Associations of Negative Affect and Eating Behaviour in Obese Women With and Without Binge Eating Disorder.

Associations of negative affect and eating behaviour in obese women with and without binge eating disorder.

Eat Weight Disord. 2010 Dec; 15(4): 287-93
Schulz S, Laessle RG

The present study was planned to investigate differences in psychopathological features, eating behaviour and eating habits between obese women with and without BED. It also aimed to identify specific relationships between affective symptoms and eating behaviour in obese women with BED. Eighty-four obese women were studied (40 with BED, 44 non-BED). Psychiatric comorbidities were assessed with the structured diagnostic interview for DSM-IV (SCID). Depressive symptoms were measured with the Beck Depression Inventory (BDI) and anxiety with the state-trait anxiety inventory (STAI). Eating habits (emotional and restrained eating) were assessed by the Dutch eating behaviour questionnaire (DEBQ). Food diaries were used for assessing naturalistic eating behaviour (food intake) and mood before and after food intake. BED subjects exhibited higher levels of comorbidity (in particular mood disorders, anxiety disorders and substance-related disorders), higher depressive symptoms, trait anxiety, external and emotional eating scores than non-BED subjects. Regression analyses revealed that anxiety and emotional eating were significant predictors for BED status. In the BED group, depressive symptoms were significantly related to emotional eating and food intake and negatively related to restraint. Anxiety was significantly related to emotional eating. In general, food intake significantly enhanced mood. Mood was worse on the days with self-reported binge eating episodes than on nonbinge days. These results are discussed with regard to aetiological models for BED and for BED being a distinct diagnostic category separate from obesity. HubMed – eating

Cognitive remediation therapy in an outpatient setting: A case series.

Eat Weight Disord. 2010 Dec; 15(4): 281-6
Pitt S, Lewis R, Morgan S, Woodward D

This study aimed to evaluate the clinical benefit of Cognitive Remediation Therapy (CRT), designed to reduce the perfectionism associated with Anorexia Nervosa (AN) in an outpatient setting.The study used patient feedback and a self-report pre and post measure of perfectionism to assess the benefits of the intervention.Patient feedback was positive, with most having found the therapy stimulating and with self reported improvements in the flexibility in thinking in their everyday lives. A selfreport measure showed both positive and negative changes to perfectionism.This study suggests CRT is a promising intervention for the perfectionism associated with AN in an outpatient setting. However, CRT is not a stand alone treatment, but a pre-therapy intervention. HubMed – eating

Interactive Brazilian program to prevent eating disorders behaviors: A pilot study.

Eat Weight Disord. 2010 Dec; 15(4): 270-4
Dunker KL, Philippi ST, Ikeda JP

During a four month scholarly leave in United States of America, researchers designed a culturally appropriate prevention program for eating disorders (ED) for Brazilian adolescent girls. The program “Se Liga na Nutrição” was modeled on other effective programs identified in a research literature review and was carried out over eleven interactive sessions. It was positively received by the adolescents who suggested that it be part of school curricula. The girls reported that it helped them to develop critical thinking skills with regards to sociocultural norms about body image, food and eating practices. HubMed – eating