The goal of this observational study is to explore if different and specific profiles can be identified in adults with binge eating disorder (BED) depending on their additional eating pathology, emotion regulation and executive functions. The main questions it aims to answer are:
* Is there different and specific subgroups of patients with BED according to baseline profiles in emotion regulation, executive function and additional eating pathology (including restriction, chaotic eating, grazing and eating on external cues)? * Are subgroups of individuals with BED (based on identified profiles) associated with outcome at end of treatment and follow-up? * What is the trajectories in remission rates of specific symptom dimensions (eating disorder pathology, emotion regulation, executive function, and depressive symptoms) in individuals with BED and is there specific trajectory profiles in these dimensions? * Is early changes in specific symptom dimensions (eating pathology, emotion regulation, executive function, or depression) associated with outcome of BED? Participants will be asked to fill in questionnaires before treatment as usual, 10 weeks into treatment, at end of treatment and at 6- and 12-month follow-up.
Age 18+,
diagnosed with Binge eating Disorder,
and offered treatment at on of the inclusion sites.
Severe psychiatric comorbidity (e.g. psychosis, severe developmental disorder, severe cogntive impairement)
All patients aged 18+ years diagnosed with BED, accepted for treatment at one of the three sites, and accepting participation.
Cohort
Prospective
Treatment as usual, Psychotherapy
Other interventionThe three treament sites will offer psychotherapy as usual. All including elements of cognitive behavioral therapy and some sites also additional elements from either narrative therapy or interpersonal therapy
Subgroups of BED-profiles
Subgroups of BED-profiles depending on degree and type of additional eating pathology measured by DEBQ (Dutch Eating Behaviour Questionnaire), emotion regulation problems measured by DERS-16 (Difficulties in Emotion Regulation Scale), and executive problems mesured by BRIEF-A .
Binge eating episodes EoT
Number of binge eating episodes
Binge eating episodes FU6m
Number of binge eating episodes
Binge eating episodes FU12m
Number of binge eating episodes
Eating disorder pathology
Overall self-reported eating disorder pathology measured by the total score of Eating Disoder Examination Questionnaire (EDE-Q), minimum score 0, maximum score 6, higher scores indicating eating pathology
Eating disorder pathology
Overall self-reported eating disorder pathology measured by the total score of EDE-Q, minimum score 0, maximum score 6, higher scores indicating eating pathology
Eating disorder pathology
Overall self-reported eating disorder pathology measured by the total score of EDE-Q, minimum score 0, maximum score 6, higher scores indicating eating pathology
Functional impairment
Self-reported functional impairment measured by the total score of WSAS, minimum score 0, maximum score 8, higher scores indicating more impairment
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Aarhus University Hospital
Lead sponsor
Aalborg University Hospital
Collaborator
Kompetencecenter for Spiseforstyrrelser
Collaborator
