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Development of an improved and accessible treatment program for people with binge eating disorder and co-morbid overweight or obesity

Abstract

Eating disorders and obesity are independent public health concerns in both developed and developing countries. Nonetheless, there is a significant occurrence of eating disorders, especially binge eating disorder, in individuals with obesity. This is concerning because eating disorders can contribute to obesity and vice-versa. Additionally, individuals with eating disorders as well as comorbid obesity are at higher risk of health complications than individuals with either condition alone. A new treatment designed to simultaneously reduce eating disorder behaviors and assist with weight management - the HAPIFED Program - has been developed. This program - as originally developed in Australia - includes 30 sessions of therapy, nonetheless this extended treatment duration is not suitable for Brazil where resources in the public health system are scarce and private health care is not affordable for a significant proportion of the population. Thus, it is important to develop and test a short-version of the HAPIFED Program because shortened treatment duration can reduce the burden on public health systems and also reduce cost of private treatment. This study compares a short-version of the HAPIFED Program (i.e. 12 sessions of therapy) versus the usual care, cognitive behavior therapy - enhanced (CBT-E) in simultaneously treating binge eating disorder and overweight/obesity. A hundred participants with binge eating disorder and comorbid overweight/obesity will be randomized to group treatment with the short-version of the HAPIFED Program or CBT-E. Eating disorders, body mass index, mental health and quality of life will be assessed at baseline, 12 weeks and 24 weeks after treatment commencement. The outcomes of this study will inform on the effectiveness of a new integrated and time-efficient therapy for individuals with binge eating disorder and comorbid overweight/obesity. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MOURILHE, CARLA; MORAES, CARLOS EDUARDOFERREIRA DE; VEIGA, GLORIAVALERIA DA; LUZ, FELIPE Q. DA; POMPEU, AMANDA; NAZAR, BRUNO PALAZZO; COUTINHO, EVANDRO SILVA FREIRE; HAY, PHILLIPA; APPOLINARIO, JOSE CARLOS. An evaluation of binge eating characteristics in individuals with eating disorders: A systematic review and meta-analysis. APPETITE, v. 162, JUL 1 2021. Web of Science Citations: 0.
DA LUZ, FELIPE Q.; HAY, PHILLIPA; WISNIEWSKI, LUCENE; CORDAS, TAKI; SAINSBURY, AMANDA. The treatment of binge eating disorder with cognitive behavior therapy and other therapies: An overview and clinical considerations. Obesity Reviews, v. 22, n. 5 DEC 2020. Web of Science Citations: 0.

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