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Treatment of binge eating disorder
Published in Stephen Wonderlich, James E Mitchell, Martina de Zwaan, Howard Steiger, Eric F van Furth, Annual Review of Eating Disorders Part 1 – 2007, 2018
The two primary outcomes were “remission” from binge eating (defined as zero binge eating episodes for 28 days determined using the Eating Disorder Examination interview (EDE; Fairburn and Cooper 1993)) and attaining at least a 5% weight loss (seeRissanen et al. 2003). Intent-to-treat analyses for all randomized patients using a conservative baseline-carried-forward method were used. At three months post-treatment, 52% of participants in both treatment conditions had sustained remissions from binge eating. Participants on orlistat plus CBTgsh were significantly more likely to achieve a 5% weight loss than participants receiving placebo plus CBTgsh (32% versus 8%, respectively). These findings suggest the potential benefits of adding orlistat to CBTgsh to facilitate weight loss in obese patients with BED and provide further support for the robust and durable nature of the improvements associated with CBTgsh.
Changes in meal-related anxiety predict treatment outcomes in an intensive family-based treatment program for adolescents with anorexia nervosa
Published in Eating Disorders, 2021
Kellsey N. Smith, Jessica L. Van Huysse, Renee D. Rienecke
During the patient’s first introductory session, a trained staff member describes the research study and obtains informed consent from the patient and parents. The staff member explains that the patient’s care will not be impacted by the decision to participate in the research study and that they may leave the study at any time. Regardless of the decision to participate in the study, all patients and parents are given a standard set of measures to complete and return that day, including the MASC. The majority of patients also complete the Eating Disorder Examination Interview on this day, although a small number of patients completed this during their initial intake evaluation. Following the transition from the PHP to the IOP, the patient and parents complete their end of treatment questionnaires, which is the same set of measures administered at baseline. This is also when the patient completes the end of treatment EDE interview.
Relationships Between Childhood Abuse and Eating Pathology Among Individuals with Binge-Eating Disorder: examining the Moderating Roles of Self-Discrepancy and Self-Directed Style
Published in Eating Disorders, 2022
Skylar L. Borg, Lauren M Schaefer, Vivienne M Hazzard, Nicola Herting, Carol B Peterson, Ross D Crosby, Scott J Crow, Scott G Engel, Stephen A Wonderlich
Eating Disorder Examination Interview (EDE). The EDE Version 16.0 (Fairburn, 2008; Fairburn & Cooper, 1993) was used to assess ED symptoms and determine the DSM-5 diagnosis of BED (American Psychiatric Association, 2013). The EDE has demonstrated good reliability and validity in previous studies (Berg et al., 2012). In the present study, interrater reliability for current BED diagnosis was assessed for a random subset of participants (n= 21, 19%) with 100% agreement. The current study utilized the EDE Global score as an index of the respondent’s overall level of ED severity, with higher scores indicating more severe ED psychopathology. Cronbach’s alpha for the Global score in the current sample was .80.
Emotions before and after loss of control eating
Published in Eating Disorders, 2018
Brittany L. Stevenson, Robert D. Dvorak, Stephen A. Wonderlich, Ross D. Crosby, Kathryn H. Gordon
The Eating Disorder Examination Questionnaire (EDE-Q) is a 28-item questionnaire based on the Eating Disorder Examination interview (Fairburn & Beglin, 2008). Questions ask the participant to rate the frequency and intensity of eating disorder-related thoughts and behaviors on a scale from 0 to 6 (0 = no days/not at all… 2 = 6–12 days/slightly… 4 = 16–22 days/moderately… 6 = every day/markedly). The EDE-Q also includes questions to assess frequency of objective binge eating in the last 4 weeks. Those questions were used to identify individuals who engage in binge eating for participation in the study.