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Obese Patients with Binge-Eating Disorder

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The Management of Eating Disorders and Obesity

Part of the book series: Nutrition ◊ and ◊ Health ((NH))

Abstract

The subgroup of obese individuals who have persistent and frequent problems with binge eating has been the focus of substantial attention in the obesity and eating-disorders literature (1,2). Although early research suggested that binge eating was associated with attrition and poorer outcome in obesity treatment programs (2,3) this has not been confirmed by more recent studies (4–8). These conflicting data raise the question of how best to treat this group of patients. This chapter describes binge eating among obese individuals and examines findings that relate to its treatment in overweight patients in order to provide recommendations for treatment (Table 1).

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References

  1. Marcus MD. Binge eating in obesity. In: Fairburn CG, Wilson GT, eds. Binge Eating: Nature, Assessment, and Treatment. Guilford, New York, NY, 1993, pp. 77–96.

    Google Scholar 

  2. Yanovski SZ. Binge eating disorder: current knowledge and future directions. Obes Res 1993; 1: 306–324.

    Article  CAS  Google Scholar 

  3. Marcus MD, Wing RR, Hopkins J. Obese binge eaters affect, cognitions, and response to behavioral weight control. J Consult Clin Psychol 1988; 56: 433–439.

    Article  CAS  Google Scholar 

  4. Agras WS, Telch CF, Arnow B, Eldredge K, Wilfley DE, Raeburn SD, et al. Weight loss, cognitive-behavioral, and desipramine treatments in binge eating disorder. An additive design. Behav Ther 1994; 25: 225–238.

    Article  Google Scholar 

  5. LaPorte DJ. Treatment response in obese binge-eaters preliminary results using a very low calorie diet VLCD and behavior therapy. Addict Behav 1992; 17: 247–257.

    Article  CAS  Google Scholar 

  6. Marcus MD, Wing RR, Fairburn CG. Cognitive treatment of binge eating v. behavioral weight control in the treatment of binge eating disorder. Ann Behav Med 1995; 17: S909.

    Google Scholar 

  7. Telch CF, Agras WS. The effects of a very low calorie diet on binge eating. Behav Ther 1993; 24: 177–193.

    Article  Google Scholar 

  8. Wadden TA, Foster GD, Letizia KA. Response of obese binge eaters to treatment by behavioral therapy combined with very low calorie diet. J Consult Clin Psychol 1992; 60: 808–811.

    Article  CAS  Google Scholar 

  9. Stunkard AJ. Eating patterns and obesity. Psychiatric Quart 1959; 33: 284–292.

    Article  CAS  Google Scholar 

  10. Gormally J, Black S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav 1982; 7: 47–55.

    Article  CAS  Google Scholar 

  11. Marcus MD, Wing RR, Lamparski DM. Binge eating and dietary restraint in obese patients. Addict Behav 1985; 10: 163–168.

    Article  CAS  Google Scholar 

  12. Spitzer RL, Devlin M, Walsh BT, Hasin D, Wing R, Marcus M, et al. Binge eating disorder: a multisite field trial of the diagnostic criteria. Int J Eat Disord 1992; 11: 191–203.

    Article  Google Scholar 

  13. Spitzer RL, Yanovski S, Wadden T, Wing R, Marcus MD, Stunkard A, Devlin M, Mitchell J, Hasin D, Horne RL. Binge eating disorder; its further validation in a multisite study. Int J Eat Disord 1993; 13: 137–153.

    Article  CAS  Google Scholar 

  14. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition. American Psychiatric Association, Washington, DC, 1994.

    Google Scholar 

  15. Bruce B, Agras WS. Binge eating in females: a population-based investigation. Int J Eat Disord 1992; 12: 365–373.

    Article  Google Scholar 

  16. Smith DE. Binge eating in ethnic minority groups. Addict Behav 1995; 20: 695–704.

    Article  CAS  Google Scholar 

  17. Smith DE, Marcus MD, Eldredge KL. Binge eating syndromes: a review of assessment and treatment with an emphasis on clinical application. Behav Ther 1994; 25: 635–658.

    Article  Google Scholar 

  18. Telch CF, Agras WS, Rossiter EM. Binge eating increases with increasing adiposity. Int J Eat Disord 1988; 7: 115–119.

    Article  Google Scholar 

  19. Fichter MM, Quadflieg N, Gnutzman A. Binge eating disorder: treatment outcome over a 6-year course. J Psychosom Res 1998; 44: 385–405.

    Article  CAS  Google Scholar 

  20. Wilson GT, Nonas CA, Rosenblum GD. Assessment of binge eating in obese patients. Int J Eat Disord 1993; 1: 25–33.

    Article  Google Scholar 

  21. Marcus MD, Smith D, Santelli R, Kaye W. Characterization of eating disordered behavior in obese binge eaters. Int J Eat Disord 1992; 12: 249–255.

    Article  Google Scholar 

  22. Guss JL, Kissileff HR, Walsh BT, Devlin MJ. Binge eating behavior in patients with eating disorders. Obes Res 1994; 2: 355–363.

    Article  CAS  Google Scholar 

  23. Yanovski SZ, Leet M, Yanovski JA, Flood M, Gold W, Kissileff HR, et al. Food selection and intake of obese women with binge-eating disorder. Am J Clin. 1992; 56: 975–980.

    CAS  Google Scholar 

  24. Yanovski SZ, Sebring NG. Recorded food intake of obese women with binge eating disorder before and after weight loss. Int J Eat Disord 1994; 15: 135–150.

    Article  CAS  Google Scholar 

  25. Antony, MM, Johnson WG, Carr-Nangle RE, Abel JL. Psychopathology correlates of binge eating and binge eating disorder. Comp Psychiatry 1994; 35: 386–392.

    Article  CAS  Google Scholar 

  26. deZwaan M, Mitchell JE, Seim HC, Specker SM, Pyle RL, Raymond NC, Corsby RB. Eating related and general psychopathology in obese females with binge eating disorder. Int J Eat Disord 1994; 15: 43–52.

    Article  CAS  Google Scholar 

  27. Marcus MD, Wing RR, Ewing L, Kern E, Gooding W, McDermott M. Psychiatric disorders among obese binge eaters. Int J Eat Disord 1990; 9: 69–77.

    Article  Google Scholar 

  28. Yanovski XZ, Nelson JE, Dubbert BK, Spitzer RL. Association of binge eating disorder and Psychiatric comorbidity in obese subjects. Am J Psychiatry 1993; 150: 1472–1479.

    CAS  Google Scholar 

  29. Sansone RA, Sansone LA, Mossis BS. Prevalence of borderline personality symptoms in two groups of obese subjects. Am J Psychiatry 1996; 154: 117–118.

    Google Scholar 

  30. Teich CF, Agras WS. Obesity, binge eating and psychopathology: are they related? Int J Eat Disord 1994; 15: 53–61.

    Article  Google Scholar 

  31. Fairburn CG. Cognitive-behavioral treatment for bulimia. In: Garner DM, Garfinkel PE, eds. Handbook of Psychotherapy for Anorexia Nervosa and Bulimia. Guilford, New York, NY, 1985.

    Google Scholar 

  32. Fairburn CG, Marcus MD, Wilson GT. Cognitive-behavioral treatment for binge eating and bulimia nervosa: a comprehensive treatment manual. In: Fairburn CG, Wilson GT, eds. Binge Eating Nature, Assessment, and Treatment. Guilford, New York, NY, 1993, pp. 361–404.

    Google Scholar 

  33. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive Therapy for Depression. Guilford, New York, NY, 1979.

    Google Scholar 

  34. Polivy J. Perception of calories and the regulation of intake in restrained and unrestrained subjects. Addict Behav 1976; 1: 237–243.

    Article  Google Scholar 

  35. Ruderman AJ. Dysphoric mood and overeating: a test of restraint theory’s disinhibition hypothesis. J Abnorm Psychol 1985; 94: 78–85.

    Article  CAS  Google Scholar 

  36. Agras WS, Schneider JA, Arnow B, Raeburn SD, Teich CF. Cognitive-behavioral and response-prevention treatments for bulimia nervosa. J Consult Clin Psychol 1989; 57: 215–221.

    Article  CAS  Google Scholar 

  37. Agras SW, Rossiter EM, Arnow B, Schneider JA, Teich CF, Raeburn SD, et al. Pharmacological and cognitive behavioral treatment for bulimia nervosa: a controlled comparison. Am J Psychiatry 1992; 149: 82–87.

    CAS  Google Scholar 

  38. Fairburn CJ, Jones R, Peveler RC, Carr SJ, Solomon RA, O’Conner ME, et al. Three psychological treatments for bulimia nervosa. Arch Gen Psychiatry 1991; 48: 463–468.

    Article  CAS  Google Scholar 

  39. Fairburn CJ, Jones RC, Peveler RC, Hope RA, O’Connor M. Psychotherapy and bulimia nervosa: longer-term effects of interpersonal psychotherapy behaviour therapy, and cognitive behaviour therapy. Arch Gen Psychiatry 1993; 50: 419–428.

    Article  CAS  Google Scholar 

  40. Garner DM, Rockert W, Davis R, Garner MV, Olmstead MP, Eagle M. Comparison of cognitive-behavioral and supportive expressive therapy for bulimia nervosa. Am J Psychiatry 1993; 150 (1): 37–46.

    CAS  Google Scholar 

  41. Mitchell JE, Pyle RL, Eckert ED, Hatsukami D, Pomeroy C, Zimmerman R. A comparison study of antidepressants and structured intensive group psychotherapy in the treatment of bulimia nervosa. Arch Gen Psychiatry 1990; 47: 149–157.

    Article  CAS  Google Scholar 

  42. Smith DE, Marcus MD, Kaye W. Cognitive-behavioral treatment of obese binge eaters. Int J Eat Disord. 1992; 12: 257–262.

    Article  Google Scholar 

  43. Wilfley DE, Agras WS, Teich CF, Rossiter EM, Schneider JA, Cole AG, et al. Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual; a controlled comparison. J Consult Clin Psychol 1993; 61: 296–305.

    Article  CAS  Google Scholar 

  44. Wilfley DE, Agras WS, Teich CF, Rossiter EM, Schneider JA, Cole AG, et al. Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual; a controlled comparison. J Consult Clin Psychol 1993; 61: 296–305.

    Article  CAS  Google Scholar 

  45. Agras WS, Teich CF, Arnow B, Eldredge K, Marnell M. One-year follow up of cognitive-behavioral therapy for obese individuals with binge eating disorder. J Consult Clin Psychol 1997; 65: 343–347.

    Article  CAS  Google Scholar 

  46. Grilo CM. Physical activity and obesity. Biomed Pharmacother 1994; 48: 127–136.

    Article  CAS  Google Scholar 

  47. Pate RR, Pratt M, Blair SN, Haskell L, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the centers for disease control and prevention and the American College of Sports Medicine. JAMA 1995; 273: 402–407.

    Article  CAS  Google Scholar 

  48. Marlatt GA, Gordon JR. Relapse Prevention. Guilford, New York, NY, 1985.

    Google Scholar 

  49. Fairburn CJ, Jones R, Peveler RC, Carr SJ, Solomon RA, O’Conner ME, et al. Three psychological treatments for bulimia nervosa. Arch Gen Psychiatry 1991; 48: 463–468.

    Article  CAS  Google Scholar 

  50. Klerman GL, Weissman MM, Rounsaville BJ, Chevron, ES. Interpersonal Psychotherapy of Depression. Basic Books, New York, NY, 1984.

    Google Scholar 

  51. Fairburn CG. Interpersonal psychotherapy for bulimia nervosa. In: Klerman GL, Weissman MM, eds. New applications of interpersonal psychotherapy. American Psychiatric Press, Washington, DC, 1994.

    Google Scholar 

  52. Wifley DE, Agras WS, Teich CF, Rossiter EM, Schneider JA, Cole AG, et al. Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual: a controlled comparison. J Consult Clin Psychol 1993; 61: 296–305.

    Article  Google Scholar 

  53. Agras WS, Telch CF, Arnow B, Eldredge K, Detzer MJ, Henderson J, et al. Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavior therapy? J Consult Clin Psychol 1995; 63: 356–360.

    Article  CAS  Google Scholar 

  54. Walsh BT, Devlin MJ. Pharmacotherapy of bulimia nervosa and binge eating disorder. Addict Behav 1995; 20: 757–764.

    Article  CAS  Google Scholar 

  55. McCann UD, Agras WS. Successful treatment of nonpurging bulimia nervosa with desipramine: a double blind, placebo-controlled study. Am J Psychiatry 1990; 147: 1509–1513.

    CAS  Google Scholar 

  56. Hudson JI, McElroy SL, Raymond NC, Crow S, Keck PE, Jonas JM. Fluvoxamine treatment of binge eating disorder: a multicenter, placebo-controlled trial. In: Proceedings of the American Psychiatric Association, 1995, p. 218.

    Google Scholar 

  57. Alger SA, Schwalberg MD, Bigaouette JM, Michalek AV, Howard LJ. Effect of a tricyclic antidepressant and opiate antagonist on binge-eating behavior in normoweight bulimic and obese, binge-eating subjects. Am J Clin Nutr 1991; 53: 865–871.

    CAS  Google Scholar 

  58. Marcus, MD, Wing RR, Ewing L, Kern E, McDermott M, Gooding W. A double blind, placebo-controlled trial of fluoxetine plus behavior modification in the treatment of obese binge-eaters and nonbinge-eaters. Am J Psychiatry 1990; 147: 876–881.

    CAS  Google Scholar 

  59. Craighead LW, Agras WS. Mechanisms of action in cognitive-behavioral and pharmacological interventions for obesity and bulimia nervosa. J Consult Clin Psychol 1991; 59: 115–125.

    Article  CAS  Google Scholar 

  60. DeZwaan M, Nutzinger DO, Schoenbeck G. Binge eating in overweight women. Compr Psychiatry 1992; 33: 256–261.

    Article  CAS  Google Scholar 

  61. Stunkard A, Fernstrom M, Price A, Frank E, Kupfer D. Direction of weight change in recurrent depression. Arch Gen Psychiatry 1990; 47: 857–860.

    Article  CAS  Google Scholar 

  62. Weissenburger J, Rush A, Gilles DE, Stunkard AJ. Weight change in depression. Psychiatry Res 1986; 17: 275–283.

    Article  CAS  Google Scholar 

  63. Drewnowski A, Krahn DD, Demitrack MA, Nairn K, Gosnell BA. Naloxone, an opiate blocker, reduces the consumption of sweet high-fat foods in obese and lean female binge eaters. Am J Clin Nutr 1995; 61: 1206–1212.

    CAS  Google Scholar 

  64. Marrazzi MA, Markham KM, Kinzie J, Luby ED. Binge eating disorder: response to naltrexone. Int J Obes 1995; 19: 143–145.

    CAS  Google Scholar 

  65. Stunkard A, Berkowitz R, Tanrikut C, Reiss E, Young L. D-Fenfluramine treatment of binge eating disorder. Am J Psychiatry 1996; 153: 1455–1459.

    CAS  Google Scholar 

  66. Abenhain L, Monde Y, Brenot F, Rich S, Benchou J, Kurz X, et al. Appetite suppresant drugs and the risk of primary pulmonary hypertensions. N Engl J Med 1996; 335: 609–616.

    Article  Google Scholar 

  67. McCann UD, Seiden LS, Rubin LJ, Ricaurte GA. Brain serotonin neurotoxicity and primary pulmonary hypertension from fenfluramine and dexfenfluramine. JAMA 1997; 278: 666–672.

    Article  CAS  Google Scholar 

  68. NIH Technology Assessment Conference Panel. Methods for voluntary weight loss and control. Ann Intern Med 1992; 116: 942–994.

    Google Scholar 

  69. French SA, Jeffery RW. Consequences of dieting to lose weight: effects on physical and mental health. Health Psychol 1994; 13: 195–212.

    Article  CAS  Google Scholar 

  70. National Task Force on the Prevention and Treatment of Obesity. Weight cycling. JAMA 1994; 272: 1196–1202.

    Google Scholar 

  71. Atkinson, RL. Proposed standards for judging the success of the treatment of obesity. Ann Intern Med 1993; 119: 677–680.

    CAS  Google Scholar 

  72. Marcus MD, Moulton MM, Greeno CG. Binge eating onset in obese patients with binge eating disorder. Addict Behav 1995; 20: 747–756.

    Article  CAS  Google Scholar 

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Authors
  1. Marsha D. Marcus
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Editors and Affiliations

  1. Lilly Research Laboratories, Indiana University School of Medicine, Indianapolis, IN, USA

    David J. Goldstein MD, PhD

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© 1999 Springer Science+Business Media New York

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Marcus, M.D. (1999). Obese Patients with Binge-Eating Disorder. In: Goldstein, D.J. (eds) The Management of Eating Disorders and Obesity. Nutrition ◊ and ◊ Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-694-2_11

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  • DOI: https://doi.org/10.1007/978-1-59259-694-2_11

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-6761-2

  • Online ISBN: 978-1-59259-694-2

  • eBook Packages: Springer Book Archive

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