Novel approaches to tackling emotional loss of control of eating across the weight spectrum
Emotional overeating is a process that is particularly relevant to people within the binge spectrum of eating disorders. Approximately a third of people with overweight share this phenotype. In addition, this behaviour may occur in neurodevelopmental disorders (attention-deficit hyperactivity disord...
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Veröffentlicht in: | Proceedings of the Nutrition Society 2022-09, Vol.81 (3), p.255-263 |
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description | Emotional overeating is a process that is particularly relevant to people within the binge spectrum of eating disorders. Approximately a third of people with overweight share this phenotype. In addition, this behaviour may occur in neurodevelopmental disorders (attention-deficit hyperactivity disorder (ADHD)) and other psychiatric disorders. The biopsychosocial underpinnings of emotional eating include a genetic vulnerability to a higher weight and various cognitive and emotional traits. The environment also plays a key role. For example, the commodification of food and beauty and exposure to weight stigma, unpleasant eating experiences and general adversity can set the scene. The majority of people with binge-eating disorder do not seek treatment (perhaps related to internalised stigma and shame). Hence opportunities for early intervention and secondary prevention are lost. Most guidelines for binge-eating disorder (based on the limited available research) recommend forms of cognitive psychotherapies and antidepressants. However, novel treatments that target underlying mechanisms are in development. These include interventions to improve emotional regulation and inhibitory control using neuromodulation and/or brain training. New technologies have been applied to talking therapies, including apps which can offer 'just-in-time interventions' or virtual reality or avatar work which can deliver more personalised interventions using complex scenarios. Drugs used for the treatment of ADHD, psychiatric and metabolic disorders may have the potential to be repurposed for binge-eating disorder. Thus, this is an area of rapid change with novel solutions being applied to this problem. |
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Approximately a third of people with overweight share this phenotype. In addition, this behaviour may occur in neurodevelopmental disorders (attention-deficit hyperactivity disorder (ADHD)) and other psychiatric disorders. The biopsychosocial underpinnings of emotional eating include a genetic vulnerability to a higher weight and various cognitive and emotional traits. The environment also plays a key role. For example, the commodification of food and beauty and exposure to weight stigma, unpleasant eating experiences and general adversity can set the scene. The majority of people with binge-eating disorder do not seek treatment (perhaps related to internalised stigma and shame). Hence opportunities for early intervention and secondary prevention are lost. Most guidelines for binge-eating disorder (based on the limited available research) recommend forms of cognitive psychotherapies and antidepressants. However, novel treatments that target underlying mechanisms are in development. These include interventions to improve emotional regulation and inhibitory control using neuromodulation and/or brain training. New technologies have been applied to talking therapies, including apps which can offer 'just-in-time interventions' or virtual reality or avatar work which can deliver more personalised interventions using complex scenarios. Drugs used for the treatment of ADHD, psychiatric and metabolic disorders may have the potential to be repurposed for binge-eating disorder. Thus, this is an area of rapid change with novel solutions being applied to this problem.</description><identifier>ISSN: 0029-6651</identifier><identifier>EISSN: 1475-2719</identifier><identifier>DOI: 10.1017/S0029665122000994</identifier><identifier>PMID: 35260206</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Addictions ; Anorexia ; Antidepressants ; Anxiety ; Attention deficit hyperactivity disorder ; Avatars ; Binge eating ; Bulimia ; Carbohydrates ; Cognitive ability ; Computer applications ; Eating - psychology ; Eating behavior ; Eating disorders ; Emotions ; Emotions - physiology ; Feeding and Eating Disorders ; Feeding Behavior - psychology ; Food ; Gastrointestinal surgery ; Happiness ; Humans ; Hyperactivity ; Hyperphagia - therapy ; Longitudinal studies ; Mental disorders ; Metabolic disorders ; Metabolism ; Microbiota ; Neurodevelopmental disorders ; Neuromodulation ; New technology ; Obesity ; Obesity - psychology ; Obesity - therapy ; Overweight ; Phenotypes ; Stigma ; Virtual reality ; Weight ; Weight control</subject><ispartof>Proceedings of the Nutrition Society, 2022-09, Vol.81 (3), p.255-263</ispartof><rights>Copyright © The Author(s), 2022. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. (the “License”). 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Approximately a third of people with overweight share this phenotype. In addition, this behaviour may occur in neurodevelopmental disorders (attention-deficit hyperactivity disorder (ADHD)) and other psychiatric disorders. The biopsychosocial underpinnings of emotional eating include a genetic vulnerability to a higher weight and various cognitive and emotional traits. The environment also plays a key role. For example, the commodification of food and beauty and exposure to weight stigma, unpleasant eating experiences and general adversity can set the scene. The majority of people with binge-eating disorder do not seek treatment (perhaps related to internalised stigma and shame). Hence opportunities for early intervention and secondary prevention are lost. Most guidelines for binge-eating disorder (based on the limited available research) recommend forms of cognitive psychotherapies and antidepressants. However, novel treatments that target underlying mechanisms are in development. These include interventions to improve emotional regulation and inhibitory control using neuromodulation and/or brain training. New technologies have been applied to talking therapies, including apps which can offer 'just-in-time interventions' or virtual reality or avatar work which can deliver more personalised interventions using complex scenarios. Drugs used for the treatment of ADHD, psychiatric and metabolic disorders may have the potential to be repurposed for binge-eating disorder. Thus, this is an area of rapid change with novel solutions being applied to this problem.</description><subject>Addictions</subject><subject>Anorexia</subject><subject>Antidepressants</subject><subject>Anxiety</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Avatars</subject><subject>Binge eating</subject><subject>Bulimia</subject><subject>Carbohydrates</subject><subject>Cognitive ability</subject><subject>Computer applications</subject><subject>Eating - psychology</subject><subject>Eating behavior</subject><subject>Eating disorders</subject><subject>Emotions</subject><subject>Emotions - physiology</subject><subject>Feeding and Eating Disorders</subject><subject>Feeding Behavior - psychology</subject><subject>Food</subject><subject>Gastrointestinal surgery</subject><subject>Happiness</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Hyperphagia - therapy</subject><subject>Longitudinal studies</subject><subject>Mental disorders</subject><subject>Metabolic disorders</subject><subject>Metabolism</subject><subject>Microbiota</subject><subject>Neurodevelopmental disorders</subject><subject>Neuromodulation</subject><subject>New technology</subject><subject>Obesity</subject><subject>Obesity - 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Academic</collection><jtitle>Proceedings of the Nutrition Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Treasure, Janet</au><au>Bektas, Sevgi</au><au>Mutwalli, Hiba</au><au>Dhopatkar, Namrata</au><au>Himmerich, Hubertus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel approaches to tackling emotional loss of control of eating across the weight spectrum</atitle><jtitle>Proceedings of the Nutrition Society</jtitle><addtitle>Proc Nutr Soc</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>81</volume><issue>3</issue><spage>255</spage><epage>263</epage><pages>255-263</pages><issn>0029-6651</issn><eissn>1475-2719</eissn><abstract>Emotional overeating is a process that is particularly relevant to people within the binge spectrum of eating disorders. Approximately a third of people with overweight share this phenotype. In addition, this behaviour may occur in neurodevelopmental disorders (attention-deficit hyperactivity disorder (ADHD)) and other psychiatric disorders. The biopsychosocial underpinnings of emotional eating include a genetic vulnerability to a higher weight and various cognitive and emotional traits. The environment also plays a key role. For example, the commodification of food and beauty and exposure to weight stigma, unpleasant eating experiences and general adversity can set the scene. The majority of people with binge-eating disorder do not seek treatment (perhaps related to internalised stigma and shame). Hence opportunities for early intervention and secondary prevention are lost. Most guidelines for binge-eating disorder (based on the limited available research) recommend forms of cognitive psychotherapies and antidepressants. However, novel treatments that target underlying mechanisms are in development. These include interventions to improve emotional regulation and inhibitory control using neuromodulation and/or brain training. New technologies have been applied to talking therapies, including apps which can offer 'just-in-time interventions' or virtual reality or avatar work which can deliver more personalised interventions using complex scenarios. Drugs used for the treatment of ADHD, psychiatric and metabolic disorders may have the potential to be repurposed for binge-eating disorder. Thus, this is an area of rapid change with novel solutions being applied to this problem.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>35260206</pmid><doi>10.1017/S0029665122000994</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Addictions Anorexia Antidepressants Anxiety Attention deficit hyperactivity disorder Avatars Binge eating Bulimia Carbohydrates Cognitive ability Computer applications Eating - psychology Eating behavior Eating disorders Emotions Emotions - physiology Feeding and Eating Disorders Feeding Behavior - psychology Food Gastrointestinal surgery Happiness Humans Hyperactivity Hyperphagia - therapy Longitudinal studies Mental disorders Metabolic disorders Metabolism Microbiota Neurodevelopmental disorders Neuromodulation New technology Obesity Obesity - psychology Obesity - therapy Overweight Phenotypes Stigma Virtual reality Weight Weight control |
title | Novel approaches to tackling emotional loss of control of eating across the weight spectrum |
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