Saturday, April 24, 2010

“Psychological Treatments of Binge Eating Disorder”

Binge eating is now recognized as an eating disorder and will be included in the next DSM 5. Therefore new studies about the effectiveness of treatments have been sponsored by the National Institute of Mental Health (NIMH).

The purpose of the study was to evaluate the long-term effects of interpersonal psychotherapy (IPT), behavioral weight loss interventions (BWL), and guided self help based on cognitive behavior therapy (CBT GSH) treatments in Binge Eating Disorder.

The process includes 205 participants, both male and female with a body mass index between 27 and 45 were randomly assigned to one of the three treatments. They completed twenty sessions of IPT or BWL or ten sessions of CBT GSH during a six month period.

The results of the therapy after the two year follow-up include: both IPT and CBT GSH resulted in greater remission from binge eating than BWL. Self-esteem tests also concluded that scores were higher in both IPT and CBT GSH treatments. In conclusion Interpersonal psychotherapy and Guided self help based on cognitive behavior therapy were most effective treatments in treating BED.

It’s interesting that the one treatment that includes a system for dieting and recognizes an exercise routine is the least effective. Is weight really that closely associated to mood? I know that Europeans tend to be lean, and numerous people say that they lost weight over-seas. Is it the American lifestyle that is focused around extreme work rather than aesthetic and beauty of the world around us that encourages these types of behaviors and induced disorders?

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