Treatment of Binge Eating Disorder

Rutgers-The State University of New Jersey, Graduate School of Applied and Professional Psychology, 152 Frelinghuysen Road, Piscataway, NJ 08854, USA.
The Psychiatric clinics of North America (Impact Factor: 1.87). 12/2011; 34(4):773-83. DOI: 10.1016/j.psc.2011.08.011
Source: PubMed


Cognitive-behavioral therapy and interpersonal psychotherapy are currently the most effective treatments for binge eating disorder in terms of cessation of binge eating, reduction of specific eating disorder psychopathology, and associated forms of psychopathology and psychosocial functioning. Treatment effects are generally well-maintained at follow-up. These specialty psychological treatments do not produce clinically significant weight loss, however. Guided self-help is a brief, cost-effective, and readily disseminable alternative to specialty treatments that require significantly more time and resources. Behavioral weight loss treatment produces short-term weight loss that is typically regained over follow-up. Pharmacotherapy is unsupported by available evidence.

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    • "Moreover binge eating disorder (BED) is typically connected with obesity (American Psychiatric Association, 2000; Hill, 2005; Berkowitz and Fabricatore, 2011; Gearhardt et al., 2011c; Wilson, 2011; Schag et al., 2013; Faulconbridge and Bechtel, 2014), even if not occurring exclusively in conjunction with overweight conditions. According to Hill (2005, p. 27), “it is apparent that BED is more common in the obese than in normal-weight individuals. "
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    Full-text · Article · Jun 2014 · Frontiers in Psychology
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    ABSTRACT: Growing evidence suggests that pharmacotherapy may be beneficial for some patients with binge eating disorder (BED), an eating disorder characterized by repetitive episodes of uncontrollable consumption of abnormally large amounts of food without inappropriate weight loss behaviors. In this paper, we provide a brief overview of BED and review the rationales and data supporting the effectiveness of specific medications or medication classes in treating patients with BED. We conclude by summarizing these data, discussing the role of pharmacotherapy in the BED treatment armamentarium, and suggesting future areas for research.
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