Binge or control? : assessment of the validity, treatment and underlying mechanisms of Binge Eating Disorder

Dingemans, A. (2009)

Doctoral Thesis

This thesis focuses on patients with Binge Eating Disorder. The thesis consists of three parts. In the first part the validity of the diagnosis of BED will be discussed. The results of two literature reviews and an empirical cross-sectional study suggested that BED is a distinct eating disorder and should be added to a next version of the DSM. In the second part results of a randomized controlled trial were described. The effectiveness of cognitive behavioural therapy was compared to a waiting list control group. As expected, objective binge eating frequency, eating disordered psychopathology, and comorbid psychopathology decreased significantly in the CBT group whereas no reduction was found in the control (WLC) group. Mediator analyses indicated that abstinence from binge eating at post treatment was fully mediated by changes in weight concerns and marginally by changes in concerns about shape and eating, depressive symptoms, and more general psychopathological symptoms. In the third and last part the results of two experimental studies were presented. The purpose of the studies was to investigate the causal relationship between negative mood and binge eating. Both experimental studies found evidence for the fact that in individuals with BED depressive symptoms and caloric intake are positively related.

• Binge eating disorder
• Core beliefs
• Depression
• Diagnosis
• Eating disorder
• Emotionregulation
• Mood
• Treatment

• All authors: Dingemans, A.
• Supervisor: Spinhoven, P.
• Co-supervisor: Furth, E.F. van; Martijn, C.
• Committee: -
• Qualification: Doctor (dr.)
• Awarding Institution: Psychology, Faculty of Social and Behavioural Sciences, Leiden University
• Date: 2009-06-09
• ISBN (print): 9789090241951
• Court: Centrum Eetstoonrnissen Ursulla