Binge-Eating Disorder: Clinical Foundations and Treatment by by James E. Mitchell MD;Michael J. Devlin MD;Martina de Zwaan
By James E. Mitchell MD;Michael J. Devlin MD;Martina de Zwaan MD;PhD Carol B. Peterson PhD;Scott J. Crow MD
This leading edge medical reference and scientific device is nearly books in a single. half I completely but succinctly experiences the literature on binge-eating illness, overlaying prognosis and epidemiology, medical good points and path, hyperlinks to weight problems, clinical hazards, and present therapy facts. half II offers an evidence-based cognitive-behavioral remedy handbook. Session-by-session instructions tackle tips on how to aid participants or teams swap their consuming habit, do something about emotional triggers, restructure challenging innovations, care for physique picture matters and linked difficulties, retain development, and forestall relapse. Featured are greater than forty truly defined homework assignments and handouts, all in a large-size layout with permission to photocopy.
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Extra info for Binge-Eating Disorder: Clinical Foundations and Treatment by James E. Mitchell MD (2007-10-18)
Although there have been many studies of various forms of psychotherapy in patients with BED, most of whom were also overweight or obese (see Chapter 7), fewer studies have specifically compared weight control treatment with specialized eating-disorder-based interventions or have examined the additive effects of these approaches. One important dimension of outcome that could theoretically be augmented by specific attention to binge eating is weight loss. , 1998). , 2000). A different approach to this question is to combine elements of behavioral weight loss with interventions specific to binge eaters.
Yet medical fitness can be improved even without significant weight loss, and disease risk may be related to lifestyle and other variables more so than body weight or body composition per se (Miller, 1999). Obesity-related disability may also occur in the psychological and/or cognitive realms. , 2002). , 2003). , 1997), although the mechanism of this association is unclear. , 2002). In sum, although the case for obesity-associated disability and/or risk in at least some obese individuals is strong, the lack of a universal obesity-related abnormality in behavior or psychological features argues against the concept of obesity as primarily a mental disorder.
2003). A large-scale study of nonclinical women enrolled in a weight gain prevention program similarly found that binge eating had similar correlates (dieting, depression, weight/shape preoccupation) in normal-weight and overweight women. , 1993). In addition, in a mixed-weight sample of individuals with and without binge eating, binge eating was found to be associated with abdominal pain and dyschezia, regardless of weight. , 1994). Thus, despite their relative absence in clinical trials, there is little support for excluding individuals from the BED diagnostic category on the basis of weight.