Interventions for Weight Management in Binge-Eating Disorder: Current Findings and Issues.

IF 6.7 2区医学 Q1 PSYCHIATRY

Current Psychiatry Reports Pub Date : 2025-10-01 Epub Date: 2025-08-09 DOI:10.1007/s11920-025-01630-8

Carlos M Grilo

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引用次数: 0

Abstract

Purpose of review: Binge-eating disorder (BED) is associated strongly with obesity and heightened rates of psychiatric, somatic, and psychosocial/functional impairments. BED is infrequently diagnosed or treated with empirically-supported interventions. This review covers weight management interventions for BED, with a specific focus on clinician-led behavioral lifestyle and/or pharmacological treatments; self-directed "dieting" and inappropriate weight-loss approaches are not considered.

Recent findings: Emerging research has provided further empirical support for behavioral lifestyle weight management (BLWM) for patients with BED at higher weights. Rigorous trials have reported outcomes that approximate those of specialist treatments such as CBT for reducing binge-eating and eating-disorder psychopathology plus also producing modest weight-loss. BED, obesity, and chronic medical conditions are associated strongly and attaining modest weight-loss can be an important consideration for patients with BED at higher weights and their clinicians. Recent research has supported the effectiveness of certain clinician-led BLWM interventions and addressed concerns regarding their benefits/risks.

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暴饮暴食症患者体重管理的干预措施：目前的发现和问题。

综述目的：暴饮暴食症（BED）与肥胖以及精神、躯体和社会心理/功能障碍的高发率密切相关。BED很少用经验支持的干预措施进行诊断或治疗。本综述涵盖了BED的体重管理干预措施，特别关注临床医生主导的行为生活方式和/或药物治疗；不考虑自我指导的“节食”和不适当的减肥方法。最新发现：新兴研究为高体重BED患者的行为生活方式体重管理（BLWM）提供了进一步的实证支持。严格的试验报告的结果接近于专业治疗的结果，如减少暴饮暴食和饮食失调的精神病理学，并产生适度的减肥效果的CBT。BED、肥胖和慢性疾病密切相关，对于体重较高的BED患者及其临床医生来说，实现适度减肥是一个重要的考虑因素。最近的研究支持了某些临床医生主导的BLWM干预措施的有效性，并解决了对其收益/风险的担忧。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.