The importance of eating behavior in eating disorders

A disturbance in eating behavior is the defining characteristic of the clinical eating disorders, Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder. Surprisingly little research has been devoted to assessing objectively the nature of the eating disturbances in these disorders, to elucidating what factors contribute to the development and persistence of these disturbances, or to describing how they change with treatment. This review, which is based on a Mars lecture delivered at the 2010 meeting of the Society for the Study of Ingestive Behavior, reviews objective information about the nature of the disturbances of eating behavior in eating disorders. These data suggest that more detailed knowledge of eating behavior is an essential component of a full understanding of eating disorders and may provide a foundation for studies of pathophysiology and for the development of new treatment methods.

[1]  Nancy D Berkman,et al.  Binge eating disorder treatment: a systematic review of randomized controlled trials. , 2007, The International journal of eating disorders.

[2]  B. Walsh,et al.  A direct measure of satiety disturbance in patients with bulimia nervosa , 1996, Physiology & Behavior.

[3]  B. Saelens,et al.  A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder. , 2002, Archives of general psychiatry.

[4]  E. Petkova,et al.  Postprandial cholecystokinin release and gastric emptying in patients with bulimia nervosa. , 1997, The American journal of clinical nutrition.

[5]  R. Sysko,et al.  Eating behavior among women with anorexia nervosa. , 2005, The American journal of clinical nutrition.

[6]  B. K. Hartman,et al.  Effect of decreasing afferent vagal activity with ondansetron on symptoms of bulimia nervosa: a randomised, double-blind trial , 2000, The Lancet.

[7]  A. Stunkard Eating patterns and obesity , 1959, Psychiatric Quarterly.

[8]  B. Walsh,et al.  The development of satiation in bulimia nervosa , 2010, Physiology & Behavior.

[9]  J. Silverman Charcot's comments on the therapeutic role of isolation in the treatment of anorexia nervosa. , 1997, The International journal of eating disorders.

[10]  G. Wilson,et al.  Psychological treatment of eating disorders. , 2007, The American psychologist.

[11]  P. Keel,et al.  Clinical features and physiological response to a test meal in purging disorder and bulimia nervosa. , 2007, Archives of general psychiatry.

[12]  T. Geracioti,et al.  Impaired cholecystokinin secretion in bulimia nervosa. , 1988, The New England journal of medicine.

[13]  B. Walsh,et al.  Laboratory studies of binge eating disorder. , 2003, The International journal of eating disorders.

[14]  C. Roberto,et al.  The slippery slope: prediction of successful weight maintenance in anorexia nervosa , 2008, Psychological Medicine.

[15]  S. Kennedy,et al.  The biology of feast and famine: relevance to eating disorders. , 1992 .

[16]  K. Pirke,et al.  Satiety and cholecystokinin. , 1994, The International journal of eating disorders.

[17]  Rebecca Shingleton,et al.  Eating behavior in anorexia nervosa: before and after treatment. , 2012, The International journal of eating disorders.

[18]  A. Klibanski,et al.  Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. , 2000, The International journal of eating disorders.

[19]  A. Geliebter,et al.  Gastric capacity, gastric emptying, and test-meal intake in normal and bulimic women. , 1992, The American journal of clinical nutrition.

[20]  C. Roberto,et al.  Fluoxetine after weight restoration in anorexia nervosa: a randomized controlled trial. , 2006, JAMA.

[21]  R. Sysko,et al.  Pre-meal anxiety and food intake in anorexia nervosa , 2010, Appetite.

[22]  Deborah R. Glasofer,et al.  Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa. , 2010, The International journal of eating disorders.

[23]  Evelyn Attia,et al.  Dietary energy density and diet variety as predictors of outcome in anorexia nervosa. , 2008, The American journal of clinical nutrition.