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Published in: Current Obesity Reports 2/2019

01-06-2019 | Obesity | Psychological Issues (V Drapeau and V Ivezaj, Section Editors)

Disordered Eating Among Individuals with Excess Weight: a Review of Recent Research

Authors: Bethany A. Nightingale, Stephanie E. Cassin

Published in: Current Obesity Reports | Issue 2/2019

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Abstract

Purpose of Review

The purpose of this review was to examine different forms of disordered eating among individuals with excess weight, including their rates, correlates, and psychosocial treatments.

Recent Findings

Binge eating/binge eating disorder, loss of control eating, emotional eating, and food addiction are all fairly prevalent among individuals with excess weight. They appear to share many of the same correlates, including broader eating disorder psychopathology, body/shape/weight concerns, depression, anxiety, and low self-esteem. Behavioral, cognitive-behavioral, and third-wave (e.g., acceptance, mindfulness) therapies appear effective in improving binge eating, loss of control eating, emotional eating, associated features (e.g., weight and shape concerns), and psychological distress (e.g., depression).

Summary

Certain forms of disordered eating are elevated among individuals with excess weight, and psychosocial interventions have been found effective in improving symptomatology. Empirical research examining the efficacy of treatments for food addiction is lacking, and greatly needed given both its rate and controversy.
Literature
6.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Publishing; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Publishing; 2013.CrossRef
13.
go back to reference •• Ivezaj V, White MA, Grilo CM. Examining binge-eating disorder and food addiction in adults with overweight and obesity. Obesity. 2016;24:2064–9. https://doi.org/10.1002/oby.21607. Persons with BE and/or FA had more eating/shape/weight concerns and impulsivity, and less self-control, than control participants. Those with FA or FA + BE had greater depression than controls.CrossRefPubMed •• Ivezaj V, White MA, Grilo CM. Examining binge-eating disorder and food addiction in adults with overweight and obesity. Obesity. 2016;24:2064–9. https://​doi.​org/​10.​1002/​oby.​21607.​ Persons with BE and/or FA had more eating/shape/weight concerns and impulsivity, and less self-control, than control participants. Those with FA or FA + BE had greater depression than controls.CrossRefPubMed
14.
go back to reference Nobre RG, Meireles AVP, Frota JT, Costa RMM, Coutinho VF, Garcia MMCM, et al. Eating behavior and body image perception of pregnant women attending a high-risk outpatient center. Rev Bras Promoc Saude, Fortaleza. 2014;27:256–62. https://doi.org/10.5020/2385.CrossRef Nobre RG, Meireles AVP, Frota JT, Costa RMM, Coutinho VF, Garcia MMCM, et al. Eating behavior and body image perception of pregnant women attending a high-risk outpatient center. Rev Bras Promoc Saude, Fortaleza. 2014;27:256–62. https://​doi.​org/​10.​5020/​2385.CrossRef
16.
go back to reference •• Mitchell JE, King WC, Courcoulas A, Dakin G, Elder K, Engel S, et al. Eating behavior and eating disorders in adults before bariatric surgery. Int J Eat Disord. 2015;48:215–22. https://doi.org/10.1002/eat.22275. 43.4% of participants endorsed loss of control eating, 17.7% endorsed night eating, and 15.7% had binge eating disorder, 2% had bulimia nervosa. Binge eating disorder was linked to night eating, depression, poorer health/emotional quality of life, and poorer self-esteem.CrossRefPubMed •• Mitchell JE, King WC, Courcoulas A, Dakin G, Elder K, Engel S, et al. Eating behavior and eating disorders in adults before bariatric surgery. Int J Eat Disord. 2015;48:215–22. https://​doi.​org/​10.​1002/​eat.​22275.​ 43.4% of participants endorsed loss of control eating, 17.7% endorsed night eating, and 15.7% had binge eating disorder, 2% had bulimia nervosa. Binge eating disorder was linked to night eating, depression, poorer health/emotional quality of life, and poorer self-esteem.CrossRefPubMed
35.
go back to reference Evans BC, Murray HB, Muratore AF, Lantz El, Juarascio AS. Developing an acceptance-based behavioral weight loss treatment for individuals with binge eating pathology: a preliminary proof of concept study and clinical case series. Cog Behav Pract 2018:In Press. Doi:1016/j.cbpra.2018.05.004. Evans BC, Murray HB, Muratore AF, Lantz El, Juarascio AS. Developing an acceptance-based behavioral weight loss treatment for individuals with binge eating pathology: a preliminary proof of concept study and clinical case series. Cog Behav Pract 2018:In Press. Doi:1016/j.cbpra.2018.05.004.
41.
51.
52.
go back to reference Castellini G, Stanghellini G, Godini L, Lucchese M, Trisolini F, Ricca V. Abnormal bodily experiences mediate the relationship between impulsivity and binge eating in overweight subjects seeking bariatric surgery. Psychother Psychosom. 2015;84:124–6.CrossRefPubMed Castellini G, Stanghellini G, Godini L, Lucchese M, Trisolini F, Ricca V. Abnormal bodily experiences mediate the relationship between impulsivity and binge eating in overweight subjects seeking bariatric surgery. Psychother Psychosom. 2015;84:124–6.CrossRefPubMed
62.
go back to reference • Berg KC, Crosby RD, Cao L, Crow SJ, Engel SG, Wonderlich SA, et al. Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. Int J Eat Disord. 2015;48:641–53. https://doi.org/10.1002/eat.22401. Using ecological momentary assessment (EMA) methodology, this study found that guilt and negative affect heightened before a binge episode and were lessened afterwards, but this was not the case for loss of control eating episodes (without overeating).CrossRefPubMedPubMedCentral • Berg KC, Crosby RD, Cao L, Crow SJ, Engel SG, Wonderlich SA, et al. Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. Int J Eat Disord. 2015;48:641–53. https://​doi.​org/​10.​1002/​eat.​22401.​ Using ecological momentary assessment (EMA) methodology, this study found that guilt and negative affect heightened before a binge episode and were lessened afterwards, but this was not the case for loss of control eating episodes (without overeating).CrossRefPubMedPubMedCentral
66.
go back to reference Duarte C, Stubbs JR, Gilbert P, Stalker C, Catarino F, Basran J, et al. The weight-focused forms of self-criticising/attacking and self-reassuring scale: confirmatory factor analysis and associations with control, loss of control eating and weight in overweight and obese women. Psycol Psychother T. 2018. https://doi.org/10.1111/papt.12196. Duarte C, Stubbs JR, Gilbert P, Stalker C, Catarino F, Basran J, et al. The weight-focused forms of self-criticising/attacking and self-reassuring scale: confirmatory factor analysis and associations with control, loss of control eating and weight in overweight and obese women. Psycol Psychother T. 2018. https://​doi.​org/​10.​1111/​papt.​12196.
80.
go back to reference • Leehr EJ, Krohmer K, Schag K, Dresler T, Zipfel S, Giel KE. Emotion regulation model in binge eating disorder and obesity – a systematic review. Neurosci Biobehav Rev. 2015;49:125–34. https://doi.org/10.1016/j.neubiorev.2014.12.008. This review examined 18 studies on emotion regulation in binge eating disorder and found “evidence … that negative emotions trigger binge eating” (p. 130) for adults with BED.CrossRefPubMed • Leehr EJ, Krohmer K, Schag K, Dresler T, Zipfel S, Giel KE. Emotion regulation model in binge eating disorder and obesity – a systematic review. Neurosci Biobehav Rev. 2015;49:125–34. https://​doi.​org/​10.​1016/​j.​neubiorev.​2014.​12.​008.​ This review examined 18 studies on emotion regulation in binge eating disorder and found “evidence … that negative emotions trigger binge eating” (p. 130) for adults with BED.CrossRefPubMed
86.
go back to reference Villarejo C, Jiménez-Murcia S, Álvarez-Moya E, Granero R, Penelo E, Treasure J, Vilarrasa N, Gil-Montserrat de Bernabé M , Casanueva FF, Tinahones FJ, Fernández-Real JM, Frühbeck G, de la Torre R, Botella C, Agüera Z, Menchón JM, & Fernández-Aranda F. Loss of control over eating: a description of the eating disorder/obesity spectrum in women. Eur Eat Disord Rev 2014:22:25–31. Doi:https://doi.org/10.1002/erv.2267. Villarejo C, Jiménez-Murcia S, Álvarez-Moya E, Granero R, Penelo E, Treasure J, Vilarrasa N, Gil-Montserrat de Bernabé M , Casanueva FF, Tinahones FJ, Fernández-Real JM, Frühbeck G, de la Torre R, Botella C, Agüera Z, Menchón JM, & Fernández-Aranda F. Loss of control over eating: a description of the eating disorder/obesity spectrum in women. Eur Eat Disord Rev 2014:22:25–31. Doi:https://​doi.​org/​10.​1002/​erv.​2267.
93.
go back to reference • Davis C. A commentary on the associations among ‘food addiction’, binge eating disorder, and obesity: overlapping conditions with idiosyncratic clinical features. Appetite 2017:115:3–8. Doi:https://doi.org/10.1016/j.appet.2016.11.001. Commentary discussing the relationship between food addiction, binge eating disorder, and obesity; posits that binge eating disorder and food addictions are separate, albeit related, constructs. • Davis C. A commentary on the associations among ‘food addiction’, binge eating disorder, and obesity: overlapping conditions with idiosyncratic clinical features. Appetite 2017:115:3–8. Doi:https://​doi.​org/​10.​1016/​j.​appet.​2016.​11.​001. Commentary discussing the relationship between food addiction, binge eating disorder, and obesity; posits that binge eating disorder and food addictions are separate, albeit related, constructs.
Metadata
Title
Disordered Eating Among Individuals with Excess Weight: a Review of Recent Research
Authors
Bethany A. Nightingale
Stephanie E. Cassin
Publication date
01-06-2019

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