HAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual development

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dc.contributor.authorda Luz, Felipe Q.
dc.contributor.authorSwinbourne, Jessica
dc.contributor.authorSainsbury, Amanda
dc.contributor.authorTouyz, Stephen
dc.contributor.authorPalavras, Marly [UNIFESP]
dc.contributor.authorClaudino, Angelica [UNIFESP]
dc.contributor.authorHay, Phillipa
dc.date.accessioned2019-08-19T11:49:44Z
dc.date.available2019-08-19T11:49:44Z
dc.date.issued2017
dc.description.abstractBackground: 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/successfulen
dc.description.abstract10 = 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.en
dc.description.affiliationUniv Sydney, Boden Inst Obes Nutr Exercise & Eating Disorders, Sydney Med Sch, Charles Perkins Ctr, Camperdown, NSW 2006, Australia
dc.description.affiliationUniv Sydney, Sch Psychol, Fac Sci, Camperdown, NSW 2006, Australia
dc.description.affiliationMinist Educ Brazil, CAPES Fdn, BR-70040020 Brasilia, DF, Brazil
dc.description.affiliationUniv Fed São Paulo, Program Orientat & Attent Eating Disorders, São Paulo, Brazil
dc.description.affiliationWestern Sydney Univ, Sch Med, Ctr Hlth Res, Locked Bag 1797, Penrith, NSW 2751, Australia
dc.description.affiliationUnifespUniv Fed São Paulo, Program Orientat & Attent Eating Disorders, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCAPES Foundation
dc.description.sponsorshipMinistry of Education of Brazil
dc.description.sponsorshipNational Health and Medical Research Council (NHMRC) of Australia
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1186/s40337-017-0162-2
dc.identifier.citationJournal Of Eating Disorders. London, v. 5, p. -, 2017.
dc.identifier.doi10.1186/s40337-017-0162-2
dc.identifier.fileWOS000407587800001.pdf
dc.identifier.issn2050-2974
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51387
dc.identifier.wosWOS:000407587800001
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBinge eating disorderen
dc.subjectBulimia nervosaen
dc.subjectObesityen
dc.subjectOverweighten
dc.subjectIntegrated treatmenten
dc.titleHAPIFED: a Healthy APproach to weight management and Food in Eating Disorders: a case series and manual developmenten
dc.typeinfo:eu-repo/semantics/article
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