دورية أكاديمية

The relationship between non-purging compensatory behaviors, clinical severity, and treatment outcomes in adults with binge-spectrum eating disorders.

التفاصيل البيبلوغرافية
العنوان: The relationship between non-purging compensatory behaviors, clinical severity, and treatment outcomes in adults with binge-spectrum eating disorders.
المؤلفون: Wilkinson ML; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA.; Department of Psychology and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA., Presseller EK; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA.; Department of Psychology and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA., Lampe EW; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA.; Department of Psychology and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA., Trainor C; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA.; Department of Psychology and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA., Sinex R; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA., Manasse SM; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA., Juarascio AS; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, Pennsylvania, USA.; Department of Psychology and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.
المصدر: Eating disorders [Eat Disord] 2024 Mar-Apr; Vol. 32 (2), pp. 212-222. Date of Electronic Publication: 2024 Jan 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Routledge Country of Publication: United States NLM ID: 9315161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-530X (Electronic) Linking ISSN: 10640266 NLM ISO Abbreviation: Eat Disord Subsets: MEDLINE
أسماء مطبوعة: Publication: <2013- > : Philadelphia, PA : Routledge
Original Publication: New York, NY : Brunner/Mazel Publishers, c1993-
مواضيع طبية MeSH: Binge-Eating Disorder*/therapy , Feeding and Eating Disorders* , Bulimia*/therapy, Adult ; Humans ; Treatment Outcome ; Fasting
مستخلص: Non-purging compensatory behaviors (NPCB; e.g. driven exercise, fasting, other extreme behaviors) are a subcategory of compensatory behaviors typically characterized as infrequent and less severe. Limited prior research has studied NPCB despite their increasing prevalence among adults with binge-spectrum eating disorders (B-ED). More research is needed to understand the types of NPCB present among B-ED and the association between NPCB, clinical severity, and treatment outcomes. Secondary analyses were conducted among 155 adults with B-ED in cognitive-behavioral (CBT)-based clinical trials. At baseline and post-treatment, clinical interviews of eating pathology assessed binge eating frequency, purging compensatory behavior frequency, and global eating pathology. The following NPCB were also assessed: driven exercise, 24-h fasting, 8+ waking hours of compensatory fasting, chewing and spitting, and other extreme weight control behaviors. Participants engaging in NPCB reported higher global eating pathology than those not engaging in NPCB. Frequency of chewing and spitting and 24-h fasting significantly decreased over treatment. Engagement in NPCB at baseline did not predict CBT outcomes. The current study highlights the prevalence and clinical severity of NPCB in B-ED but offers promising results regarding the potential for CBT to improve these behaviors. More research is needed on other extreme weight control behaviors reported qualitatively in our sample and on the maintenance of improvements in non-purging behaviors after CBT.
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معلومات مُعتمدة: R01 MH122392 United States MH NIMH NIH HHS; R34 MH116021 United States MH NIMH NIH HHS; R34 MH118353 United States MH NIMH NIH HHS; R43 MH121205 United States MH NIMH NIH HHS
تواريخ الأحداث: Date Created: 20240108 Date Completed: 20240219 Latest Revision: 20240309
رمز التحديث: 20240309
مُعرف محوري في PubMed: PMC10922548
DOI: 10.1080/10640266.2023.2293504
PMID: 38186089
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-530X
DOI:10.1080/10640266.2023.2293504