Currently, 31.8% of North Carolina residents have a weight that would meet criteria for obesity. Binge and overeating increases the risk for obesity, which is associated with numerous co-morbid conditions, including diabetes, cardiovascular disease, and various cancers. Binge eating is described by having episodes of eating large amounts while experiencing a sense of loss of control over eating. In contrast, overeating typically refers to eating more than intended, and does not involve loss of control. A specific CBT intervention, Appetite Awareness Training (AAT), has been successful in aiding participants to reduce binge eating and overeating. AAT includes instruction on emotional eating, understanding biological signals of hunger and satiety, and also has aided in weight maintenance. This program will examine the factors (e.g., trauma, stress, depression) that may increase binge and overeating in our clients, with particular emphasis on clients who are low-income, and identify as a member from a racial/ethnic minority group. Recommendations for assessment will be provided. Finally, this presentation will present an overview of AAT, and provide clinicians with brief training on specific intervention components that may provide clients with coping skills to increase self-care and decrease binge and overeating.
Rachel W. Goode is an Assistant Professor at the School of Social Work, University of North Carolina at Chapel Hill. Dr. Goode received her PhD, MPH, and MSW from the University of Pittsburgh. She is a public health and social work scientist with expertise in the design and delivery of health promotion interventions to prevent and treat obesity, and to treat disordered eating among individuals with overweight and obesity. Dr. Goode is a licensed clinical social worker and has practice experience with the treatment of eating disorders and obesity among clients in university counseling centers and community-based mental health agencies. Most recently, Dr. Goode’s research has focused on evaluating Appetite Awareness Training as an intervention to treat binge eating and reduce disparities in weight outcomes among African-American women.
Participants completing this event will be able to:
1. Identify factors that may increase binge and overeating among low-income and racial and ethnic minority women.
2. Articulate relevant questions to guide assessments of client eating behaviors.
3. Develop awareness of Appetite Awareness Training (AAT), specific interventions to reduce binge and overeating, and prevent weight gain.
Winston-Salem Clinical Lecture Series, a joint program of UNC School of Social Work and Northwest AHEC of Wake Forest School of Medicine