Binge eating disorder assessment and treatment
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Binge Eating Disorder: Assessment and Treatment
Christina Wood Baker, Ph.D.
Northampton February 9, 2012
Assessment of Eating Disorders
Dx: questionnaire + interview Current problems with eating
? Eating habits (e.g., daily patterns, binge eating) ? Weight/shape control measures (e.g., food restriction, excessive
exercise, laxatives, diuretics, vomiting) ? Perceptions and feelings about weight/shape, weighing
Impairment from ED- physical and psychosocial, SLEEP Development and evolution of problem
? Weight history and treatment history
Comorbid medical/psychiatric problems, current tx Brief personal history Personal and family psychiatric history, MSE Motivation/ambivalence, attitude towards tx
Useful Self-Report Instruments
Eating behavior and cognitions
? EDDS
? Eating Disorder Diagnostic Scale by Stice provides diagnostic information, 22 items
? ales/
? EDE-Q
? Eating Disorder Exam Questionnaire
? CIA
? Clinical Impairment Assessment, assesses psychosocial impairment from the eating disorder
? credo/cbt_and_eating_disorders
Assessment of Binge Eating
Tricky aspects of assessing binge eating
? Subjectivity of "loss of control" ? Subjectivity of "large amount of food" ? Grazing all day versus discrete episodes
Assessment
yes
no
yes
Objective Binge Episode
Subjective Binge Episode
no
Objective Overeating
Treatment: Guided Self-Help
CBT GSH: Overcoming Binge Eating
CBT short group + boosters
? 8 weekly + 5 boosters ? Better than waitlist and sustained improvements at 12-
month follow-up.
Schlup et al, 2009
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