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11. A Cognitive- Behavioral Therapeutic Program for Patients with Obesity and Binge Eating Disorder: Short- and Long- Term Follow-Up Data of a Prospective Study

Author

Vanderlinden, Johan, Adriaensen, An, and Vancampfort, Davy

Abstract

The goal of this study is to investigate the efficacy of a manualized cognitive-behavioral therapeutic (CBT) approach for patients with obesity and binge eating disorder (BED) on the short and longer term. A prospective study without a control group consisting of three measurements (a baseline measurement and two follow-up assessments up to 5 years after the start of the CBT treatment) was used. A total of 56 patients with obesity and BED (age = 39.7 [plus or minus] 10-9 years; body mass index [BMI] = 38.5 [plus or minus] 8.3 kg/m[squared]) participated in the study. BMI, number of binges per week, general psychological well-being, mood, attitude toward one's body, and loss of control over the eating behavior were evaluated by means of mixed models. Results indicate that a CBT approach offered 1 day a week during an average 7 months produces benefits on eating behaviors, weight, and psychological parameters that are durable up to 3.5 years post treatment. (Contains 2 tables and 1 figure.)

Published
2012
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29. Binge eating and purging in first-year college students: Prevalence, psychiatric comorbidity, and academic performance

Author

Serra, Riccardo, Kiekens, Glenn, Vanderlinden, Johan, Vrieze, Elske, Auerbach, Randy P., Benjet, Corina, Claes, Laurence, Cuijpers, Pim, Demyttenaere, Koen, Ebert, David D., Tarsitani, Lorenzo, Green, Jennifer Greif, Kessler, Ronald C., Nock, Matthew K., Mortier, Phillippe, Bruffaerts, Ronny, Serra, Riccardo, Kiekens, Glenn, Vanderlinden, Johan, Vrieze, Elske, Auerbach, Randy P., Benjet, Corina, Claes, Laurence, Cuijpers, Pim, Demyttenaere, Koen, Ebert, David D., Tarsitani, Lorenzo, Green, Jennifer Greif, Kessler, Ronald C., Nock, Matthew K., Mortier, Phillippe, and Bruffaerts, Ronny

Abstract

Background: Binge eating and purging behaviors (BPB) are common among college students, but evidence is scant on prevalence and associations of BPB with mental health problems and objective academic performance. This study aims to investigate: (a) 12-month prevalence of BPB among college first-year students, (b) comorbidity patterns of BPB with various mental health problems, and (c) the association of BPB with objective academic functioning. Methods: Using data from the Leuven College Surveys (Belgium), as part of the World Mental Health Surveys International College Student initiative, we cross-sectionally assessed 12-month BPB and mental health problems among college first-year students (n = 4,889; response rate = 73.2%) at the beginning of the academic year. Objective measures of academic functioning (final grades, expressed in academic year percentage “AYP” [0–100%] and academic failure) were obtained from administrative records at the end of the academic year. Results: Twelve-month prevalence of BPB was 7.6% (7.3%binge eating and 1.0%purging), with higher rates among females than males. Bivariate models showed an association between BPB and numerous mental health problems (ORs = 3.4–18.4). Multivariate models showed associations with non-suicidal self-injury, post-traumatic stress, internalizing/externalizing problems and suicidal ideation. After controlling for sociodemographic characteristics and comorbid mental health problems, BPB were still associated with lower AYP (−4.1 to −11.2% range) and elevated odds of academic year failure (ORs = 1.4–4.2). Conclusions: BPB (especially binge eating) are relatively common and associated with mental health problems, comparatively low academic performance, and higher risk of academic failure among college first-year students. Further study is needed to examine the causal dynamics underlying these associations.

Published
2020
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48. Binge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance

Author

Serra, Riccardo, primary, Kiekens, Glenn, additional, Vanderlinden, Johan, additional, Vrieze, Elske, additional, Auerbach, Randy P, additional, Benjet, Corina, additional, Claes, Laurence, additional, Cuijpers, Pim, additional, Demyttenaere, Koen, additional, Ebert, David D, additional, Tarsitani, Lorenzo, additional, Green, Jennifer Greif, additional, Kessler, Ronald C, additional, Nock, Matthew K, additional, Mortier, Phillippe, additional, and Bruffaerts, Ronny, additional

Published
2019
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