| Resum: |
Binge eating disorder (BED) is the most frequent eating behavior among the general population (Guerdjikova in Med Clin 103:669-680, 2019). Many studies on interventions and BED treatments have been carried out in the United States and Europe, few have been reported in Latin American populations. People with this disorder not only have physical consequences of it but also social and psychological ones, therefore a multidisciplinary treatment approach is a good option to treat this condition. To evaluate the feasibility of a multidisciplinary online intervention (i. e. , psychological, nutritional, and physical activity) in patients with BED. The design was a case series study of two clinical treatment groups, with pre-test and post-test psychometric measures along with two follow-ups (at 2 and 6 months). Fifteen people diagnosed with BED (2 men and 13 women), with a mean age of 34. 93 years (SD=11. 91) and a mean initial BMI of 42, participated in this study. The treatment was carried out over the span of 28 sessions, each one being two hours per week consisting of 1 hour of group therapy and 1 hour of individual therapy. There were four evaluations: pre, post and two follow-ups. Five patients did not complete the treatment (30%). The comparisons were made through the non-parametric Friedman test, finding a statistically significant decrease in binge eating symptoms (x2=15. 57; p =. 001), anxiety symptoms (x2=15. 96; p =. 001) and depression (x2=15. 03; p =. 002). There was an improvement in clarity (x2=11. 60; p =. 010) and emotional regulation (x2=7. 75; p =. 050), only in women. The patients reduced their body weight, and improved their eating and exercise habits by introducing fruits and vegetables and including 20-30 minutes of physical activity into their daily routine. Regarding the Objective Clinical Change Index, in terms of the objective clinical change, a positive change was observed in all the variables addressed. The data presented allowed us to conclude that the online multidisciplinary intervention was effective in the treatment of BED. Trial registration Retrospectively registered Binge eating disorder (BED) is the most frequent eating disorder, however, it is underdiagnosed and undertreated, therefore it is currently considered a serious health problem. There are various psychological treatments for BED, but most of them focus on eating, not including the role played by emotions in this disorder. The importance of a multidisciplinary form of treatment (i. e. , psychological, nutritional, and physical activity) has been observed in previous studies, emphasizing the importance of the psychological aspect which can improve treatment outcome. Hence the objective of this study was to evaluate the effectiveness of an online multidisciplinary intervention in patients with binge eating disorder. The treatment consisted of 28 two-hour sessions in which contents of psychoeducation, motivation, improvement of eating habits, emotional regulation, and modification of lifestyle in general were addressed. Assessment instruments were applied before and after treatment as well as at two follow-ups. Statistically, improvement was observed in all areas, in addition, these improvements were maintained in the follow-up evaluations at two and six months. The findings of this study are significant given that it is one of the first case series studies carried out in Mexico in this population. Therefore, it is important to continue research on this topic while also being able to provide a timely diagnosis and treatment for these patients. |
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(Universidad Nacional Autónoma de México. Facultad de Estudios Superiores Iztacala)
