scholarly journals The use of a manual-driven group cognitive behavior therapy in a Brazilian sample of obese individuals with binge-eating disorder

2007 ◽  
Vol 29 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Mônica Duchesne ◽  
José Carlos Appolinario ◽  
Bernard Pimentel Rangé ◽  
Julia Fandiño ◽  
Tatiana Moya ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Binge Eating Disorder ◽  
Cognitive Behavior Therapy ◽  
Body Shape ◽  
Cognitive Behavior ◽  
Obese Subjects ◽  
Shape Concern

OBJECTIVE: To assess the effectiveness of a manual-based cognitive behavior therapy adapted to a group format in a sample of Brazilian obese subjects with binge-eating disorder. METHOD: In an open trial, 21 obese subjects with binge-eating disorder received a group cognitive-behavioral therapy program. Changes in binge-eating frequency, weight, body shape concerns, and depressive symptoms were compared between baseline and the end of the study. RESULTS: The mean frequency of binge-eating episodes significantly decreased from baseline to post-treatment (p < 0.001), with a binge eating remission rate of 76.1% at the end of the trial. Depressive symptoms and body shape concern also improved (p < 0.001). In addition, weight loss was statistically and clinically significant. CONCLUSION: The use of this adapted manual-based cognitive behavior therapy in this sample resulted in a marked improvement in binge-eating, weight, body shape concern, and depressive symptoms related to binge-eating disorder.

Double-Blind, Randomized, Placebo-Controlled Trial of Topiramate Plus Cognitive-Behavior Therapy in Binge-Eating Disorder

2007 ◽  
Vol 68 (09) ◽  
pp. 1324-1332 ◽  
Author(s):  
Angélica M. Claudino ◽  
Irismar R. de Oliveira ◽  
José Carlos Appolinario ◽  
Táki A. Cordás ◽  
Monica Duchesne ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Behavior Therapy ◽  
Binge Eating Disorder ◽  
Cognitive Behavior Therapy ◽  
Controlled Trial ◽  
Cognitive Behavior ◽  
Double Blind

Cognitive behavior therapy in patients with binge eating disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 739-739
Author(s):  
V. Vaidya
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Disordered Eating ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Eating Behaviors ◽  
Psychiatric Symptoms ◽  
Eating Habits ◽  
Cognitive Behavior ◽  
Before And After

IntroductionWith the growing epidemic of obesity many treatments are aimed at reducing weight like diets, exercise, pharmacotherapy and bariatric surgery. All of these can reduce weight at least for a period; however none of them adequately address the behavior of binge eating/eating disorder.Aimassessed the role of Cognitive Behavior therapy in reducing disordered eating behavior.MethodThe subjects were enrolled in 12 weeks CBT. They were all obese and had a score of > 20 on the BES. They completed a BDI, MBSRQ, and BES before and after the groups. Their weight was recorded before and after the 12 weeks. 79 patients were enrolled in groups over a period of 3 years. Of those 56 patients completed the groups and questionnaires. Most groups consisted of 6–8 patients.Discussion70% of patients had psychiatric symptoms psychotropic medications like antidepressants. More than 70% felt their eating habits were more in control and felt more informed about themselves since attending CBT groups. All of the patients who stayed and attended groups felt that the connection helped them sustain better eating habits. 67% of patients had lost 4–30 lbs during the 12 weeks of CBT, none had gained weight.ConclusionCBT helps the patient reduce disordered eating behaviors by understanding the cause of their self sabotage. CBT addresses the core of the problem i.e. disordered behavior as opposed to its consequences (viz. obesity and its multiple medical comorbidities); while affecting weight indirectly.

scholarly journals Binge eating disorder, anxiety, depression and body image in grade III obesity patients

2002 ◽  
Vol 24 (4) ◽  
pp. 165-169 ◽  
Author(s):  
Maria Isabel R Matos ◽  
Luciana S Aranha ◽  
Alessandra N Faria ◽  
Sandra R G Ferreira ◽  
Josué Bacaltchuck ◽  
...  
Keyword(s):  
Body Image ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
High Frequency ◽  
Body Image Disturbances ◽  
Severely Obese ◽  
Anxiety Depression ◽  
Grade Iii

INTRODUCTION: The objective of this study was to assess the frequency of Binge Eating Disorder (BED) or Binge Eating episodes (BINGE), anxiety, depression and body image disturbances in severely obese patients seeking treatment for obesity. METHOD: We assessed 50 patients (10M and 40F) with Body Mass Index (BMI) between 40 and 81.7 Kg/m² (mean 52.2±9.2 Kg/m²) and aging from 18 to 56 years (mean 38.5±9.7). Used instruments: Questionnaire on Eating and Weight Patterns <FONT FACE=Symbol>¾</FONT> Revised (QEWP-R) for BED or BINGE assessment, Beck Depression Inventory (BDI) for depressive symptoms, State - Trait Anxiety Inventory (STAI-TRAIT and STAI-STATE) for anxiety and Body Shape Questionnaire (BSQ) for body image assessments. RESULTS: In this population BED and BINGE frequencies were 36% and 54%, respectively. Symptoms of depression were detected in 100% while severe symptomatology was found in 84% of the cases. The frequency of anxiety as a trait was 70%, as a state, 54% and 76% of all patients reported discomfort regarding body image. The frequency of BED was higher in patients with higher anxiety scores as a personality trait (>40) but not as a state (46% vs. 13%; p<0,05). A high frequency of BINGE was found in those with higher scores (>140) in the BSQ assessment. CONCLUSION: Our results indicate a high frequency of binge eating episodes, severe depressive symptoms, anxiety and concern with body image in grade III obesity patients.

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