The Relationship between Binge Eating Disorder and Suicidality: A Systematic Review

Conti, Chiara; Lanzara, Roberta; Scipioni, Mattia; Iasenza, Marzia; Guagnano, Maria Teresa; Fulcheri, Mario

doi:10.3389/fpsyg.2017.02125

Cited by 35 publications

(28 citation statements)

References 37 publications

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“…Lee et al ( 39 ) in a sample of 860 adolescents confirmed the relationship between several lifestyle behaviors and suicide risk including sleep disturbance, internet game addiction, and interpersonal factors (e.g., family conflicts and peer problems). A recent systematic review of 17 studies recognized that, in adolescents, a diagnosis of binge eating disorder was predictive of suicidality, while a high body mass index (BMI) was not ( 40 ). Substance-use disorders, including alcohol use disorder, are considered one of the most important risk factors associated with suicide risk during adolescence ( 41 , 42 ).…”

Section: Lifestyle Behavior and Suicide In Adolescents And Young Peopmentioning

confidence: 99%

Lifestyle Interventions and Prevention of Suicide

et al. 2018

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Over the past years, there has been a growing interest in the association between lifestyle psychosocial interventions, severe mental illness, and suicide risk. Patients with severe mental disorders have higher mortality rates, poor health states, and higher suicide risk compared to the general population. Lifestyle behaviors are amenable to change through the adoption of specific psychosocial interventions, and several approaches have been promoted. The current article provides a comprehensive review of the literature on lifestyle interventions, mental health, and suicide risk in the general population and in patients with psychiatric disorders. For this purpose, we investigated lifestyle behaviors and lifestyle interventions in three different age groups: adolescents, young adults, and the elderly. Several lifestyle behaviors including cigarette smoking, alcohol use, and sedentary lifestyle are associated with suicide risk in all age groups. In adolescents, growing attention has emerged on the association between suicide risk and internet addiction, cyberbullying and scholastic and family difficulties. In adults, psychiatric symptoms, substance and alcohol abuse, weight, and occupational difficulties seems to have a significant role in suicide risk. Finally, in the elderly, the presence of an organic disease and poor social support are associated with an increased risk of suicide attempt. Several factors may explain the association between lifestyle behaviors and suicide. First, many studies have reported that some lifestyle behaviors and its consequences (sedentary lifestyle, cigarette smoking underweight, obesity) are associated with cardiometabolic risk factors and with poor mental health. Second, several lifestyle behaviors may encourage social isolation, limiting the development of social networks, and remove individuals from social interactions; increasing their risk of mental health problems and suicide.

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Section: Lifestyle Behavior and Suicide In Adolescents And Young Peopmentioning

confidence: 99%

Lifestyle Interventions and Prevention of Suicide

et al. 2018

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“…However, to our knowledge, although previous studies were limited to between‐group comparisons, only one study (Aloi et al, ) analysed how much alexithymia could independently predict BED in obese patients after controlling for co‐variables and no study has investigated so far the predictive role of each alexithymic factors in this population. Furthermore, alexithymic BED patients also showed higher psychological distress, particularly anxiety and depression symptoms (Carano et al, ; Conti et al, ; Wheeler, Greiner, & Boulton, ). However, evidence at this regard is not unequivocal, and controversial findings have been shown.…”

Section: Introductionmentioning

confidence: 99%

Alexithymia and binge eating in obese outpatients who are starting a weight‐loss program: A structural equation analysis

Conti

Francesco

Lanzara

et al. 2019

Euro Eating Disorders Rev

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Objective To investigate whether obese patients with binge eating (BE) have higher alexithymic features; to explore the different relationships between psychological features (alexithymia, depression, and anxiety) and BE. Method Three hundred sixty one obese BE‐patients were evaluated for alexithymia, psychological distress, and BE. Alexithymia was measured with the 20‐item Toronto Alexithymia Scale (TAS‐20); BE was assessed with the BE Scale (BES), and depression and anxiety symptoms were evaluated with the Hospital Anxiety and Depression Scale (HADS). Results Patients with BE reported significantly higher TAS‐20 total scores than those without BE (p < .001). The SEM analysis showed that the difficulty in identifying feelings (DIF) and difficulty in describing feelings (DDF) components of alexithymia affected BE along different pathways. DIF was found as a major factor influencing altered eating both directly (p = .20*) and above all through the mediation of psychological distress (p = .19***), whereas DDF affected BE only through psychological distress at a lesser extent (p = .09**). Discussion Alexithymic difficulties in affective awareness may play an important role in the onset and maintenance of BE, especially when patients experienced anxiety and depression symptoms. Clinicians involved in the management of obesity should address the combination of alexithymic traits and emotional distress by planning effective client‐focused interventions.

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“…Psychiatric comorbidities are important predictors of impending hospitalization for adolescents diagnosed with eating disorders 1 . Binge eating disorder (BED) is widely known to have severe consequences on physical health, but is also associated with significant adverse emotional outcomes 2 . This report highlights voids in health care that surfaced when an adolescent female living with BED, severe obesity and psychiatric comorbidities was admitted to an in‐patient ward primarily focused on the treatment of restrictive eating disorders.…”

Section: Introductionmentioning

confidence: 99%

“I am the embodiment of an anorexic patient's worst fear”: Severe obesity and binge eating disorder on a restrictive eating disorder ward

et al. 2020

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Summary Adolescents who have been diagnosed with an eating disorder commonly have comorbid mental health conditions which have a significant impact on illness trajectory and may even limit access to effective treatment. Current models of eating disorder care focus mainly on treatment for patients diagnosed with restrictive eating disorders with fewer options available for those with binge eating disorder. We describe a case of an adolescent living with severe, complex obesity and binge eating disorder, presenting in a mental health crisis, admitted to an in‐patient unit primarily for patients being treated for restrictive eating disorders such as anorexia nervosa. This case report describes multiple challenges that arose in admitting such a patient on a ward specializing in the treatment of restrictive eating disorders and highlights the need for equitable and more accessible care for patients living with all types of eating disorders.

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The Relationship between Binge Eating Disorder and Suicidality: A Systematic Review

Cited by 35 publications

References 37 publications

Lifestyle Interventions and Prevention of Suicide

Lifestyle Interventions and Prevention of Suicide

Alexithymia and binge eating in obese outpatients who are starting a weight‐loss program: A structural equation analysis

“I am the embodiment of an anorexic patient's worst fear”: Severe obesity and binge eating disorder on a restrictive eating disorder ward

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