Binge Eating Disorder

Binge eating disorder is an eating disorder that occurs at least once a week in three months according to the DSM-5 criteria, which includes the perception of repetitive overeating and loss of control, in which the individual consumes much more food than he or she can consume within the limits of a time period.

Binge eating disorder is seen at a rate of 2-3.5% worldwide.

Behaviors of Individuals with Binge Eating Disorder

  1. At the point where he loses control, the sense of limitation disappears; may exhibit very fast, excessive eating behavior.

  2. It may exhibit eating behavior that has lost the sense of hunger and satiety.

  3. He may prefer to eat alone because he is ashamed of his binge eating behavior.

  4. After binge attacks, he may become depressed with a feeling of guilt.

Risk Factors for Binge Eating Disorder:

  • Gender: Eating disorders are more common in women.

  • Genetic factors: When family histories were investigated in studies, it was observed that the frequency of eating disorders increased in first-degree relatives of patients with bulimia nervosa.

  • Diabetes: A significant relationship was found between type-2 diabetes and chronic binge eating disorder.

  • Obesity: Binge eating disorder was found at higher rates in obese people. Patients with binge eating disorder tend to be overweight.

  • Mood (mode): A strong correlation was found between the depressive episodes of binge eating disorder patients and their binge eating behaviors.

Studies have stated that individuals with binge eating behavior have negative feelings (tension, anger, etc.) before binge attacks, and these feelings decrease with binge attacks and they get pleasure.

  • Anxiety

  • Bipolar disorder: A strong relationship has been found between binge eating disorder and mood disorders.

  • Sociocultural factors: The incidence of eating disorders is higher in Western countries.

Binge Eating Disorder Treatment:

diet therapy

  • The American Psychiatric Association (APA) recommended nutritional counseling in 2006.

  • Low-calorie diet programs help reduce the patient’s weight and generally reduce binge eating symptoms.

However:

  1. Weight loss may be temporary.

  2. After weight gain, binge eating behavior may recur.

‘yo-yo diet pattern (alternating repetition of weight loss and weight gain); relapse after weight loss is thought to be similar to binge eating disorder.

Individual or group cognitive behavioral therapy: Cognitive behavior therapy helps to avoid binge eating behavior.

  1. Dialectical behavioral therapy: It is accepted as a treatment aimed at increasing awareness. It helps patients respond to stress and negative effects.

  2. Interpersonal psychotherapy: Focuses on the roles of the interpersonal function of negative feelings and behaviors.

  3. Antidepressants: May reduce binge eating symptoms in the short term, but may not provide substantial weight loss.

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