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Binge-Eating-Störung

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S3-Leitlinie Diagnostik und Behandlung der Essstörungen

Zusammenfassung

Menschen mit der Diagnose einer Binge-Eating-Störung (BES) leiden unter regelmäßig auftretenden Essanfällen. Charakteristisch für einen Essanfall ist, dass die Betroffenen in einem begrenzten Zeitraum (z. B. innerhalb von zwei Stunden) eine erheblich größere Nahrungsmenge zu sich nehmen als die meisten Menschen unter vergleichbaren Umständen (American Psychiatric Association, APA 2013). Um zu entscheiden, ob es sich in einem konkreten Fall um einen Essanfall handelt oder nicht, wird empfohlen, den Kontext heranzuziehen, innerhalb dessen gegessen wird. So essen die meisten Menschen beispielsweise bei einem festlichen Büffet in der Regel deutlich mehr als bei üblichen Mahlzeiten. Demnach kann die gegessene Nahrungsmenge nach den DSM-5-Kriterien in einem Kontext als objektiv große Nahrungsmenge zu werten sein (z. B. bei einer gewöhnlichen Mahlzeit), während dies in einem anderen Kontext nicht gilt (z. B. bei einem festlichen Büffet).

Ulrich Hagenah und Harriet Salbach-Andrae waren Koautoren einer Vorläuferversion dieses Kapitels.

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Notes

  1. 1.

    Weil die stukturierte, manualisierte Selbsthilfebehandlung für die BN in der überwiegenden Mehrzahl der Studien angeleitet vorgegeben wurde, ist sie im entsprechenden 7 Kap. 5, 7 Abschn. 5.2.2.5 als „Therapeutisch geleitetes Selbstmanagement“ bezeichnet. Im vorliegenden Kapitel wird hingegen die international gebräuchliche Bezeichnung der strukturierten Selbsthilfe verwendet, die mit oder ohne Anleitung durchgeführt wurde.

  2. 2.

    Im 7 Kap. 5 mit „Selbstmanagement“ bezeichnet.

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Authors and Affiliations

  1. Integriertes Forschungs- und Behand, Universitätsmedizin Leipzig, Leipzig, Deutschland

    Anja Hilbert

  2. Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum Bochum Ruhr-Universität Bochum, Bochum, Deutschland

    Stephan Herpertz

  3. Klinik und Poliklinik für Psychotherapie und Psychosomatische Medizin, Universitätsklinikum Leipzig, Leipzig, Deutschland

    Anette Kersting

  4. Institut für Experimentelle Psychologie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland

    Reinhard Pietrowsky

  5. Institut für Psychologie, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Deutschland

    Brunna Tuschen-Caffier

  6. Institut für Psychologie, Universität Osnabrück, Osnabrück, Deutschland

    Silja Vocks

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  1. Anja Hilbert
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  2. Stephan Herpertz
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  3. Anette Kersting
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  4. Reinhard Pietrowsky
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  5. Brunna Tuschen-Caffier
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  6. Silja Vocks
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Correspondence to Anja Hilbert .

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Editors and Affiliations

  1. Deutsche Gesellschaft für Psychosomatische Medizin und Ärztliche Psychotherapie (DGPM), Bochum, Germany

    Stephan Herpertz

  2. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Prien a. Chiemsee, Bayern, Germany

    Manfred Fichter

  3. Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie (DGKJP), Aachen, Germany

    Beate Herpertz-Dahlmann

  4. Deutsche Gesellschaft für Essstörungen (DGESS), Leipzig, Sachsen, Germany

    Anja Hilbert

  5. Deutsche Gesellschaft für Psychologie (DGPs), Freiburg im Breisgau, Baden-Württemberg, Germany

    Brunna Tuschen-Caffier

  6. Deutsche Gesellschaft für Essstörungen (DGESS), Leipzig, Sachsen, Germany

    Silja Vocks

  7. Deutsches Kollegium für Psychosomatische Medizin (DKPM), Freiburg im Breisgau, Baden-Württemberg, Germany

    Almut Zeeck

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Hilbert, A., Herpertz, S., Kersting, A., Pietrowsky, R., Tuschen-Caffier, B., Vocks, S. (2019). Binge-Eating-Störung. In: Herpertz, S., et al. S3-Leitlinie Diagnostik und Behandlung der Essstörungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59606-7_6

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