[When eating becomes a disease - Binge-eating-disorder as comorbid eating disorder in obesity - Case 07/2009]

(Wenn Essen zur Krankheit wird - Die Binge-Eating-Störung als komorbide Essstörung bei Adipositas - Fall 07/2009.)

Full Abstract

HISTORY AND ADMISSION FINDINGS: A 30-year-old obese female patient with binge eating behaviour, depressive symptoms and poorly regulated diabetes mellitus was admitted to the department of psychosomatic medicine and psychotherapy INVESTIGATIONS: The body mass index at time of admission was 38 kg/m(2). Fasting and postprandial blood glucose values were markedly increased. HbA(1c) level was 10.2%. Psychological diagnostic showed a binge eating disorder and a major depressive syndrome. DIAGNOSIS, TREATMENT AND COURSE: After diagnosis, the patient was treated within a psychosomatic concept considering psychotherapeutic and diabetological aspects, including exercises and nutrition. In course of the treatment, the binge eating ceased and connections between binge-eating and depressive symptoms on the one hand as well as life story and psychiological conflicts on the other hand could be drawn. The poorly regulated diabetes improved in parallel. CONCLUSION: Given that overweight and obesity may be associated with somatic (e.g., diabetes mellitus) and psychic (e.g., eating disorder, depression) diseases, a respective screening and an interdisciplinary treatment are required. Georg Thieme Verlag KG Stuttgart * New York.

Author information

Author/s: Rapps, Nora (N); Becker, Sandra (S); Teufel, Martin (M); Zipfel, Stephan (S);

Affiliation: Medizinische Universitätsklinik Tübingen, Abteilung für Psychosomatische Medizin und Psychotherapie, Tübingen. nora.rapps(-atsign-)med.uni-tuebingen.de

Journal and publication information

Publication Type: Case Reports; English Abstract; Journal Article

Journal: Deutsche medizinische Wochenschrift (1946) (Dtsch Med Wochenschr), published in Germany. (Language: ger)

Reference: 2009-Sep; vol 134 (issue 38) : pp 1872

Dates: Created 2009/09/11; Completed 2009/09/24;

PMID: 19746329, status: MEDLINE (last retrieval date: 9/24/2009, IMS Date: )

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