Abstract
Transtheoretical integrative decision-making models help clinicians to use patient factors that are known to predict outcomes in order to inform individualized treatment. Patient factors with a strong evidence base include: functional impairment, social support and interpersonal functioning, complexity and comorbidity, coping style, level of resistance, and level of subjective distress. Among those with binge-eating disorder (BED), patient factors have not been extensively characterized relative to norms or other clinical samples. We used an integrative decision-making model of these six patient factor domains related to patient outcomes to characterize a sample of 424 adults seeking treatment for BED. Data were from medical charts, a demographics questionnaire, and validated psychometric scales. We then compared these data to published data from normative and other eating disorder (ED) samples. Results showed that the average patient with BED: (1) was significantly more functionally impaired compared to non-clinical norms but somewhat less impaired than other patients with ED, (2) demonstrated clinically significant problems in social support and interpersonal functioning, (3) presented with complex comorbid pathology and high levels of chronicity, (4) used a more internalizing coping style compared to the norm and other ED samples, (5) had low levels of resistance to interventions, and (6) experienced a moderately high level of subjective distress indicating good motivation for treatment. Corresponding recommendations to these findings are that the average patient with BED should be provided higher intensity treatment that is longer in duration, interpersonally focused, directive in nature, and emphasizing self-reflection and insight. Despite the nomothetic nature of the findings, clinicians are encouraged to assess these patient domains when developing an ideographic case conceptualization and to tailor precision treatment to the individual patient with BED.
Highlights
Binge-eating disorder (BED) is a common eating disorder (ED) characterized by recurrent episodes of binge eating (American Psychiatric Association, 2013)
Using the ordinal severity scale from the Eating Disorder Examination Questionnaire (EDEQ) for number of binge days in the past 28 days in which 0 = 0 days binged, 1 = 1–5 days binged, 2 = 6–12 days binged, 3 = 13– 15 days binged, 4 = 16–22 days binged, 5 = 23–27 days binged, 6 = binged every day, we found that the mean severity rating was 3.18 SD = 1.88 (N = 369)
The number of days binged can be used as a metric for disorder severity (American Psychiatric Association, 2013)
Summary
Binge-eating disorder (BED) is a common eating disorder (ED) characterized by recurrent episodes of binge eating (i.e., eating a large amount of food with a subjective sense of loss of control during the episode) (American Psychiatric Association, 2013). Recommended treatment options for BED include psychotherapies such as Cognitive Behavioral Therapy, Interpersonal Psychotherapy, and Dialectical Behavioral Therapy, as well as pharmacotherapy such as some selective serotonin reuptake inhibitors and tricyclic antidepressants (American Psychiatric Association, 2006; Yager et al, 2014). Psychological treatment outcomes for those with BED indicate moderate success with approximately 50% of patients abstinent of binge eating at post treatment, but follow up data is limited (Grenon et al, 2018)
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
