HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/51387 http://dx.doi.org/10.1186/s40337-017-0162-2 |
Resumo: | Background: There is a high prevalence of overweight or obesity in people with eating disorders. However, therapies for eating disorders, namely binge eating disorder and bulimia nervosa, do not address weight management. Conversely, weight loss treatments for people with overweight or obesity do not address psychological aspects related to eating disorders. Thus we developed a new treatment for overweight or obesity with comorbid binge eating disorder or bulimia nervosa, entitled HAPIFED (a Healthy APproach to weight management and Food in Eating Disorders). This paper describes HAPIFED and reports a case.series examining its feasibility and acceptability. Methods: Eleven participants with overweight or obesity and binge eating disorder or bulimia nervosa were treated with HAPIFED in two separate groups (with once or twice weekly meetings). Weight, body mass index (BMI) and eating disorder symptoms, as well as depression, anxiety and stress, were assessed at baseline and at the end of the 20 -session HAPIFED intervention. Results: Eight of the 11 participants completed the intervention, with diverse results. Six of the 8 participants who completed HAPIFED reduced their weight between baseline and the end of the intervention. Median scores on the Eating Disorder Examination Questionnaire for binge eating, restraint, and concerns about eating or weight and shape, were reduced in the group overall between baseline and the end of the intervention. One participant, who at baseline was inducing vomiting and misusing laxatives in an attempt to lose weight, reduced these behaviors by the end of the intervention. Three participants at baseline were undertaking episodes of compulsive exercise, and they reduced or stopped this behavior, but one participant commenced episodes of compulsive exercise by the end of the intervention. All participants who completed the intervention rated the suitability and success of HAPIFED as 7 or more out of 10 (0 = not at all suitable/successful |
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da Luz, Felipe Q.Swinbourne, JessicaSainsbury, AmandaTouyz, StephenPalavras, Marly [UNIFESP]Claudino, Angelica [UNIFESP]Hay, Phillipa2019-08-19T11:49:44Z2019-08-19T11:49:44Z2017Journal Of Eating Disorders. London, v. 5, p. -, 2017.2050-2974http://repositorio.unifesp.br/handle/11600/51387http://dx.doi.org/10.1186/s40337-017-0162-2WOS000407587800001.pdf10.1186/s40337-017-0162-2WOS:000407587800001Background: There is a high prevalence of overweight or obesity in people with eating disorders. However, therapies for eating disorders, namely binge eating disorder and bulimia nervosa, do not address weight management. Conversely, weight loss treatments for people with overweight or obesity do not address psychological aspects related to eating disorders. Thus we developed a new treatment for overweight or obesity with comorbid binge eating disorder or bulimia nervosa, entitled HAPIFED (a Healthy APproach to weight management and Food in Eating Disorders). This paper describes HAPIFED and reports a case.series examining its feasibility and acceptability. Methods: Eleven participants with overweight or obesity and binge eating disorder or bulimia nervosa were treated with HAPIFED in two separate groups (with once or twice weekly meetings). Weight, body mass index (BMI) and eating disorder symptoms, as well as depression, anxiety and stress, were assessed at baseline and at the end of the 20 -session HAPIFED intervention. Results: Eight of the 11 participants completed the intervention, with diverse results. Six of the 8 participants who completed HAPIFED reduced their weight between baseline and the end of the intervention. Median scores on the Eating Disorder Examination Questionnaire for binge eating, restraint, and concerns about eating or weight and shape, were reduced in the group overall between baseline and the end of the intervention. One participant, who at baseline was inducing vomiting and misusing laxatives in an attempt to lose weight, reduced these behaviors by the end of the intervention. Three participants at baseline were undertaking episodes of compulsive exercise, and they reduced or stopped this behavior, but one participant commenced episodes of compulsive exercise by the end of the intervention. All participants who completed the intervention rated the suitability and success of HAPIFED as 7 or more out of 10 (0 = not at all suitable/successful10 = extremely suitable/successful). Conclusion: This case series supports the feasibility and acceptability of HAPIFED as a potential new treatment for overweight or obesity with comorbid binge eating disorder or bulimia nervosa. Clinical trials are necessary to examine the efficacy and effectiveness of HAPIFED.CAPES FoundationMinistry of Education of BrazilNational Health and Medical Research Council (NHMRC) of AustraliaUniv Sydney, Boden Inst Obes Nutr Exercise & Eating Disorders, Sydney Med Sch, Charles Perkins Ctr, Camperdown, NSW 2006, AustraliaUniv Sydney, Sch Psychol, Fac Sci, Camperdown, NSW 2006, AustraliaMinist Educ Brazil, CAPES Fdn, BR-70040020 Brasilia, DF, BrazilUniv Fed São Paulo, Program Orientat & Attent Eating Disorders, São Paulo, BrazilWestern Sydney Univ, Sch Med, Ctr Hlth Res, Locked Bag 1797, Penrith, NSW 2751, AustraliaUniv Fed São Paulo, Program Orientat & Attent Eating Disorders, São Paulo, BrazilWeb of Science-engBiomed Central LtdBinge eating disorderBulimia nervosaObesityOverweightIntegrated treatmentHAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual developmentinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000407587800001.pdfapplication/pdf610779${dspace.ui.url}/bitstream/11600/51387/1/WOS000407587800001.pdf36a7356eea3eb4d21dc2a87488886d9cMD51open access11600/513872023-02-14 13:42:50.471open accessoai:repositorio.unifesp.br:11600/51387Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-02-14T16:42:50Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
title |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
spellingShingle |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development da Luz, Felipe Q. Binge eating disorder Bulimia nervosa Obesity Overweight Integrated treatment |
title_short |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
title_full |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
title_fullStr |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
title_full_unstemmed |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
title_sort |
HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development |
author |
da Luz, Felipe Q. |
author_facet |
da Luz, Felipe Q. Swinbourne, Jessica Sainsbury, Amanda Touyz, Stephen Palavras, Marly [UNIFESP] Claudino, Angelica [UNIFESP] Hay, Phillipa |
author_role |
author |
author2 |
Swinbourne, Jessica Sainsbury, Amanda Touyz, Stephen Palavras, Marly [UNIFESP] Claudino, Angelica [UNIFESP] Hay, Phillipa |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
da Luz, Felipe Q. Swinbourne, Jessica Sainsbury, Amanda Touyz, Stephen Palavras, Marly [UNIFESP] Claudino, Angelica [UNIFESP] Hay, Phillipa |
dc.subject.eng.fl_str_mv |
Binge eating disorder Bulimia nervosa Obesity Overweight Integrated treatment |
topic |
Binge eating disorder Bulimia nervosa Obesity Overweight Integrated treatment |
description |
Background: There is a high prevalence of overweight or obesity in people with eating disorders. However, therapies for eating disorders, namely binge eating disorder and bulimia nervosa, do not address weight management. Conversely, weight loss treatments for people with overweight or obesity do not address psychological aspects related to eating disorders. Thus we developed a new treatment for overweight or obesity with comorbid binge eating disorder or bulimia nervosa, entitled HAPIFED (a Healthy APproach to weight management and Food in Eating Disorders). This paper describes HAPIFED and reports a case.series examining its feasibility and acceptability. Methods: Eleven participants with overweight or obesity and binge eating disorder or bulimia nervosa were treated with HAPIFED in two separate groups (with once or twice weekly meetings). Weight, body mass index (BMI) and eating disorder symptoms, as well as depression, anxiety and stress, were assessed at baseline and at the end of the 20 -session HAPIFED intervention. Results: Eight of the 11 participants completed the intervention, with diverse results. Six of the 8 participants who completed HAPIFED reduced their weight between baseline and the end of the intervention. Median scores on the Eating Disorder Examination Questionnaire for binge eating, restraint, and concerns about eating or weight and shape, were reduced in the group overall between baseline and the end of the intervention. One participant, who at baseline was inducing vomiting and misusing laxatives in an attempt to lose weight, reduced these behaviors by the end of the intervention. Three participants at baseline were undertaking episodes of compulsive exercise, and they reduced or stopped this behavior, but one participant commenced episodes of compulsive exercise by the end of the intervention. All participants who completed the intervention rated the suitability and success of HAPIFED as 7 or more out of 10 (0 = not at all suitable/successful |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2019-08-19T11:49:44Z |
dc.date.available.fl_str_mv |
2019-08-19T11:49:44Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Journal Of Eating Disorders. London, v. 5, p. -, 2017. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/51387 http://dx.doi.org/10.1186/s40337-017-0162-2 |
dc.identifier.issn.none.fl_str_mv |
2050-2974 |
dc.identifier.file.none.fl_str_mv |
WOS000407587800001.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1186/s40337-017-0162-2 |
dc.identifier.wos.none.fl_str_mv |
WOS:000407587800001 |
identifier_str_mv |
Journal Of Eating Disorders. London, v. 5, p. -, 2017. 2050-2974 WOS000407587800001.pdf 10.1186/s40337-017-0162-2 WOS:000407587800001 |
url |
http://repositorio.unifesp.br/handle/11600/51387 http://dx.doi.org/10.1186/s40337-017-0162-2 |
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Biomed Central Ltd |
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Biomed Central Ltd |
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