Il Binge eating disorder (BED) is the most common eating disorder in the United States, United Kingdom and Europe, affecting approximately 3.5 percent of women and 2 percent of men at some point in their life, according to the "National Eating Disorders Association" (NEDA).
Il BED often coexists with other mental and physical disorders and, until recently, more attention had been paid to the physical conditions that often coexist with BED, such as 2 type diabetes,hypertension andobesity.
- 1 BINGE EATING DISORDER AND MOOD DISORDERS
- 1.1 THE RELATIONSHIP BETWEEN BED PATIENTS AND MOOD DISORDERS
- 1.2 PSYCHIATRIC COMORBILITY AND EATING DISORDER
- 1.3 THE BEST TREATMENTS DISCOVERED BY THE EXPERTS
- 1.4 COGNITIVE BEHAVIORAL THERAPY (CBT) AGAINST BED
- 1.5 BEHAVIORAL DIALECTIC THERAPY (DBT) AND INTERPERSONAL THERAPY (IPT) AGAINST BED
- 1.6 HOW TO OBTAIN THE DEFINITIVE FOOD FREEDOM
BINGE EATING DISORDER AND MOOD DISORDERS
The medical profession has tended to focus on physical aspects of the BED, targeting obesity with weight loss strategies, but placed less emphasis on the psychological issues associated with the condition.
However, research by Becker and Grilo (2015) found that mood disorders (such as depression, anxiety and bipolar disorders) and substance use disorders often coexist with the BED.
Of the 347 BED patients who participated in the study, 54 percent also suffered from a diagnosable mood disorder, a substance use disorder, or both.
THE RELATIONSHIP BETWEEN BED PATIENTS AND MOOD DISORDERS
Becker and Grilo also found that participants affected by mood disorders and / or from substance use (in conjunction with the BED) experienced a more severe form of BED. With high problems related to nutrition, weight and body shape.
Similarly, statistics compiled by NEDA show that BED patients with consistent psychiatric disorders suffer from a more severe form of BED than those without. What is more they also suffer from a low level of mood and of esteem.
Other research by McAuley and colleagues (2019) has shown that around one in three people with bipolar disorder also have BED, bulimia nervosa or variants of these conditions.
These individuals are particularly prone to overestimating their weight and body shape. Their food restriction / binge compulsive contributes to a poorer quality of life than they would have if they suffered from bipolarism alone.
PSYCHIATRIC COMORBILITY AND EATING DISORDER
Since the psychiatric comorbidities (when two or more conditions are present at the same time) are so common among those with eating disorders. The researchers stress the importance of diagnosing and understanding the relationships between these disturbi for these individuals to fully recover.
Former BED sufferers are more at risk of relapse if the underlying problems of their mood disorders, such as trauma, fear, control, and shame they are not properly diagnosed and treated.
Former BED sufferers who also suffer from psychiatric comorbidities explain that bingeing is a coping strategy that helps them cope with stress, anxiety, and emotional pain.
Many of these individuals describe using food to self-medicate, similar to how substance users self-medicate with drugs or alcohol. They report that they also feel great sense of guilt and shame in relation to their unhealthy method of dealing with the problem.
THE BEST TREATMENTS DISCOVERED BY THE EXPERTS
Becker and Grilo say that approaches to BED that address negative moods and eating behaviors have had very effective results for those suffering from BED with comorbidities.
A comprehensive review of treatments for BED by Berkman and colleagues (2015) found strong evidence suggesting that Cognitive Behavioral Therapy (CBT) it is the most effective treatment against BED. This treatment can significantly improve binge withdrawal and reduce the frequency of bingeing.
They also found that CBT combined with certain antidepressant medications can effectively reduce the frequency of bingeing, and antidepressants can also ease the obsessive compulsions associated with binge-eating.
COGNITIVE BEHAVIORAL THERAPY (CBT) AGAINST BED
CBT treatment aims to change unhealthy feelings, thoughts and behavioral patterns, and can be guided by a therapist or take the form of structured or guided self-help.
McAuley and his colleagues suggest that because many of those with eating disorders also have mood disorders of some sort, their psychological problems are more complex.
However, the latter claims that this could mean that these individuals respond more positively to CBT interventions than those who suffer without coexisting mood disorders.
BEHAVIORAL DIALECTIC THERAPY (DBT) AND INTERPERSONAL THERAPY (IPT) AGAINST BED
While CBT is the most studied treatment against BED so far. Berkman and his colleagues found that newer and less studied treatments such as Dialectical Behavioral Therapy (DBT) and Interpersonal Psychotherapy (IPT) also had promising results.
La DBT it is a more recent form of CBT, which targets impulsive behaviors increasing the awareness e improving the interpersonal relationship skills of those suffering from BED. The ability to regulate one's emotions and to tolerate psychological distress.
THEIPT instead, consider binge-eating as a way to cope interpersonal problems (e.g. relationship conflicts and social problems) and their impact on negative mood.
Its purpose is to improve interpersonal functioning and to reduce psychological distress and unhealthy behaviors.
HOW TO OBTAIN THE DEFINITIVE FOOD FREEDOM
Uncontrolled feeding disorder, binge eating, compulsive binges, and in general the loss of control within the relationship with food, can also be overcome in a way autonomous and holistic if you know how to do it.
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