Management and Outcomes of Binge-Eating Disorders

Course overview

Course Description This course is based upon material published in the Effective Health Care Program and is available as an open access article. This review addresses the efficacy and effectiveness of interventions for individuals meeting DSM IV or DSM 5 criteria for BED, for post bariatric surgery patients with LOC eating, and for children with LOC eating. Hereafter, the term effectiveness refers to both efficacy and effectiveness, including comparative effectiveness. We also attempted to examine whether treatment effectiveness differed in subgroups based on sex, race, ethnicity, sexual orientation, body mass index BMI, duration of illness, or coexisting conditions. Broadly, we included pharmacological, psychological, behavioral, and combination interventions. We considered physical and psychological health outcomes in four major categories 1 binge behavior binge eating or LOC eating 2 binge eating related psychopathology e.g., weight and shape concerns, dietary restrain 3 physical health functioning i.e., weight and other indexes of metabolic health e.g., diabetes and 4 general psychopathology e.g., depression, anxiety. Additional outcomes of interest included social and occupational functioning and harms of treatment. We also examined the course of illness of BED and of LOC eating, particularly given their relatively high comorbidity with other medical and psychiatric conditions. In addition, clinical interest in understanding whether LOC eating reliably predicts poorer weight outcomes and new onset BED over time is considerable. Little is known about the temporal stability of BED in the community generally, and of LOC in post bariatric surgery patients and children specifically. Ultimately, the information produced in this review is intended to contribute to improved care for patients, better decision making capacity for clinicians, and more sophisticated policies from those responsible for establishing treatment guidelines or making various insurance and related decisions. This course on the efficacy of different interventions on binge eating disorder. is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work. This course is appropriate for intermediate and advanced level practitioners who wish to develop their understanding of the efficacy of different interventions on binge eating disorder The course material includes a literature review of interventions. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal. The course is based on a journal article which includes research. It contains statistical analysis and data that some clinicians enjoy reading and others do not. A major benefit of reading research based articles for continuing education is they provide practitioners with the latest findings in their field. Authors Agency for Healthcare Research and Quality Learning Objectives This course will provide the practitioner with detailed information regarding the efficacy of different interventions on binge eating disorder. Specifically, a professional will Identify BED using the descriptions given by the DSM IV V Distinguish between BED and LOC eating disorders Explain the effectiveness or lack of using different interventions on patients. Citation This executive summary is part of the following document Berkman ND, Brownley KA, Peat CM, Lohr KN, Cullen KE, Morgan LC, Bann CM, Wallace IF, Bulik CM. Management and Outcomes of Binge Eating Disorder. Comparative Effectiveness Review No. 160. Prepared by the RTI International University of North Carolina Evidence based Practice Center under Contract No. 290 2012 00008 I. AHRQ Publication No. 1516 EHC030 EF. Rockville, MD Agency for Healthcare Research and Quality December 2015. www.effectivehealthcare.ahrq.gov/reports/final.cfm.