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
Hauptverfasser: Treasure, Janet, Bektas, Sevgi, Mutwalli, Hiba, Dhopatkar, Namrata, Himmerich, Hubertus
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container_issue 3
container_start_page 255
container_title Proceedings of the Nutrition Society
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creator Treasure, Janet
Bektas, Sevgi
Mutwalli, Hiba
Dhopatkar, Namrata
Himmerich, Hubertus
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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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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