Effect of a very low calorie diet on the diagnostic category of individuals with binge eating disorder
ABSTRACT This study examined the factors associated with the diagnostic outcome of obese individuals with and without binge eating disorder (BED) 1 year after completing a very low calorie diet (VLCD) program.
Participants included 63 individuals with BED, 36 individuals with subthreshold BED, and 29 individuals with no binge eating symptoms. Diagnoses before and after VLCD were obtained using the Structured Clinical Interview for DSM-IV (SCID) interviews. The severity of psychiatric symptoms were assessed using various rating scales.
Fifty-six percent (n = 36) of the participants who met criteria for BED at baseline did not meet diagnostic criteria 1 year later. None of the baseline factors were statistically associated with outcome.
Although the main hypothesis was not supported, absence of a BED diagnosis at 12-month follow-up after a VLCD diet appears to be associated with less weight gain at 1-year follow-up regardless of baseline diagnosis.
- SourceAvailable from: Lia Nower
Article: Binge Gambling: A Neglected Concept[Show abstract] [Hide abstract]
ABSTRACT: It is argued that there exists a relatively neglected distinct sub-group of pathological gamblers, described in the clinical literature, who display intermittent episodes of uncontrolled gambling superimposed on a background of prolonged intervening periods of abstinence. This sub-group is characterised by intense bouts of impaired control over gambling that meet core diagnostic features for pathological gambling during such defined episodes. However, they are unlikely to display significant symptoms of pathological gambling if screened during intervening periods of abstinence and report no persistent or progressive urges or preoccupation with gambling between episodes. This article discusses the concept of binge gambling with reference to illustrative case studies and by comparison to two other recognised binge behaviours, binge drinking and binge eating.International Gambling Studies 12/2010; 3(1):23-35. DOI:10.1080/14459790304589 · 1.29 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Although binge eating has been recognized as a clinically relevant behavior among the obese for more than four decades, the concept of binge eating disorder (BED) as a distinct psychiatric diagnosis is of much more recent origin. This article presents four ways of conceptualizing BED: a distinct disorder in its own right, as a variant of bulimia nervosa, as a useful behavioral subtype of obesity, and as a behavior that reflects psychopathology among the obese. It also summarizes the evidence supporting and disconfirming each model. The literature subsequent to the development of DSM-IV regarding the reliability and validity of BED and related conditions was reviewed selectively. The preponderance of the evidence suggests that BED differs importantly from purging bulimia nervosa and that BED is not a strikingly useful behavioral subtype of obesity. Further study is needed to definitively determine the validity of BED as a distinct eating disorder.International Journal of Eating Disorders 01/2003; 34 Suppl(S1):S2-18. DOI:10.1002/eat.10201 · 3.03 Impact Factor