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Binge Eating Disorder

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nancy Stecker

on 15 October 2013

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Transcript of Binge Eating Disorder

Binge Eating Disorder is recurrent episodes of binge-eating that occur, on average, at least once a week for for 3 months.
What Defines a Binge?
A binge is characterized by:
eating in a discrete period of time, an amount of food that is definitely larger than what an an average person would eat in similar time, under similar circumstances.
A sense of lack of control over eating during the episode. For example, feeling psychically full but feeling compelled to continue eating.
Binge Eating Disorder
What Qualifies as a Binge?
Binge-eating episodes are associated with 3 or more of the following:
Eating more rapidly than normal
Eating until uncomfortably full
Eating large amounts of food when not psychically hungry
Eating alone due to feelings of embarrassment or shame due to amount of food being consumed.
Feeling disgusted, depressed or guilty after consumption.

Binge Eating and Lack of Compensatory Behavior
Binge-eating is not associated with the recurrent use of inappropriate compensatory behavior such as in Bulimia or Anorexia; there is no purging or restriction.
Severity of Binges
There are four levels of severity for binge-eating disorder:
Mild: 1-3 binge-eating episodes per week
Moderate: 4-7 binge-eating episodes per week
Severe: 8-13 binge-eating episodes per week
Extreme: 14 or more binge-eating episodes per week
Binge Eating and Gender
Binge Eating Disorder occurs in 1 out of 35 adults in the U.S.
This equals approximately 3-5% of women (about 5 million) and 2 % of men (3 million).
Binge Eating and Weight
There are no compensatory mechanisms associated with the binge to get rid of the calories, so individuals with binge-eating disorder are more likely to be overweight or obese, but that does not mean that all people who are obese are binge-eaters or that all binge-eaters are obese.
Binge-Eating and Race
Binge-eating disorder is as common in African American women as it in Caucasian and Hispanic women.
Eating disorders are typically twice as common in women, however, binge-eating disorder is more prevalent than other eating disorders, with a 40% occurrence in men.
Comorbidity
Treatments for Binge Eating Disorder
A Yale study of 304 people diagnosed with binge-eating disorder found that 73.8% of patients with binge-eating disorder had at least one additional lifetime psychiatric disorder and 43.1% had at least one current psychiatric disorder.

Over the course of a lifetime, mood (54.2%), anxiety (37.1%), and substance use (24.8%) disorders were most common. (www.ncbi.nlm.nih.gov/pmc/articles/PMC3666349/)
Cognitive Behavioral Therapy
Interpersonal Psychotherapy
Focuses on the relationship problems and interpersonal issues that contribute to compulsive eating. Therapy will help improve communication skills and develop healthier relationships with family members and friends.
Dialectical Behavior Therapy
Combines cognitive-behavioral techniques with mindfulness meditation. The emphasis of therapy is on teaching binge eaters how to accept themselves, tolerate stress better, and regulate their emotions. Therapy will also address unhealthy attitudes about eating, shape, and weight. Both individual treatment sessions and weekly group therapy sessions are recommended.
Pharmacological Treatment
Used in combination with therapy:
Appetite suppressants – Studies on the appetite-suppressing drug sibutramine, known by the brand name Meridia, indicate that it may reduce the number of binge eating episodes and promote weight loss.
Topamax – The seizure drug topiramate, or Topamax, may decrease binge eating and increase weight loss.
Antidepressants – Research shows that antidepressants may decrease binge eating in people with bulimia and may also help people with binge eating disorder.

Video Clip on Binge Eating Disorder
Focuses on the dysfunctional thoughts and behaviors involved in binge eating. Therapy will help recognize binge-eating triggers and learn how to avoid or combat triggers.
References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3666349/

http://www.nimh.nih.gov/statistics/1EAT_ADULT_RB.shtml

http://www.nami.org/Content/ContentGroups/Helpline1/Binge_Eating_Disorder.htm

http://www.anad.org/get-information/about-eating-disorders/binge-eating-disorder/

Zeeck, A., Stelzer, N., Linster, H. W., Joos, A. and Hartmann, A. (2011), Emotion and eating in binge eating disorder and obesity. Eur. Eat. Disorders Rev., 19: 426–437. doi: 10.1002/erv.1066

Tanofsky-Kraff, M., Bulik, C. M., Marcus, M. D., Striegel, R. H., Wilfley, D. E., Wonderlich, S. A. and Hudson, J. I. (2013), Binge eating disorder: The next generation of research. Int. J. Eat. Disord., 46: 193–207. doi: 10.1002/eat.22089

Health Consequences of Binge Eating Disorder
People with binge eating disorder may gain weight. Weight gain can lead to obesity, and obesity raises the risk for these health problems:
• Type 2 diabetes
• High blood pressure
• High cholesterol
• Gallbladder disease
• Heart disease
• Certain types of cancer
(womenshealth.gov/publications/our-publications/fact-sheet/binge-eating-disorder.cfm#b)
Trailer for Movie that Shows Parallel Between Drug Addiction and Binge Eating Disorder
Full transcript