PMID- 11026087
OWN - NLM
STAT- MEDLINE
DCOM- 20001113
LR  - 20151119
IS  - 0040-5930 (Print)
IS  - 0040-5930 (Linking)
VI  - 57
IP  - 8
DP  - 2000 Aug
TI  - [Eating behavior, eating disorders and obesity].
PG  - 504-10
AB  - Over the last 50 years, the nutritional and socioeconomic conditions have 
      dramatically changed in all industrialized countries. As a consequence, there has 
      been a sharp rise in the prevalence of obesity. Simultaneously, social and 
      cultural pressures to maintain a thin body shape have significantly increased. 
      This untoward situation is largely responsible for the steady increase of eating 
      disorders, especially bulimia nervosa and binge-eating disorder, which are common 
      disorders among normal or overweight individuals. Although the criteria for 
      bulimia nervosa were first described in the DSM-III in 1980 (APA, 1980), recent 
      studies have demonstrated that only about 12% of these patients are detected by 
      their GP's. One reason for this low rate of detection may be due to the tendency 
      of patients to conceal their illness from others. It is also possible, however, 
      that general practitioners lack sufficient knowledge about bulimia nervosa, 
      preventing proper identification. To help improve this situation, diagnostic 
      guidelines and therapeutic options were summarized. Binge-eating disorder (BED), 
      which is classified as an "eating disorder not otherwise specified" in the DSM-IV 
      (APA, 1994), has been described as the most relevant eating disorder for 
      overweight individuals. It has been estimated that approximately 20-30% of 
      overweight persons seeking help at weight loss programs are classified as binge 
      eaters. Initial results from these studies suggest that binge eaters may require 
      a modified psychotherapeutic approach which focuses on normalizing disordered 
      eating patterns before attempting weight loss. In addition to the importance of 
      screening for eating disorder behaviors, overweight patients should be assessed 
      for other comorbid conditions, such as depression and anxiety. Further, body 
      image disturbances should be assessed during the evaluation. In the event that 
      comorbid disorders are present, it is recommended that specific psychotherapeutic 
      interventions which target these problems be integrated into the overall weight 
      reduction program.
FAU - Zipfel, S
AU  - Zipfel S
AD  - Abt. Allgemeine Klinische und Psychosomatische Medizin, Medizinische 
      Universitatsklinik Heidelberg. stefan_zipfel@med.uni-heidelberg.de
FAU - Lowe, B
AU  - Lowe B
FAU - Herzog, W
AU  - Herzog W
LA  - ger
PT  - English Abstract
PT  - Journal Article
PT  - Review
TT  - Essverhalten, Ess-Storungen und Adipositas.
PL  - Switzerland
TA  - Ther Umsch
JT  - Therapeutische Umschau. Revue therapeutique
JID - 0407224
RN  - 0 (Dietary Fats)
SB  - IM
MH  - Anxiety Disorders/*complications
MH  - *Body Image
MH  - Depressive Disorder/*complications
MH  - Diet/psychology
MH  - Dietary Fats
MH  - Feeding Behavior/*psychology
MH  - Feeding and Eating Disorders/classification/*complications/psychology
MH  - Humans
MH  - Obesity/complications/*etiology/psychology
MH  - Psychotherapy/methods
RF  - 34
EDAT- 2000/10/12 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/10/12 11:00
PHST- 2000/10/12 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/10/12 11:00 [entrez]
AID - 10.1024/0040-5930.57.8.504 [doi]
PST - ppublish
SO  - Ther Umsch. 2000 Aug;57(8):504-10. doi: 10.1024/0040-5930.57.8.504.