Severity Of Binge Eating Disorder Research Articles

Pengaruh Tingkat Stres Saat Kuliah Daring Terhadap Binge Eating Disorder

The outbreak of the Covid-19 virus in Indonesia in 2020 caused many changes in the government sector, work and even education. Online learning has several impacts from various sides, both for educators and on students, one of which is increased stress. Stress has various effects, one of which is eating disorder, therefore the researcher wanted to know whether there is an effect of stress level during online lectures on binge eating disorder. This research is an analytic observational study, with a cross sectional type. This study used a sample of 238 respondents, and the sampling used the quota sampling method. In taking the sample, the researcher used the DASS-42 and BES questionnaires, assisted by the google form instrument. Data processing was carried out statistically using = 0.05 and hypothesis testing using Spearman correlation. Measurement of stress levels showed that 159 respondents had normal stress levels, 38 respondents had mild stress levels, 23 respondents had moderate stress levels, 14 respondents had severe stress levels, and 4 respondents had very severe stress levels. In the measurement of binge eating disorder, there were 212 respondents with no/mild BED levels, 22 respondents with moderate BED levels, and 4 respondents with severe BED levels. The data above was tested for Spearman correlation, and obtained significant results (α = 0.000), where there is an influence between stress levels and binge eating disorder. The level of stress affects the severity of binge eating disorder, therefore it is necessary to do adequate stress management to avoid the possible effects of binge eating disorder, as well as the effects of other stress.

Mitigating the Severity of Binge Eating Episodes in Obese Individuals

Aim: The study aimed to analyze the change in the severity of binge eating disorder in obese individuals registered to the Adana City Training and Research Hospital Obesity Center training program. Methods: The study was a single-arm, prospective, quasi-experimental study with an interrupted time-series design. Inclusion criteria were having registered to the center for training, age between 18 to 65 years, a body mass index (BMI) equal to or over 30 and having binge eating disorder. Binge eating disorder evaluation (BEDE) was a structured form exclusively using DSM-5 binge eating disorder (BED) diagnosis and the severity criteria. The progress record included a weekly curriculum that a physician, dietitian, psychologist administered, and the physiotherapist and the monthly individual meetings data. Results: The BEDE reports showed a significant improvement, with 65 of the patients scoring below the BED diagnosis at the final evaluation. There was no difference between the genders regarding improvement in episodes. The current study showed that after twenty weeks of training that lasted for approximately 80 hours, the patients reported fewer episodes. Conclusions The training could be considered efficacious for reducing the severity of binge eating episodes in obese patients seeking treatment.

Wistar-Kyoto Female Rats Are More Susceptible to Develop Sugar Binging: A Comparison with Wistar Rats.

The hedonic component of the feeding behavior involves the mesolimbic reward system and resembles addictions. Nowadays, the excessive consumption of sucrose is considered addictive. The Wistar-Kyoto (WKY) rat strain is prone to develop anxiety and addiction-like behavior; nevertheless, a lack of information regarding their vulnerability to develop sugar binging-like behavior (SBLB) and how it affects the reward system persist. Therefore, the first aim of the present study was to compare the different predisposition of two rat strains, Wistar (W) and WKY to develop the SBLB in female and male rats. Also, we studied if the SBLB-inducing protocol produces changes in anxiety-like behavior using the plus-maze test (PMT) and, analyzed serotonin (5-HT) and noradrenaline (NA) concentrations in brain areas related to anxiety and ingestive behavior (brain stem, hypothalamus, nucleus accumbens, and amygdala). Finally, we evaluated whether fluoxetine, a drug that has been effective in reducing the binge-eating frequency, body weight, and severity of binge eating disorder, could also block this behavior. Briefly, WKY and W female rats were exposed to 30% sucrose solution (2 h, 3 days/week for 4 weeks), and fed up ad libitum. PMT was performed between the last two test periods. Immediately after the last test where sucrose access was available, rats were decapitated and brain areas extracted for high-performance liquid chromatography analysis. The results showed that both W and WKY female and male rats developed the SBLB. WKY rats consumed more calories and ingested a bigger amount of sucrose solution than their W counterpart. This behavior was reversed by using fluoxetine, rats exposed to the SBLB-inducing protocol presented a rebound effect during the washout period. On female rats, the SBLB-inducing protocol induced changes in NA concentrations on WKY, but not on W rats. No changes were found in 5-HT levels. Finally, animals that developed SBLB showed increased anxiety-like behavior in the PMT. In conclusion, WKY female rats can be considered as a more susceptible rat strain to develop SBLB.

Assessment of Dysfunctional Cognitions in Binge-Eating Disorder: Factor Structure and Validity of the Mizes Anorectic Cognitions Questionnaire-Revised (MAC-R).

Background: Dysfunctional cognitions regarding weight and shape and their implications for self-esteem are considered core features of anorexia nervosa and bulimia nervosa. However, they have also been associated with the severity of binge eating disorder (BED). Therefore, they should be screened with appropriate instruments to tailor treatment to individual patient needs. The Mizes Anorectic Cognitions-Revised (MAC-R) is a self-report questionnaire that lists dysfunctional cognitions related to three hypothesized core beliefs typical of the psychopathology of eating disorders: weight and eating as the basis of approval from others; the belief that rigid self-control is fundamental to self-worth; and the rigidity of weight- and eating-regulation efforts.Objectives: The goal of the study was to confirm the factor structure and to assess the validity of the MAC-R among a sample that met full-threshold and subthreshold criteria for BED.Methods: We used data of women meeting full-threshold (n = 94) and subthreshold (n = 22) criteria for BED to conduct confirmatory factor analyses and to compute Spearman's correlations, in order to assess factorial, convergent, and discriminant validity.Results: Two models having a structure of three factors with or without a total score proved to be acceptable. The MAC-R total score was correlated with questionnaires assessing dimensions related to eating disorder psychopathology, adding to the validity of the questionnaire.Conclusion: These results were similar to those found in studies on the psychometric properties of the MAC among samples with anorexia nervosa or bulimia nervosa, encouraging the use of the MAC-R as a research or clinical tool in order to further document the core beliefs underlying BED.

Adolescents’ perception of the severity of binge eating disorder: a population-based study

Background: Binge eating disorder (BED) is relatively common in young people and is associated with marked impairment in physical and mental health.Aims: We examined perceptions of the severity of BED in a population-based sample of adolescents.Methods: Male (n = 531) and female (n = 1135) adolescents recruited from 12 Australian schools completed a survey that featured a vignette of a fictional female school student suffering from BED followed by a series of questions addressing perceptions of severity.Results: Approximately half of participants agreed or strongly agreed that BED is a serious problem (male: 52.0%; female: 63.2%) requiring professional treatment (male: 48.2%; female: 54.5%). Approximately one-third of boys (30.7%) believed that BED is primarily a problem of “lack of will power/self-control”, whereas one in five girls (19.3%) held this view. Less than half of participants (male: 42.7%; female: 44.1%) believed that someone with BED would be deserving of sympathy.Conclusion: The findings suggest that many adolescents, boys in particular, do not consider BED to be a serious mental health problem and believe that individuals with BED lack will-power and/or are undeserving of sympathy. Awareness and understanding of BED may need to be addressed in school-based mental health promotion programs.

Relations between pure dietary and dietary-negative affect subtypes and impulsivity and reinforcement sensitivity in binge eating individuals

To investigate potential predictors of the severity of binge eating disorder (BED), two subtypes of patients with the disorder, a pure dietary subtype and a dietary-negative affect subtype, were identified. This study investigated the relationships between the two subtypes and impulsivity and reinforcement sensitivity. Ninety-two women meeting threshold and subthreshold criteria for BED diagnosis filled out questionnaires to determine eating disorder severity, impulsivity and reinforcement sensitivity before and after participating in an online guided self-help program for BED. Cluster analyses revealed a pure dietary subtype ( N = 66, 71.7%) and a dietary-negative affect subtype ( N = 26, 28.3%). Compared to the pure dietary subtype, the dietary-negative affect subtype reported a higher frequency of objective binge episodes, more severe eating disorders, higher urgency scores (defined as a tendency to act rashly in the context of negative affect), a greater sensitivity to punishment, and a higher dropout rate during treatment. These findings suggest that BED patients in the dietary-negative affect subtype exhibit heightened anxiety and are highly impulsive, especially in contexts of negative affect. For these individuals, psychological interventions for BED should focus on inhibiting automatic responses to negative emotions.

Impact of binge eating disorder in the psychopathological profile of obese women

Objective Our objective was to evaluate the psychopathological profile of obese women with binge eating disorder (BED) using the Symptom Checklist-90 (SCL-90). Methods Two hundred twelve obese women who seek for weight loss treatment were sequentially selected to participate in the study. Binge eating disorder was diagnosed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Binge eating disorder severity was assessed using Binge Eating Scale. Depressive symptoms were assessed using Beck Depression Inventory. The psychopathological profile was assessed using the SCL-90. Results Binge eating disorder was diagnosed in 54 patients (26.6%). Obese patients with BED presented significant higher scores in all domains of SCL-90 ( P < .05 for all) in comparison with obese patients without BED. A significant relationship was found among Binge Eating Scale, Beck Depression Inventory, and all domains of the SCL-90 ( P < .05 for all). After linear regression, obsessivity-compulsivity ( P = .03), interpersonal sensitivity ( P = .0064), paranoid ideas ( P = .03), and psychoticism ( P = .01) were independently related to the severity of BED. Conclusion Obese women with BED presented a more severe psychopathological profile than obese controls. Among all, obsessivity-compulsivity, interpersonal sensitivity, paranoid ideas, and psychoticism seem to be strongly linked to BED severity.