The Role of Negative Emotions in Binge Eating Disorder
DOI:
https://doi.org/10.54097/ehss.v8i.4501Keywords:
Binge Eating Disorder, Negative emotion, Intervention.Abstract
Binge Eating Disorder (BED) refers to the abnormal condition in which patients uncontrollably consume a large quantity of food for a persisting period. There are severe physical and mental health problems brought about by binging. This review is written with the purpose of analyzing the effects and mechanisms of negative emotions on BED. In addition, intervention approaches for BED are discussed. Negative moods are found to precede often binging behavior, and almost all non-purging patients of BED display feelings of guilt after binge eating episodes. From a biological point of view, cortisol and the HPA-Axis are suspected to be closely related to binge eating in response to stress. In addition, shame specifically is found to be positively correlated with binge eating, and binge-induced shame could trigger even more external shame, which forms the vicious cycle of BED. Several existing treatments for BED are reported to be effective to different extents, including either therapist-led or self-guided cognitive Behavior Treatment, Interpersonal Therapy, and Dialectical Behavior Therapy.
Downloads
References
Tu A, Cmg B . Prevalence and Correlates of DSM-5–Defined Eating Disorders in a Nationally Representative Sample of U.S. Adults[J]. Biological Psychiatry, 2018, 84(5):345-354.
National Institute of Health, N.I.H. Definition & Facts for binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases, (2021, May). Retrieved August 30, 2022, from https://www.niddk.nih.gov/health-information/weight-management/binge-eating-disorder/definition-facts
Yanovski, S. Z. (1993). Binge Eating Disorder: Current Knowledge and Future Directions. Obesity Research, 1.
Hilbert, A., & Tuschen-Caffier, B. (2007). Maintenance of binge eating through negative mood: a naturalistic comparison of binge eating disorder and bulimia nervosa. National Library of Medicine. Retrieved 2022, from https://pubmed.ncbi.nlm.nih.gov/17573697/
Dingemans, A., Danner, U., & Parks, M. (2017, November). Emotion regulation in binge eating disorder: A Review. Nutrients. Retrieved August 31, 2022, from https://pubmed.ncbi.nlm.nih.gov/29165348/#:~:text=Negative%20emotions%20and%20maladaptive%20emotion%20regulation%20strategies%20play,hurt%20or%20loneliness%29%2C%20seem%20to%20be%20particularly%20relevant.
Gluck, M. E., Geliebter, A., & Lorence, M. (2004). Cortisol stress response is positively correlated with central obesity in obese women with binge eating disorder (bed) before and after cognitive-behavioral treatment. Annals of the New York Academy of Sciences. Retrieved September 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/15677411/
Rosenberg, N., Bloch, M., Avi, I. B., Rouach, V., Schreiber, S., Stern, N., & Greenman, Y. (2013). Cortisol response and desire to binge following psychological stress: Comparison between obese subjects with and without binge eating disorder. Psychiatry research. Retrieved September 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/23083917/
Duarte, C., Pinto-Gouveia, J., & Ferreira, C. (2017). Ashamed and fused with body image and eating: Binge eating as an avoidance strategy. Clinical psychology & psychotherapy. Retrieved September 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/26689603/
Gilbert, P. (2007). Apa PsycNet. American Psychological Association. Retrieved September 1, 2022, from https://psycnet.apa.org/record/2007-14002-016
Fairburn C. Cognitive Behavior Therapy and Eating Disorders. New York: Guilford; 2008.
da Luz FQ, Hay P, Wisniewski L, Cordás T, Sainsbury A. The treatment of binge eating disorder with cognitive behavior therapy and other therapies: An overview and clinical considerations. Obesity Reviews. 2020, 1–12. https://doi.org/10.1111/obr.13180
Wilson GT, Zandberg LJ. Cognitive–behavioral guided self-help for eating disorders: effectiveness and scalability. Clin Psychol Rev. 2012, 32(4):343-357.
Klerman GL, Weissman MM, Rounsaville BJ, Chevron ES. Interpersonal Psychotherapy of Depression. New York: Basic Books; 1984.
Marian, Tanofsky-Kraff, Denise, et al. Preventing excessive weight gain in adolescents: interpersonal psychotherapy for binge eating. Obesity. 2007, 15:1345–1355.
Wilfley D, Stein R, Welch R. Interpersonal psychotherapy. In: Treasure J, Schmidt U, van Furth E, eds. Handbook of Eating Disorders. London: John Wiley & Sons; 2003, pp. 70-253.
Safer DL, Jo B. Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behav Ther. 2010, 41(1):106-120.
Bankoff SM, Karpel MG, Forbes HE, Pantalone DW. A systematic review of dialectical behavior therapy for the treatment of eating disorders. Eating Disorders. 2012, 20(3):196-215.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.






