Balantekin Katherine N, Hayes Jacqueline F
Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA.
Department of Psychiatry and Human Behavior, Brown University; Weight Control and Diabetes Research Center, the Miriam Hospital, Providence, Rhode Island, USA.
Int J Eat Disord. 2025 Feb;58(2):314-316. doi: 10.1002/eat.24342. Epub 2024 Nov 29.
The study by Grilo and Pittman highlights two related controversies affecting the eating disorders field: (1) Is it ever appropriate to recommend behavioral weight loss (BWL) interventions to patients with binge-eating disorder (BED); and (2) Is dietary restraint beneficial or harmful? This paper explores reasons underlying these controversies and underscores the important nuances within these constructs within the context of Grilo and Pittman's findings. For example, people often subsume BWL as part of the umbrella term "dieting," but extensive research shows clear differences between self-directed "dieting" and BWL intervention on both weight loss efficacy and on eating disorder psychopathology. In addition, it is critical to consider and understand the different types of dietary restraint. Increases in rigid restraint are often considered a negative outcome in the eating disorder field; however, Grilo and Pittman identify increases as beneficial for individuals with BED and obesity participating in a BWL intervention. There is a critical need in the eating disorders field to work together to better understand the nuance underlying these frequently used constructs.
格里洛（Grilo）和皮特曼（Pittman）的研究突出了影响饮食失调领域的两个相关争议：（1）向暴饮暴食症（BED）患者推荐行为减肥（BWL）干预措施是否合适；以及（2）饮食限制是有益还是有害？本文探讨了这些争议背后的原因，并在格里洛和皮特曼的研究结果背景下强调了这些概念中的重要细微差别。例如，人们常常将BWL归入“节食”这一统称之下，但大量研究表明，自我指导的“节食”与BWL干预在减肥效果和饮食失调心理病理学方面存在明显差异。此外，考虑并理解不同类型的饮食限制至关重要。在饮食失调领域，严格限制的增加通常被视为负面结果；然而，格里洛和皮特曼指出，对于参与BWL干预的BED患者和肥胖者来说，限制增加是有益的。饮食失调领域迫切需要共同努力，以更好地理解这些常用概念背后的细微差别。
