Abstract
Zusammenfassung. Während die Anorexia nervosa und Bulimia nervosa bei Jugendlichen ein deutliches Forschungsinteresse gefunden haben, liegen bislang wenige Befunde zur “Binge-Eating“-Störung (BED) im Kindes- und Jugendalter vor. Im vorliegenden Beitrag werden überblicksartig die Merkmale, Epidemiologie und Entstehung der Essanfallssymptomatik bzw. der BED bei Kindern und Jugendlichen beschrieben. Anfallsartiges Essen ist durch fehlende Kontrolle über das Essen, Essen in Abwesenheit von Hunger, heimliches und emotionales Essen gekennzeichnet. Dieses Symptombild spiegelt sich in den aktuellen Diagnosekriterien nicht adäquat wider. Die Symptomatik einer BED geht mit einer erhöhten essstörungsspezifischen und allgemeinen Psychopathologie sowie mit einem erhöhten Körpergewicht einher. Diagnostische Verfahren und Ansätze zur psychologischen Psychotherapie werden vorgestellt.
Abstract. Compared to the amount of research on adolescents with anorexia nervosa and bulimia nervosa, there are only a few studies on binge eating disorder (BED) in children and adolescents. The aim of the present study is to provide an overview of the characteristics, epidemiology, and etiology of binge eating symptoms and BED, respectively, in children and adolescents. Empirical findings suggest that binge eating is characterized by a lack of control over eating, eating in the absence of hunger, and secretive and emotional eating. Current diagnostic criteria may not adequately reflect symptoms of binge eating in children and adolescents. Binge eating is associated with greater eating disorder and general psychopathology and elevated body weight. Methods of assessment are described, and psychological approaches to treatment are outlined.
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