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Objective: Binge eating has adverse health effects and may be 10 times more common in people with type 2 diabetes (T2D) than in the general population. Still, binge eating is not consistently addressed in diabetes treatment. People with T2D and binge eating may, therefore, seek guidance on the topic on social media. The study objective was to explore discussions about binge eating among members of a T2D‐specific Facebook group. Method: Interactions among members of the Facebook group were observed over 8 months and supplemented by keyword searches within group content. The data were imported into NVivo12 and analyzed using Interpretive Description. Results: The overarching theme described how group members exchanged guidance concerning co‐existing T2D and binge eating based on personal experiences while trying to resolve co‐members' misapprehensions regarding binge eating. Two subthemes were generated, describing frequently discussed topics relating to binge eating triggers and inhibitors. Triggers were confusion about the health impacts of carbohydrates and encounters with unsupportive clinicians, while inhibitors included the possibility of speaking openly about binge eating with peers and hunger cues being suppressed by glucagon‐like peptide 1 receptor agonists. Discussion: Social media may constitute an important source of support for people with T2D and binge eating, as the topic is typically not addressed in routine care. Besides being aware of the extent of binge eating in people with T2D and the health risks involved, clinicians should keep in mind that people with both conditions may seek information on social media that can affect diabetes management. [ABSTRACT FROM AUTHOR]

Objective: Binge‐eating disorder (BED) and subthreshold BED (SBED) are prevalent in adults and associated with mental health problems including depression, non‐suicidal self‐injury, lower quality of life, and suicidality. There is solid evidence that binge‐eating behaviors are also prevalent in adolescence, but knowledge about mental health in community adolescents with BED of different frequency thresholds is more limited. We aimed to investigate the prevalence and mental health problems associated with SBED of low frequency and/or limited duration compared with BED in a Danish community sample of adolescents. Methods: We included 2509 adolescents who completed the online survey of the 16–17‐year follow‐up of the Copenhagen Child Cohort (CCC2000), including items on BED symptoms approximating the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) criteria, and items on mental health and quality of life. Results: The 1‐year prevalence of SBED was 2.7% (95% confidence interval [CI]: 2.0%–3.3%) with a male:female ratio of 1:3.7; comparable to previous findings on BED in the same sample. SBED was also comparable to BED concerning cross‐sectional associations with overall mental health problems, lower health‐related quality of life, depressive symptoms, and suicidal ideation, whereas no associations were seen with non‐suicidal self‐injury after Holm–Bonferroni correction. In both groups, thoughts and behaviors concerning food and weight interfered significantly with daily life. Discussion: SBED and BED were equally prevalent in this adolescent community sample, and similarly associated with indicators of poor mental health. The findings indicate that community adolescents reporting symptoms approximating clinical criteria of BED need intervention irrespectively of symptom frequency or duration. Public Significance: This study adds knowledge to the field by comparing BED of low frequency and/or limited duration ("subthreshold BED," SBED) with full‐syndrome BED in adolescents and showing that SBED in adolescence is both prevalent and associated with poor mental health to a similar extent as that of BED. Findings indicate that self‐reported symptoms according to clinical criteria of SBED and BED alike constitute a public health problem and point to youngsters in need of intervention. [ABSTRACT FROM AUTHOR]

Objective: To evaluate whether the results of a quasi‐randomized study, comparing dialectical behavior therapy for binge‐eating disorder (DBT‐BED) and an intensive, outpatient cognitive behavior therapy (CBT+) in individuals with BED, would be replicated in a nonrandomized study with patients who more closely resemble everyday clinical practice. Method: Patients with (subthreshold) BED (N = 175) started one of two group treatments: DBT‐BED (n = 42) or CBT+ (n = 133), at a community eating disorder service. Measures of eating disorder pathology, emotion regulation, and general psychopathology were examined at end of treatment (EOT) and at 6‐month follow‐up using generalized linear models with multiple imputation. Results: Both treatments lead to substantial decreases on primary and secondary measures. Statistically significant, medium‐size differences between groups were limited to global eating disorder psychopathology (d = −.62; 95% CI =.231,.949) at EOT and depressive symptoms at follow‐up (d = −.45; 95% CI =.149, 6.965), favoring CBT+. Dropout of treatment included 15.0% from CBT+ and 19.0% from DBT‐BED (difference nonsignificant). Discussion: Decreases in global eating disorder psychopathology were achieved faster with CBT+. Overall, improvements in DBT‐BED were comparable to those observed in CBT+. Findings of the original trial, favoring CBT+ on the number of OBE episodes, emotional dysregulation and self‐esteem at EOT, and on eating disorder psychopathology and self‐esteem at follow‐up, were not replicated. With similar rates of treatment dropout and about half of the therapy time used in CBT+, DBT‐BED can be considered a relevant treatment for BED in everyday clinical practice. Public Significance: In this effectiveness study, dialectical behavior therapy (DBT) resulted in clinically relevant improvements in individuals with binge eating disorder. Changes were broadly comparable to those of cognitive behavior therapy (CBT), the current treatment of choice. Although CBT resulted in decreases in eating disorder psychopathology faster, there was a trend toward relapse in CBT at 6‐month follow‐up. Therefore, the less costly DBT‐program can be considered a relevant treatment in clinical practice. [ABSTRACT FROM AUTHOR]

Background: The Eating Disorders Genetics Initiative (EDGI) is an international investigation exploring the role of genes and environment in anorexia nervosa, bulimia nervosa, and binge-eating disorder. Methods: A total of 14,500 individuals with eating disorders and 1500 controls will be included from the United States (US), Australia (AU), New Zealand (NZ), and Denmark (DK). In the US, AU, and NZ, participants will complete comprehensive online phenotyping and will submit a saliva sample for genotyping. In DK, individuals with eating disorders will be identified by the National Patient Register, and genotyping will occur using bloodspots archived from birth. A genome-wide association study will be conducted within EDGI and via meta-analysis with other data from the Eating Disorders Working Group of the Psychiatric Genomics Consortium (PGC-ED). Discussion: EDGI represents the largest genetic study of eating disorders ever to be conducted and is designed to rapidly advance the study of the genetics of the three major eating disorders (anorexia nervosa, bulimia nervosa, and binge-eating disorder). We will explicate the genetic architecture of eating disorders relative to each other and to other psychiatric and metabolic disorders and traits. Our goal is for EDGI to deliver "actionable" findings that can be transformed into clinically meaningful insights. Trial registration: EDGI is a registered clinical trial: clinicaltrials.gov NCT04378101. [ABSTRACT FROM AUTHOR]

Objective: Binge‐eating disorder (BED) was established as a diagnosis in 2013 with the DSM‐5 and has been included in the ICD‐11 in 2018. In adulthood, BED is prevalent and correlated with somatic and mental health problems. Less is known about BED in adolescence, although this age period could represent a window of opportunity for early intervention. This study aimed to investigate the 1‐year prevalence, correlates, and impact of BED symptoms in a community sample of adolescents. Method: We included 1,404 girls and 1,105 boys from the 16‐years‐follow‐up of the Copenhagen Child Cohort study, CCC2000. The adolescents self‐reported on BED symptoms, weight‐status, body perception, mental health problems, and self‐rated impact of food and weight‐related thoughts and behaviors. Information about socio‐economic factors and hospital diagnosed psychiatric disorders were obtained from national registries. Results: A total of 8.5% reported weekly overeating with loss of control (10.9% of girls, 4.8% of boys), and 2.6% (3.6% of girls, 1.2% of boys) reported symptoms consistent with BED according to the DSM‐5. Regardless of sex, BED was correlated with concurrent overweight, body‐dissatisfaction, low self‐esteem, and mental health problems, especially emotional, but also with problems of behavior, inattention, and peer‐relations, and with high self‐rated impact on everyday life. Immigrant background and lower socio‐economy were potential risk factors for BED in boys in this sample. Discussion: BED was prevalent and correlated with mental health problems and overall impact among adolescents in this community sample, indicating the need for clinical attention and intervention towards binge‐eating disorder in the adolescent period. [ABSTRACT FROM AUTHOR]

Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant observations to gain insight into experiences and processes related to weight and body issues in three treatment contexts that addressed weight stability, weight acceptance, and weight loss. Using systems theory, the study proposed a relational weight problem that embeds feelings of non-acceptance due to weight, a merge of weight and identity, and an internalized body- and weight-critical gaze of others. Contrary to critical claims that weight acceptance discourages people with obesity from engaging in weight loss efforts, this study suggests that acceptance and a disentanglement of weight and identity are prerequisites for weight loss for this group. [ABSTRACT FROM AUTHOR]

Aims: To determine 1) the prevalence of symptoms of overeating (OE), subclinical binge eating (SBE) and clinical binge eating (CBE), in adolescents with type 1 diabetes (T1D), and 2) their associations with quality of life (QoL), anxiety, depression, HbA 1c , and body mass index standard deviation score (BMISDS)., Methods: In total 506 adolescents (age 12-17 years; mean 14.7 years; girls 49%) from the Danish Registry for Diabetes in Childhood and Adolescence (DanDiabKids) were included. Participants completed questionnaires on disordered eating, QoL, and emotional difficulties. A blood sample was sent for HbA 1c determination. BMISDS was determined from the DanDiabKids data., Results: Prevalence rates of OE, SBE, and CBE were 8.4%, 18% and 7.9% respectively. Youth with CBE symptoms scored lowest on generic and diabetes specific QoL, highest on anxiety and depression symptoms, and had a higher HbA 1c. Youth with CBE had borderline increased BMISDS., Conclusions: In a Danish national survey of adolescents with T1D, approximately one-third of participants had overeating or binge eating symptoms, comparable with the numbers in a U.S T2D population. Increased binge eating symptoms associated with lower QoL, higher depression scores, higher anxiety scores, and poorer clinical outcomes. Binge eating symptoms were markers for poor mental and somatic health., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)