The Internet and e-mail appear to be viable methods for the delivery of structured behavioral weight loss or weight maintenance programs. Synchronous communication, interactivity and frequent updates were also noted as factors improving adherence. The importance of human counseling in enhancing outcomes of online treatment programs was highlighted. Efficacy was better with weekly therapist contact via e-mail. The behavior therapy group lost more weight than the education group after three and six months.
Binge eating scale spss code trial#
A first randomized controlled trial compared an online 6-month structured behavioral weight loss program with a weight loss education website. In the field of obesity, online behavioral programs focusing on weight loss and weight loss maintenance were also introduced. A review of online approaches indicated a reduction of risk factors and an improvement of symptoms across a broad spectrum of mental illness and related conditions: depression, stress, insomnia, headache or eating disorders. Self-help techniques were transferred to the Internet to improve treatment access, especially for overcoming practical constraints such as cost, time and distance. With the increased development of new technologies, the Internet has become a promising tool to deliver interventions for promoting healthy lifestyle and behaviors. Self-help methods were developed to provide treatment on a larger scale. CBT guided self-help treatment showed better remission rates compared to behavioral weight loss treatment and control conditions. CBT treatment, delivered as guided or pure self-help interventions, also proved efficacious in the treatment of BED. Ī review of several treatment studies suggested that Cognitive Behavioral Therapy (CBT) for BED was effective in reducing the number of binge episodes and in improving related factors such as restraint, disinhibition and hunger.
Binge eating scale spss code full#
A large number of studies suggested that subthreshold BED patients have comparable risk of psychiatric distress as women with full syndrome BED and deserve similar treatment. The loss of control and the distress it causes seem to be the most salient aspects of binge eating. Some ongoing discussions question the importance of using binge size and frequency for setting the diagnostic threshold. Current diagnostic criteria include, notably, the consumption of a “large” amount of food and a binge eating episodes frequency of at least two days a week for the last six months. The utility and validity of BED diagnosis is now recognized in the eating disorders area. Taken together, these factors support the systematic screening of BED in people seeking a treatment for obesity. BED obese individuals undergoing weight loss treatment lose less weight than obese patients without BED. They exhibit higher lifetime rates of affective disorder and a lower quality of life. Obese people with BED differ significantly from obese people without BED and show more psychological disturbances, such as lower self-esteem, lower self-efficacy, difficulties in accurately identifying emotions and other internal states, and higher levels of impulsivity.
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The observed prevalence in obese individuals seeking weight loss treatment reached 30 % to 50%.
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BED is closely related to overweight and obesity. This disorder is characterized by recurrent episodes of binge eating with loss of control in the absence of compensatory behaviors. BED was included as a provisional diagnosis in DSM-IV. īinge Eating Disorders (BED) is the most common eating disorder seen in overweight and obesity. Its management should be considered as a long-term process. Obesity is often associated with psychiatric distress, such as higher incidence of depression, negative body image, disordered eating, and impaired quality of life. Obesity is now recognized as a chronic illness with severe and adverse impact on health and longevity.