Lecture 15: Binge Eating

Question 1

DMS-5 BED (what is diagnostic criteria)

Answer 1

A. recurrent eps of binge eating
1. eating in discrete period of time– amount that is more
than usual
2. lack of control of over eating during ep
NB: some people feel like they’re bingeing when they don’t have objectively large amounts of food (ex. break diet by eating few chips)
B. bing-eating eps are associated with 3 (or more)
1. eating much more rapidly than normal
2. eating until feeling uncomfortably full
3. eating a lot when not hungry
4. eating alone– feel embarrassed
5. feeling disgusted with yourself, depressed, guilty
C. Marked distress when binge eating present– binge eating occurs in secrecy
D. At least once a week for 3 months

Question 2

specifiers- current severity

Answer 2

• min level of severity based on freq. of binge eating
  mild: 1-3 binge eating / week
  moderate: 4-7
  severe: 8-13
  extreme: 14 or more

Question 3

BED associated w/

Answer 3

• early onset obesity
• severity of obesity
• high rates of psychopathology

Question 4

risk factors

Answer 4

• run in fams
• trauma
• low self-esteem
• body dissatisfaction
• negative emotionality
• parental substance use

Question 5

greatest risk factor of developing BED?

Answer 5

dieting

Question 6

comorbid conditions

Answer 6

BED similar to other disorders:

• depression + anxiety disorders= most common
  
  • 54% have comorbid depressoin
  • 37% have comorbid AD
• substance use + perosnality disorders: 25%

Question 7

what are assessment tools

Answer 7

• SCOFF–> 5-item screening tool
  
  • administration + scoring= simple
  • not BED or binge eating specific
  • also covers other eating disorder behaviours
• Binge eating scale (BES)–> 16-item self report scale
  
  • scoring more complicated than SCOFF
  • specific to BE
• BEDS-7, 7 item diagnostic screener
  
  • follows DSM-5 criteria for BED

Question 8

Treatment for BE

Answer 8

• CBT (most common)
• dialectical beh therapy
• interpersonal psychotherapy
• brief strategic therapy
• beh weight loss

Question 9

what is hapifed

Answer 9

• healthy approach to weight management + food in eating disorders
• combine best of beh weight loss with CBT
• sustain weight loss by reducing disordered eating= enhance psychological wellbeing + improving appetite regulation

Question 10

LDX (vyvanese)

Answer 10

medication for treatment of adults w/ moderate to severe BED

• relapse:
  
  • PBO= 32.1%
  • LDX= 3.7%
• most effective– because weight loss + sympathetic NS aroused–> other treatments don’t show signs of weight los and sympathetic