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Eating Disorders and Obesity

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Clinical Management of Overweight and Obesity

Abstract

Connections and overlaps between obesity and eating disorders (ED) are relevant, and both medical and surgical weight loss interventions require careful assessment of eating behavior before, during, and after treatment. In 2013, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), revised the diagnostic classification of ED and included binge eating disorder (BED) as an autonomous category. Many recent studies support the distinction between obesity with and without BED on the basis of different variables, in particular psychiatric comorbidity. However, BED diagnosis and treatment strategies require further deepening. As well as BED and bulimia nervosa (BN), other disordered eating behaviors (hyperphagia, grazing, emotional eating, selective food craving, night eating) may be associated with obesity, but definitions are often inconsistent.

Individual and group psychological treatments for obesity-related ED, in full, self-help and guided self-help forms, including web or Internet-based interventions, can reduce binge eating frequency, but weight loss is usually modest and the long-term efficacy remains largely unknown. Pharmacotherapy may play an auxiliary role. Weight loss is usually irrelevant, but some drugs may be an adjunctive treatment for patients who have unsatisfactory response to psychosocial interventions alone and/or suffer from comorbid psychiatric disorders. Research on brain stimulation is still in the experimental phase.

Massimo Cuzzolaro, Former researcher and professor of psychiatry – University of Roma Sapienza

Eating and Weight Disorders. Studies on Anorexia Bulimia Obesity – Editor-in-Chief

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Authors and Affiliations

  1. Eating and Weight Disorders, Sapienza University of Roma, Former Researcher and Professor of Psychiatry, Via Fedi 12, Campiglia Marittima, LI, 57021, Italy

    Massimo Cuzzolaro (Editor-in-Chief)

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  1. Massimo Cuzzolaro
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Correspondence to Massimo Cuzzolaro .

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  1. University of Rome “Tor Vergata”, Dept. of Systems Medicine,Medical School, Rome, Italy

    Paolo Sbraccia

  2. Department of Medical Biotechnology, University of Milan, Milan, Italy

    Enzo Nisoli

  3. Center for the Study and the Integrated, University of Padua, Padua, Italy

    Roberto Vettor

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Cuzzolaro, M. (2016). Eating Disorders and Obesity. In: Sbraccia, P., Nisoli, E., Vettor, R. (eds) Clinical Management of Overweight and Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-24532-4_8

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