Die Binge-Eating-Störung im Kindesund Erwachsenenalter

S. Herpertz; T.S. Munsch

doi:10.1055/s-0037-1618632

Adipositas - Ursachen, Folgeerkrankungen, Therapie, Table of Contents

Adipositas - Ursachen, Folgeerkrankungen, Therapie 2008; 02(03): 160-163
DOI: 10.1055/s-0037-1618632

Psychosoziales bei Adipositas

Schattauer GmbH

Die Binge-Eating-Störung im Kindesund Erwachsenenalter

Diagnostische und therapeutische ÜberlegungenBinge eating disorder in children and adolescentsdiagnosis and treatment

S. Herpertz

¹Ruhr-Universität Bochum, Dortmund, Abteilung für Psychosomatische Medizin und Psychotherapie

,

T.S. Munsch

²Universität Basel, Schweiz, Abteilung für Klinische Psychologie und Psychotherapie, Fakultät für Psychologie

› Author Affiliations

Abstract

Zusammenfassung

Kernsymptome der Binge-Eating-Störung sind Kontrollverluste bei der Nahrungsaufnahme i. S. von Essanfällen, auf die kein Verhalten, das auf Kalorienverlust abzielt, folgt. Von der Binge-Eating-Störung sind Untergruppen adipöser Kinder, Jugendlicher und Erwachsener betroffen, die mit einer erhöhten Essstörungspsychopathologie sowie allgemeiner Psychopathologie assoziiert sind. In der Regel geht die Binge-Eating-Störung mit Übergewicht oder Adipositas einher, wobei die Vorstellung der monokausalen Verknüpfung, dass die Binge-Eating-Störung zur Adipositas führt, nicht mehr haltbar ist. Disponierende Faktoren sowohl für Übergewicht und Adipositas als auch für psychische Störungen stellen die Risikofaktoren für die Entwicklung einer Binge-Eating-Störung dar. Restriktives Essverhalten, d. h. die bewusste hypokalorische Ernährung mit dem Ziel der Gewichtsabnahme als conditio sine qua non wie bei der Bulimia nervosa findet sich nur in der Hälfte der Fälle von Binge-Eating-Störungen. Im vorliegenden Beitrag wird das Erscheinungsbild, die Verbreitung, die Diagnose und Behandlung der Binge-Eating-Störung bei Kindern und Erwachsenen beschrieben.

Summary

One main symptom of a binge eating disorder is the loss of control of intake, i. e. eating attacks that are, however, not followed up by behaviour aimed at losing calories. Subgroups of obese children, adolescents and adults are affected; the disorder is associated witha raised eating disorder pathology as well as a general psychopathology. It is, as a rule, associated with overweight or obesity, whereby the monocausal assumption that binge eating leads to obesity is no longer tenable. Predisposing factors for both overweight and obesity as well as psychic disorders present themselves as risk factors for the development of a binge eating disorder. Restrictive eating behaviour, i. e. the conscious hypocaloric nutritional intake with the goal of weight reduction as a condition sine qua non, as is the case for bulimia nervosa, may only be found in half of the cases of binge eating disorder. In the present paper, the occurrence, extent, diagnosis and treatment of this eating disorder are described for children and adults.

Schlüsselwörter

Binge-Eating-Störung - Adipositas - Kinder

Keywords

Binge eating disorder - obesity - children

Full Text

References

Literatur
1 Ackard DM, Neumark-Sztainer D, Story M, Perry C. Overeating among adolescents: Prevalence and associations with weight-related characteristics and psychological health. Pediatrics 2003; 111: 67-74.
2 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. 4th ed.. Washington DC: American Psychiatric Association; deutsch: Saß H, Wittchen HU, Zaudig M. Diagnostische Kriterien DSM-IV. Göttingen, Bern, Toronto, Seattle: Hogrefe; 1994
3 Basdevant A, Pouillon M, Lahlou N. et al. Prevalence of Binge Eating Disorder in different populations of French women. Int J Eat Disord 1995; 18: 309-315.
4 Baumeister H, Härter M. Mental disorders in patients with obesity in comparison with healthy probands. Int J Obesity 2007; 1-10 (advanced online publication).
5 Bryant-Waugh RJ, Cooper PJ, Taylor CL, Lask BD. The use of the Eating Disorder Examination with children: A pilot study. Int J Eat Disord 1996; 19: 391-397.
6 Colles SL, Dixon JB. Night eating syndrome: impact on bariatric surgery. Obes Surg 2006; 16 (07) 811-820.
7 Decaluwé V, Braet C. Prevalence of binge-eating disorder in obese children and adolescents seeking weight-loss treatment. International Journal of Obesity 2003; 27: 404-409.
8 de Zwaan M, Lancaster KL, Mitchell JE. et al. Health related quality of life in morbidly obese patients: Effect of gastric bypass surgery. Obes Surg 2002; 12: 773-780.
9 de Zwaan M, Mitchell JE. Binge eating in the obese. Ann Med 1992; 24: 303-308.
10 de Zwaan M, Mitchell JE, Seim HC. et al. Eating related and general psychopathology in obese females with Binge Eating Disorder. Int J. Eat Disord 1994; 15: 43-52.
11 de Zwaan M, Wolf A, Herpertz S. Psychosomatische Aspekte der Adipositaschirurgie. Deutsches Ärzteblatt 2007; 104: 2577-2583.
12 Dingemans AE, Bruna MJ, van Furth EF. Binge eating disorder:a review. Int J Obes Relat Metab Disord 2002; 26: 299-307.
13 Fairburn CG, Doll HA, Welch SI. et al. Risk factors for binge eating disorder. Arch Gen Psychiatry 1998; 55: 425-432.
14 Glasofer DR, Tanofsky-Kraff M, Eddy KT. et al. Binge Eating in Overweight Treatment-Seeking Adolescents. Journal of Pediatric Psychology 2007; 32 (01) 95-105.
15 Goldfein JA, Walsh BT, La Chaussee JL, Kissileff HR. Eating behavior in binge eating disorder. Int J Eat Disord 1993; 14: 427-431.
16 Grissett NL, Fitzgibbon ML. The clinical significance of binge eating in an obese population: support for BED and questions regarding its criteria. Addict Behav 1996; 21: 57-66.
17 Hay P, Fairburn C. The validity of the DSM-IV scheme for classifying bulimic eating disorders. Int J Eat Disord 1998; 07: 115-119.
18 Herpertz S. Adipositas ist mehr als seine Essstörung – die multidimensionale Betrachtung einer Pandemie. Z Psychosom Med Psychother 2008; 54 (01) 4-31.
19 Herpertz S, Kielmann R, Wolf AM. et al. Does obesity surgery improve psychosocial functioning? –a systematic review. Int J Obes relat Metab Disord 2003; 27 (11) 1300-1314.
20 Hilbert A, Czaja J. Binge eating and obesity in children. Binge eating and obesity in children. Psychother Psychosom Med Psychol 2007; 57: 413-419.
21 Hilbert A, Munsch S. Binge-Eating-Störung bei Kindern und Jugendlichen. Kindheit und Entwicklung 2005; 14 (04) 209-221.
22 Howard CE, Porzelius LK. The role of dieting in binge eating disorder: etiology and treatment implication. Clin Psychol Rev 1999; 19: 25-44.
23 Marcus MD, Kalarchian MA. Binge eating in children and adolescents. Int J Eat Disord 2003; 34: S47-S57.
24 Mitchell JE, Mussell MP. Comorbidity and binge eating disorder. Addict Behav 1995; 20: 725-732.
25 Morgan CM, Yanovski SZ, Nguyen TT. et al. Loss of control over eating, adiposity, and psychopathology in overweight children. Int J Eat Disord 2002; 31: 430-441.
26 Munsch S. Binge Eating Disorder. Kognitive Verhaltenstherapie bei Essanfällen. Weinheim: Beltz; 2003
27 Munsch S, Biedert E, Meyer A. et al. A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder. Int J Eat Disord 2007; 40: 102-113.
28 National Institute for Clinical Excellence (NICE). 2004
29 Pike KM, Wilfley D, Hilbert A. et al. Antecedent life events of binge-eating disorder. Psychiatry Research 2006; 142: 19-29.
30 Ramacciotti BE, Coli E, Passaglia C. et al. Binge eating disorder: prevalence and psychopathological features in a clinical sample of obese people in Italy. Psychiatry Res 2000; 95: 131-138.
31 Shapiro JR, Woolson SL, Hamer RM. et al. Evaluating Binge Eating Disorder in Children: Development of the Children’s Binge Eating Disorder Scale (C-BEDS). International Journal of Eating Disorders 2007; 40: 82-89.
32 Spitzer RL, Devlin M, Walsh BT. et al. Binge eating disorder,A multisite field trial of the diagnostic criteria. Int J Eat Disord 1992; 11: 191-203.
33 Stice E, Agras WS, Hammer LD. Risk factors for the emergence of childhood eating disturbances: A five-year prospective study. International Journal of Eating Disorders 1999; 25: 375-387.
34 Stunkard AJ, Grace WJ, Wolf AG. The night eating syndrome: a pattern of food intake among certain obese patients. Am J Medicine 1955; 19: 78-85.
35 Tanofsky-Kraff M, Faden D, Yanovski SZ. et al. The Perceived Onset of Dieting and Loss of Control Eating Behaviors in Overweight Children. International Journal of Eating Disorders 2005; 38: 112-122.
36 Theim KR, Tanofsky-Kraff M, Salaita CG. et al. Children’s descriptions of the foods consumed during loss of control eating episodes. Eating Behaviors 2007; 08: 258-265.
37 Vocks S, Tuschen-Caffier B, Pietrowsky R. et al. Meta-Analyse zur Effektivität verschiedener Therapieverfahren für die Binge Eating-Störung: Implikationen für die Formulierung von Behandlungsleitlinien. Vortrag auf der 59. Jahrestagung des Deutschen Kollegiums für Psychosomatische Medizin (DKPM) 12.-15.3.2008, Freiburg.
38 Wilson GT, Nonas CA, Rosenblum GD. Assessment of binge eating in obese patients. Int J Eat Disord 1993; 01: 25-33.
39 Yanovski S, Leet M, Yanovski JA. et al. Food selection and intake of obese women with binge eating disorder. Am J Clin Nutr 1992; 56: 975-980.