Binge Eating Episodes (binge + eating_episode)

Distribution by Scientific Domains

Selected Abstracts

Self-help treatments for disorders of recurrent binge eating: a systematic review

S. C. Stefano
Objective:, To evaluate self-help interventions for patients with binge eating disorder (BED) and bulimia nervosa (BN), tested in randomized controlled trials, and compared with waiting list or any other type of control group. Methods:, A systematic review including quality appraisal was conducted of randomized controlled trials, using self-help techniques in patients with BED and/or BN. Six databases were searched during the period between January 1994 and June 2004. Results:, A total of 2686 articles were identified, 1701 abstracts were evaluated in detail and, nine studies fulfilled the inclusion criteria for this review. All studies indicated that patients treated with active interventions had a reduced number of binge eating episodes at end of treatment. Conclusion:, The results support self-help interventions but shall be interpreted with caution. Because of the small number of studies using self-help techniques for BED and BN, further larger randomized, multi-center controlled studies that apply standardized inclusion criteria, evaluation instruments and self-help materials, are needed. [source]

A course of treatment of binge eating disorder: a time series approach

Beate Wild
Abstract Objective The aim of the study was an analysis of the therapeutic course of treatment of a patient with binge eating disorder (BED), who participated in the multi-modal intervention programme at the Medical University Hospital of Heidelberg. Method Throughout the course of the treatment period, the patient answered questions daily on a handheld computer about her eating behaviour as well as her psychological and physical state. Diary data was analysed with a time series analysis method. Results Multiple regression analysis revealed that both depression and distress were same-day predictors for eating behaviour. Delayed predictors were both the eating behaviour and the anxiety of the previous day, as well as the activity 2 days earlier. The model accounts for 55% of the total variance. Discussion The findings of this study expand upon the evidence of previous cross-sectional studies, suggesting that the development process of the eating behaviour during treatment is strongly associated with affective variables. The study demonstrates that changes that occur during the treatment occur simultaneously on multiple levels. The causal interpretation of the delayed predictors shows that for this patient anxiety is a trigger of binge eating episodes. Copyright 2006 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Monetary costs associated with bulimia

Scott J. Crow MD
Abstract Objective: The direct monetary costs for food and laxatives, diet pills, and diuretics used by individuals with bulimia nervosa (BN) have not been studied. Method: Ten participants with a presenting clinical diagnosis of BN completed a 7-day food record at the outset of treatment in order to provide estimates of weekly and yearly monetary costs for food and associated symptoms. Results: Participants reported means of 3.6 purge episodes, 2.5 objective binge episodes, and 2.4 subjective binge eating episodes per week. Mean total food costs were $106.98/week (SD = $53.88) or $5,581.79/year (SD = $2,811.58). Costs associated with binge eating and purging were 32.7% of all food costs (average: $1,599.45/year). Conclusion: Financial costs of bulimia symptoms are significant, and appear to constitute a substantial minority of all food spending by individuals with BN. 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009 [source]

Baclofen for binge eating: An open-label trial

Allegra I. Broft MD
Abstract Objective: Baclofen is a GABA-B agonist that may be useful in the treatment of substance use disorders, and also reduces ,binge-like' eating in rodents. We hypothesized that baclofen might be effective in reducing binge eating episodes in binge eating disorder (BED) and bulimia nervosa (BN). Method: Seven women with BED (n = 4) or BN (n = 3) took baclofen (60 mg/day) for 10 weeks. Results: Six out of seven patients completed the full 10-week trial. Five out of seven participants (3 BED; 2 BN) demonstrated 50% or greater reduction of frequency of binge eating from beginning to end of the study. Three out of seven participants (2 BED; 1 BN) were free of binge eating at study end. Four out of seven participants elected to continue baclofen at study end. Baclofen was well tolerated by the participants. Conclusion: In this open-label trial, baclofen was associated with decreased binge eating frequency in patients with BED and BN. 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007 [source]