The Treatment of Binge-Eating Disorder

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Authors
Panattieri, Sandra
Issue Date
2020-09-17
Type
Thesis
Language
en_US
Keywords
Binge eating disorder , Binging , Body image , Eating disorder , Food addiction , Food restriction
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Abstract
Binge Eating Disorder (BED) is a serious health issue causing psychological and emotional distress, binge eating episodes, depression, body image issues, weight loss or weight gain, gastrointestinal issues, and social and relationship disturbances. BED is treatable using the three cornerstone methods that must be implemented long-term to recover. The three cornerstone treatments are psychotherapy, pharmaceutical therapy, and nutrition meal plans. There are other natural agents and therapies that can be used together with the three cornerstone treatments which are supplements, natural agents, meditation, acupuncture, and physical activity. The purpose of this dissertation was to determine which psychotherapies and pharmaceutical drugs work best in the recovery of BED. Psychotherapies were compared in this dissertation and it was found that Cognitive Behavioral Therapy (CBT) was shown to be the most effective in the recovery of BED. CBT was compared to Interpersonal Therapy (IPT) and Behavioral Weight Loss Therapy (BWL) {P<.05; odds ratios: BWL vs. CBT, 2.3; BWL vs. IPT, 2.6; and CBT vs. IPT, 1.2}. The medications presented in this dissertation showed mixed results in the recovery of BED. Nutrition meal plans are recommended to all BED patients, however, there is no consensus on an optimal specific dietary plan for BED. The most effective nutrition plans appear to be foods that do not trigger cravings or spike blood sugar levels. The trial outcomes were methodically segmented targeting high-risk populations that meet the criteria for BED. The most used outcome or assessment methods in the researched trials for psychotherapies were the Eating Disorders Examination Score and questionnaires. The most used outcome or assessment methods in the researched trials for medications were Clinical Global Impressions and the Hamilton Rating Scale for Depression.
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S. Panattieri, "The Treatment of Binge-Eating Disorder", Ph.D. dissertation, School of Health Science, Univ. of Bridgeport, Bridgeport, CT, 2020.
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University of Bridgeport
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