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Two forms of disordered eating in obesity: binge eating and night eating.

Abstract

OBJECTIVE

Binge eating disorder (BED) and the night eating syndrome (NES) have been linked to obesity. This review summarizes their characteristics, implications of their diagnoses and treatment outcomes.

METHOD

Selective review of the literature on BED and NES.

RESULTS

BED was proposed as a distinctive disorder on the basis of two large multisite studies in the early 1990s. It is associated with more severe and earlier onset of obesity, earlier onset of dieting and greater psychopathology. It shows large placebo responses and reduction of bingeing in patients on waiting-list controls. Traditional weight reduction programs reduce bingeing at least as well as psychological treatments designed for this purpose. NES is a stress-related eating, sleeping and mood disorder that is associated with disordered neuroendocrine function. It follows a characteristic circadian pattern and has responded to an agent that enhances serotonin function.

CONCLUSIONS

BED responds well to weight reduction programs. It is proposed that this diagnosis be used as a marker for psychological problems that deserve treatment in their own right. NES is an eating, sleep, and mood disorder with distinctive behavioral and neuroendocrine characteristics. Studies of treatment for NES are in their infancy but selective serotonin reuptake inhibitors (SSRI) show promise.

Authors+Show Affiliations

Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA. stunkard@mail.med.upenn.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Review

Language

eng

PubMed ID

12532147

Citation

Stunkard, Albert J., and Kelly Costello Allison. "Two Forms of Disordered Eating in Obesity: Binge Eating and Night Eating." International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, vol. 27, no. 1, 2003, pp. 1-12.
Stunkard AJ, Allison KC. Two forms of disordered eating in obesity: binge eating and night eating. Int J Obes Relat Metab Disord. 2003;27(1):1-12.
Stunkard, A. J., & Allison, K. C. (2003). Two forms of disordered eating in obesity: binge eating and night eating. International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, 27(1), pp. 1-12.
Stunkard AJ, Allison KC. Two Forms of Disordered Eating in Obesity: Binge Eating and Night Eating. Int J Obes Relat Metab Disord. 2003;27(1):1-12. PubMed PMID: 12532147.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two forms of disordered eating in obesity: binge eating and night eating. AU - Stunkard,Albert J, AU - Allison,Kelly Costello, PY - 2002/03/06/received PY - 2002/07/16/revised PY - 2002/07/22/accepted PY - 2003/1/18/pubmed PY - 2003/3/1/medline PY - 2003/1/18/entrez SP - 1 EP - 12 JF - International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity JO - Int. J. Obes. Relat. Metab. Disord. VL - 27 IS - 1 N2 - OBJECTIVE: Binge eating disorder (BED) and the night eating syndrome (NES) have been linked to obesity. This review summarizes their characteristics, implications of their diagnoses and treatment outcomes. METHOD: Selective review of the literature on BED and NES. RESULTS: BED was proposed as a distinctive disorder on the basis of two large multisite studies in the early 1990s. It is associated with more severe and earlier onset of obesity, earlier onset of dieting and greater psychopathology. It shows large placebo responses and reduction of bingeing in patients on waiting-list controls. Traditional weight reduction programs reduce bingeing at least as well as psychological treatments designed for this purpose. NES is a stress-related eating, sleeping and mood disorder that is associated with disordered neuroendocrine function. It follows a characteristic circadian pattern and has responded to an agent that enhances serotonin function. CONCLUSIONS: BED responds well to weight reduction programs. It is proposed that this diagnosis be used as a marker for psychological problems that deserve treatment in their own right. NES is an eating, sleep, and mood disorder with distinctive behavioral and neuroendocrine characteristics. Studies of treatment for NES are in their infancy but selective serotonin reuptake inhibitors (SSRI) show promise. UR - https://www.unboundmedicine.com/medline/citation/12532147/full_citation L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=12532147.ui DB - PRIME DP - Unbound Medicine ER -