Effects of A Web-based Binge Eating Disorder Intervention Program on Eating Behaviors and Food Addiction in Overweight or Obese Females

This chapter provides an overview of the use of IPT for patients with eating disorders. The most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating disorder. The chapter discusses the adaptations of IPT that have been used for the treatment of eating disorders and evaluates their performance in research studies. The assumption for testing IPT with eating disorders is that they occur in response to distress at poor social and interpersonal functioning and consequent negative mood, to which the patient responds with maladaptive eating behaviors. For anorexia nervosa, few data provide evidence for the benefit of IPT. For bulimia and binge eating disorder, however, IPT is considered a viable option for treatment and is recommended in numerous guidelines. A case example of a woman with bulimia nervosa is provided.

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Comparing stigmatizing attitudes toward anorexia nervosa, binge-eating disorder, avoidant-restrictive food intake disorder, and subthreshold eating behaviors in college students

Eating Behaviors ◽

10.1016/j.eatbeh.2020.101443 ◽

2020 ◽

Vol 39 ◽

pp. 101443

Author(s):

Jordan M. Ellis ◽

Jamal H. Essayli ◽

Hana F. Zickgraf ◽

James Rossi ◽

Reid Hlavka ◽

...

Keyword(s):

College Students ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Food Intake ◽

Binge Eating ◽

Binge Eating Disorder ◽

Eating Behaviors ◽

Stigmatizing Attitudes

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A commentary on the associations among ‘food addiction’, binge eating disorder, and obesity: Overlapping conditions with idiosyncratic clinical features

Appetite ◽

10.1016/j.appet.2016.11.001 ◽

2017 ◽

Vol 115 ◽

pp. 3-8 ◽

Cited By ~ 49

Author(s):

Caroline Davis

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Clinical Features ◽

Binge Eating Disorder ◽

Food Addiction

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Exploring Participants’ Experiences of a Web-Based Program for Bulimia and Binge Eating Disorder: Qualitative Study (Preprint)

10.2196/preprints.17880 ◽

2020 ◽

Author(s):

See Heng Yim ◽

Emma Bailey ◽

Gemma Gordon ◽

Nina Grant ◽

Peter Musiat ◽

...

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Real Time ◽

Binge Eating Disorder ◽

Clinical Characteristics ◽

Perceived Usefulness ◽

Cognitive Behavioral ◽

Web Based ◽

Self Help ◽

The Uk

BACKGROUND Guided cognitive behavioral self-help is a recommended first-line treatment for eating disorders (EDs) such as bulimia nervosa (BN) or binge eating disorder (BED). Online versions of such self-help programs are increasingly being studied in randomized controlled trials (RCTs), with some evidence that they can reduce ED symptoms, although intervention dropout is variable across interventions. However, in-depth research into participants’ experiences and views on the acceptability of web-based interventions is limited. OBJECTIVE This is a qualitative process study of participants’ experiences of everyBody Plus, a web-based cognitive behavioral intervention, integrated into a large RCT to aid the interpretation of the main trial’s results. To our knowledge, this is the first such study in digital intervention for EDs research to include real-time feedback into the qualitative analysis. This study aims to build upon the emerging literature by qualitatively exploring participants’ experiences of a web-based intervention for BN and BED. METHODS Participants were those who took part in the UK arm of a larger RCT investigating the efficacy of the everyBody Plus intervention. Reflexive thematic analysis was completed on 2 sources of data from the online platform: real-time feedback quotes provided at the end of completing a module on the platform (N=104) and semistructured telephone interview transcripts (n=12). RESULTS Four main themes were identified. The first theme identified positive and negative user experiences, with a desire for a more customized and personalized intervention. Another theme positively reflected on how flexible and easy the intervention was to embed into daily life, compared with the silo of face-to-face therapy. The third theme identified how the intervention had a holistic impact cognitively, emotionally, interpersonally, and behaviorally. The final theme was related to how the intervention was not a one size fits all and how the perceived usefulness and relevance were often dependent on participants’ demographic and clinical characteristics. CONCLUSIONS Overall, participants reported positive experiences with the use of the everyBody Plus web-based intervention, including flexibility of use and the potential to holistically impact people’s lives. The participants also provided valuable suggestions for how similar future web-based interventions could be improved and, in the context of EDs, how programs can be designed to be more inclusive of people by encompassing different demographic and clinical characteristics.

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Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint

Nutrients ◽

10.3390/nu12102937 ◽

2020 ◽

Vol 12 (10) ◽

pp. 2937 ◽

Cited By ~ 2

Author(s):

David Wiss ◽

Timothy Brewerton

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Eating Behaviors ◽

Food Addiction ◽

Dietary Restraint ◽

Treatment Strategies ◽

False Positives ◽

Assessment Process ◽

Clinical Vignettes ◽

Pathological Eating

Converging evidence from both animal and human studies have implicated hedonic eating as a driver of both binge eating and obesity. The construct of food addiction has been used to capture pathological eating across clinical and non-clinical populations. There is an ongoing debate regarding the value of a food addiction “diagnosis” among those with eating disorders such as anorexia nervosa binge/purge-type, bulimia nervosa, and binge eating disorder. Much of the food addiction research in eating disorder populations has failed to account for dietary restraint, which can increase addiction-like eating behaviors and may even lead to false positives. Some have argued that the concept of food addiction does more harm than good by encouraging restrictive approaches to eating. Others have shown that a better understanding of the food addiction model can reduce stigma associated with obesity. What is lacking in the literature is a description of a more comprehensive approach to the assessment of food addiction. This should include consideration of dietary restraint, and the presence of symptoms of other psychiatric disorders (substance use, posttraumatic stress, depressive, anxiety, attention deficit hyperactivity) to guide treatments including nutrition interventions. The purpose of this review is to help clinicians identify the symptoms of food addiction (true positives, or “the signal”) from the more classic eating pathology (true negatives, or “restraint”) that can potentially elevate food addiction scores (false positives, or “the noise”). Three clinical vignettes are presented, designed to aid with the assessment process, case conceptualization, and treatment strategies. The review summarizes logical steps that clinicians can take to contextualize elevated food addiction scores, even when the use of validated research instruments is not practical.

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