Exploring women's experiences of treatment for binge eating disorder: Methylphenidate vs. cognitive behavioural therapy

Moghimi, Elnaz; Davis, Caroline; Bonder, Revi; Knyahnytska, Yuliya; Quilty, Lena C.

doi:10.1016/j.pnpbp.2021.110492

Cited by 7 publications

(1 citation statement)

References 340 publications

(461 reference statements)

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“…Participants described the opportunity to tell their story, feeling understood and mirrored, both by the content of the PNP and the way therapists delivered the treatment, reduced feelings of shame and stimulated feelings of equality. Valuation of the interpersonal relationship with clinicians and their ability to create a safe and comforting environment to promote change, corresponds to qualitative research on patients’ experiences with BED-treatment [ 31 ]. On the other hand, negative experiences with healthcare providers can be associated with greater levels of unmet healthcare needs [ 16 , 17 ], as described by the participants in numerus treatment situations prior to the PNP .…”

Section: Discussionmentioning

confidence: 99%

Patient experiences of a 10-weeks weight-neutral treatment program for clinical binge eating disorder in a higher weight population

Berg,

Natvik,

Eik-Nes

2023

J Eat Disord

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Background Weight based stigma might drive the development of both higher weight and binge eating disorder (BED). To improve treatment and outcomes, a deeper understanding of how stigma and shame are correlated in clinical encounters is needed. The current study was designed to gain insight into how participating in a 10-weeks weight-neutral treatment program for patients with binge eating disorder and higher weight was experienced. Methods Semi-structured interviews were conducted with 10 patients who had completed the BED treatment. The intervention was group based, addressing stigma and shame, using models of attachment and affect regulation in the presentation of BED. Interviews were analyzed guided by van Manen’s hermeneutic-phenomenological approach. Results A profound feeling of inferiority due to weight stigma and adverse childhood experiences appeared to have kept the participants stuck in a shame driven carousel of dieting, weight loss, bingeing, and weight regain. Participants and health care professionals’ mutual acknowledgement of driving elements of binge eating appeared to support participants feeling more equal. Feeling equal was described as facilitating increased awareness and tolerance of bodily sensations and emotions, and a deeper understanding and self-caring attitude towards themselves. Feeling less shame was described as important for self-disclosure in family relationships, leading to increased understanding and support from others. Simultaneously, unchanged stigmatizing surroundings were described to relate to challenges with eating patterns and weight after end of treatment. Conclusion Our findings indicate that relational symmetry, by patients experienced as being met with recognition, compassionate acceptance, and mutual investigation of subjective experience, can contribute to reduction of weight stigma and shame, and the burdensome notion of inferiority experienced by the participants in everyday life, hence improving treatment outcomes. Trail registration The study was approved and registered by the Data Access Committee at Nord-Trøndelag Hospital Trust August 8th, 2019, registration number 2019_2335.

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Section: Discussionmentioning

confidence: 99%

Patient experiences of a 10-weeks weight-neutral treatment program for clinical binge eating disorder in a higher weight population

Berg,

Natvik,

Eik-Nes

2023

J Eat Disord

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Remote vs Face-to-face Interventions for Bulimia Nervosa and Binge-eating Disorder: a Systematic Review and Meta-analysis

Samara,

Michou,

Argyrou

et al. 2023

J. technol. behav. sci.

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Remote delivery of interventions (e.g., online sessions, telephone sessions, e-mails, SMS, applications) facilitate access to health care and might be an efficacious alternative to face to face treatments for bulimia nervosa (BN) and binge-eating disorder (BED). Telehealth has evolved rapidly in recent years, facilitating access to health care, as it seems to be more accessible among different groups of the population. In the light of the COVID-19 pandemic, we decided to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) that compared remote versus face-to-face interventions for the treatment of BN and BED. We searched EMBASE, PubMed, CENTRAL, ClinicalTrials.gov, and WHO ICTRP and reference lists of relevant articles up to April, 2023. The primary outcomes were remission (defined as abstinence from binge/bulimic episodes for at least 2 weeks) and frequency of binge episodes. We also analyzed frequency of purging episodes, response, mean values of eating disorder psychopathology, depression, anxiety, and quality of life rating scales as well as drop-out rates and adverse effects. Six RCTs were identified with a total of 698 participants. Face-to-face interventions were found more effective than remote interventions in terms of remission (RR = 0.69, 95% CI 0.53 to 0.89, P = 0.004, 4 RCTs, N = 526), but the result was mainly driven by one study. No important differences were found in the remaining outcomes; nevertheless, most comparisons were underpowered. Few adverse effects were reported. Remote interventions demonstrated comparable efficacy to face-to-face interventions in treating BN and BED, providing effective and acceptable healthcare to patients who would otherwise go untreated. Nonetheless, to arrive at more definitive and secure conclusions, it is imperative that additional randomized controlled trials and robust real-world effectiveness studies, preferably with appropriate comparison groups, are conducted.

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Beyond substance use disorders

Yates¹

2023

Determinants of Addiction

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Exploring women's experiences of treatment for binge eating disorder: Methylphenidate vs. cognitive behavioural therapy

Cited by 7 publications

References 340 publications

Patient experiences of a 10-weeks weight-neutral treatment program for clinical binge eating disorder in a higher weight population

Patient experiences of a 10-weeks weight-neutral treatment program for clinical binge eating disorder in a higher weight population

Remote vs Face-to-face Interventions for Bulimia Nervosa and Binge-eating Disorder: a Systematic Review and Meta-analysis

Beyond substance use disorders

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