an independent increased risk of irritable bowel syndrome and gastroesophageal reflux disorder (GERD) [29]. Overall health-related quality of life in binge eating patients is significantly lower than noneating disorder patients and physical health-related quality of life in the BED group is lower than that of other eating disorder groups [30].…”

Section: Specify Ifmentioning

confidence: 99%