scholarly journals “Gender Differences in the Psychopathology of Obesity: How Relevant is the Role of Binge Eating Behaviors?”

2021 ◽  
Author(s):  
Chiara Di Natale ◽  
Lorenza Lucidi ◽  
Chiara Montemitro ◽  
Mauro Pettorruso ◽  
Rebecca Collevecchio ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorder ◽  
Binge Eating ◽  
Eating Behaviors ◽  
Well Being ◽  
Body Image Dissatisfaction ◽  
The Body ◽  
Psychiatric Evaluation ◽  
Eating Disorder Examination ◽  
Chi Squared

Abstract Purpose: the aim of the study is the identification of the main psychopathological correlates of obese candidates for bariatric surgery, with particular attention to the relation between them and gender.Methods: 273 candidates for bariatric surgery for obesity underwent a psychiatric evaluation with compilation of psychometric scales: Revised Symptom Checklist 90-R (SCL-90R), Eating Disorder Examination Questionnaire (EDE-Q), Binge Eating Scale (BES), Body Uneasiness Test (BUT), Obesity Related Well-Being (O.R. WELL). The sample has been divided on the basis of Gender and Binge Eating Disorder (BED) severity; comparisons between the groups is performed with an analysis of variance model (ANOVA) or a Pearson’s Chi-squared test. Further we also divided our sample in a Severe Binge Eating group (scores > 27), a Mild to Moderate group (18 < scores < 26) and a low/no symptoms group (scores < 17).Results: male and female subjects showed a difference in BES, with higher scores reported among women (17.50 ± 9.59) than men (14.08 ± 8.64). Women also showed higher scores across most of the SCL-90R domains and worse outcomes in terms of quality of life. Both women and men of Severe Binge Eating group reported higher scores of the SCL-90R.Conclusion: symptoms of BED, along with the Body Image Dissatisfaction (BID) are among the most important to investigate in candidates for bariatric surgery, to improve the surgery outcome.Level of evidence: III – evidence from cohort analytic study.

scholarly journals The Tree Is My Anchor: A Pilot Study on the Treatment of BED through Nature-Based Therapy

2018 ◽  
Vol 15 (11) ◽  
pp. 2486 ◽  
Author(s):  
Sus Corazon ◽  
Ulrik Sidenius ◽  
Katrine Vammen ◽  
Sabine Klinker ◽  
Ulrika Stigsdotter ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Pilot Study ◽  
Binge Eating ◽  
Subjective Experience ◽  
Small Sample Size ◽  
Well Being ◽  
Self Esteem ◽  
Small Sample ◽  
Structured Interviews ◽  
Eating Disorder Examination

Binge eating disorder (BED), characterized by recurrent episodes of binge eating with a subjective experience of lack of control, is the world’s most common eating disorder. The aim of the present pilot study was to examine the feasibility of implementing nature-based therapy (NBT) in the treatment of BED. The NBT intervention was compared to Support Group Meetings (SGMs), which are the only publicly available form of support for people diagnosed with BED in Denmark. Twenty participants with a BED diagnosis were included in the study, which had a mixed-methods design including Eating Disorder Examination interviews, semi-structured interviews, and questionnaires measuring well-being (The Psychological General Well-Being Index) and self-esteem (Rosenberg’s Self-Esteem Scale). Both the NBT and the SGMs showed positive results on all outcome measures (decreases in binge eating episodes and increases in general psychological well-being and self-esteem). The interviews indicated that the NBT context made the psychotherapeutic content more accessible to the participants and further helped them transfer the therapeutic gains to daily life after completing treatment. However, these results should be interpreted with caution due to the small sample size—ideally, they would need to be tested on a larger, randomized sample.

scholarly journals Contributions of Emotional Overload, Emotion Dysregulation, and Impulsivity to Eating Patterns in Obese Patients with Binge Eating Disorder and Seeking Bariatric Surgery

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3099 ◽  
Author(s):  
Farid Benzerouk ◽  
Zoubir Djerada ◽  
Eric Bertin ◽  
Sarah Barrière ◽  
Fabien Gierski ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Emotion Regulation ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Emotion Dysregulation ◽  
Eating Behaviors ◽  
Emotional Dysregulation ◽  
Obese Patients ◽  
Multivariable Analyses

Background: Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but little is known on the mechanisms involved. The present study aimed to focus on emotion regulation, impulsivity, depression, and anxiety in people with and without BED and fulfilling inclusion criteria for bariatric surgery. Doing so, we sought to individualize factors related to BED. Then, we examined the contribution of depression, anxiety, emotion regulation difficulties, and impulsivity to inappropriate eating behaviors observed in patients with BED. Methods: A sample of 121 individuals (79.3% female, mean age: 40.82 ± 9.26, mean current body mass index (BMI): 44.92 kg/m2 ± 7.55) seeking bariatric surgery were recruited at the Champagne Ardenne Specialized Center in Obesity in Reims, France from November 2017 to October 2018. They were stratified as with or without BED according to the binge eating scale. Characteristics identified in univariate analyses as differentiating the two groups were then included in multivariable analyses. Results: Multivariable analyses showed that limited access to emotional regulation strategies was significantly associated with BED. Furthermore, inappropriate eating behaviors were independently associated with age, depression severity, anxiety, emotional dysregulation, and impulsivity in BED group. Conclusions: The present findings are indicative of an association between emotion deficit and BED in obese patients seeking bariatric surgery. Patients with BED could benefit from the addition of an emotion regulation intervention.

scholarly journals Body Image Concern and Eating Disorder Symptoms Among Elite Icelandic Athletes

2019 ◽  
Vol 16 (15) ◽  
pp. 2728 ◽  
Author(s):  
Hafrún Kristjánsdóttir ◽  
Petra Sigurðardóttir ◽  
Sigurlaug Jónsdóttir ◽  
Guðlaug Þorsteinsdóttir ◽  
Jose Saavedra
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Eating Disorder ◽  
Body Image Dissatisfaction ◽  
Eating Attitudes ◽  
The Body ◽  
Real Problem ◽  
Eating Disorder Examination ◽  
Body Image Concern ◽  
Body Image Concerns

The aim of this study was to analyse body image concerns and symptoms of eating disorders in elite Icelandic athletes according to their sex, and sport practiced. The participants were 755 athletes (24.8 ± 3.5 years in age) who compete at the highest possible level in Iceland. Representing 20 different sports, they were divided into five sports groups. Three questionnaires were used: the Body Shape Questionnaire to assess body image concerns; the Bulimia Test-Revised to assess the main symptoms of bulimia; and the Eating Disorder Examination Questionnaire to identify disordered eating attitudes and behaviours. A chi-squared test was used to analyse differences in prevalence of body image concern and eating disorders, a t-test for the differences between men and women, and a one-way ANOVA to compare the different sports. The main findings were that 17.9% of the athletes presented severe or moderate body image dissatisfaction, and 18.2% (25.3% of the women) were above the clinical cutoff for body image concern. Women’s scores were higher than men’s (whole sample and ball games) in all variables except restraint. These results seem to point to the existence of a real problem that athlete, coaches, doctors, and institutions need to take into account.

scholarly journals Individuals Diagnosed with Binge-Eating Disorder Have DNA Hypomethylated Sites in Genes of the Metabolic System: A Pilot Study

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1413
Author(s):  
Mariana Lizbeth Rodríguez-López ◽  
José Jaime Martínez-Magaña ◽  
David Ruiz-Ramos ◽  
Ana Rosa García ◽  
Laura Gonzalez ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Eating Disorder ◽  
Protein Kinase ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Environmental Changes ◽  
Diagnostic Category ◽  
The Body ◽  
Metabolic System ◽  
Genome Wide

Binge-eating disorder, recently accepted as a diagnostic category, is differentiated from bulimia nervosa in that the former shows the presence of binge-eating episodes and the absence of compensatory behavior. Epigenetics is a conjunct of mechanisms (like DNA methylation) that regulate gene expression, which are dependent on environmental changes. Analysis of DNA methylation in eating disorders shows that it is reduced. The present study aimed to analyze the genome-wide DNA methylation differences between individuals diagnosed with BED and BN. A total of 46 individuals were analyzed using the Infinium Methylation EPIC array. We found 11 differentially methylated sites between BED- and BN-diagnosed individuals, with genome-wide significance. Most of the associations were found in genes related to metabolic processes (ST3GAL4, PRKAG2, and FRK), which are hypomethylated genes in BED. Cg04781532, located in the body of the PRKAG2 gene (protein kinase AMP-activated non-catalytic subunit gamma 2), was hypomethylated in individuals with BED. Agonists of PRKAG2, which is the subunit of AMPK (AMP-activated protein kinase), are proposed to treat obesity, BED, and BN. The present study contributes important insights into the effect that BED could have on PRKAG2 activation.

Problematic eating behaviors in patients undergoing bariatric surgery: Studying their relationship with psychopathology

2021 ◽  
pp. 135910532098688
Author(s):  
Marta de Lourdes ◽  
Ana Pinto-Bastos ◽  
Paulo PP Machado ◽  
Eva Conceição
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Self Report ◽  
Grazing Behavior ◽  
Face To Face ◽  
Bariatric Patients ◽  
Problematic Eating ◽  
Problematic Eating Behaviors

This study explored the associations between individuals presenting different problematic eating behaviors (Objective/Subjective binge-eating—OBE/SBE—and Compulsive/Non-compulsive grazing—C_Grazing/NC_Grazing) and eating disorder related symptoms. About 163 pre- and 131 post-bariatric patients were assessed. Assessment included: Face-to-face clinical interview to assess binge-eating and grazing episodes, and self-report measures to assess eating disorder symptomatology, psychological distress, and negative urgency. OBE and NC_Grazing were the problematic eating behaviors most and least associated with psychopathology, respectively. OBE and C_Grazing uniquely accounted for the significant variance in the most disordered eating variables. Our findings emphasize the need for the conceptualization of grazing behavior in the spectrum of disordered eating.

scholarly journals Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates

Obesity ◽  
2008 ◽  
Author(s):  
Joshua I. Hrabosky ◽  
Marney A. White ◽  
Robin M. Masheb ◽  
Bruce S. Rothschild ◽  
Carolyn H. Burke-Martindale ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorder ◽  
Psychometric Evaluation ◽  
Eating Disorder Examination Questionnaire ◽  
Eating Disorder Examination

Association between binge eating disorder and psychiatric comorbidity profiles in patients with obesity seeking bariatric surgery

2018 ◽  
Vol 87 ◽  
pp. 79-83 ◽  
Author(s):  
Virginie Borgès Da Silva ◽  
Roxane Borgès Da Silva ◽  
Alexandre Prud'homme ◽  
Pierre Campan ◽  
Jean Michel Azorin ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Psychiatric Comorbidity

Eating Disorders

2017 ◽  
pp. 179-186
Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Eating Behaviors ◽  
Negative Mood ◽  
Few Data ◽  
Maladaptive Eating

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.

scholarly journals BARIATRIC SURGERY AND BINGE EATING DISORDER: SHOULD SURGEONS CARE ABOUT IT? A LITERATURE REVIEW OF PREVALENCE AND ASSESSMENT TOOLS

2019 ◽  
Vol 56 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Beatriz H TESS ◽  
Letícia MAXIMIANO-FERREIRA ◽  
Denis PAJECKI ◽  
Yuan-Pang WANG
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Current Knowledge ◽  
Data Extraction ◽  
Patient Characteristics ◽  
Assessment Tools ◽  
Clinical Interviews ◽  
Study Heterogeneity

ABSTRACT BACKGROUND: Eating pathologies among bariatric surgery candidates are common and associated with adverse surgical outcomes, including weight regain and low quality of life. However, their assessment is made difficult by the great variety and inconsistent use of standardized measures. OBJECTIVE: The purpose of this review was to synthesize current knowledge on the prevalence of binge eating disorder (BED) in presurgical patients and to make a critical appraisal of assessment tools for BED. METHODS: A search was conducted on PubMed, Scopus, and Web of Science databases from January 1994 to March 2017. Data were extracted, tabulated and summarized using a narrative approach. RESULTS: A total of 21 observational studies were reviewed for data extraction and analysis. Prevalence of BED in bariatric populations ranged from 2% to 53%. Considerable variation in patient characteristics and in BED assessment measures was evident among the studies. In addition, several methodological weaknesses were recognized in most of the studies. Ten different psychometric instruments were used to assess BED. Clinical interviews were used in only 12 studies, though this is the preferred tool to diagnose BED. CONCLUSION: Study heterogeneity accounted for the variability of the results from different centers and methodological flaws such as insufficient sample size and selection bias impaired the evidence on the magnitude of BED in surgical settings. For the sake of comparability and generalizability of the findings in future studies, researchers must recruit representative samples of treatment-seeking candidates for bariatric surgery and systematically apply standard instruments for the assessment of BED.

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