Overeaters Anonymous: An Overlooked Intervention for Binge Eating Disorder

Brenna Bray, Boris C. Rodríguez-Martín, David A. Wiss, Christine E. Bray and Heather Zwickey
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Brenna Bray: Helfgott Research Institute, National University of Natural Medicine, Portland, OR 97201, USA
Boris C. Rodríguez-Martín: Proyecto PlaniFive, 28017 Madrid, Spain
David A. Wiss: Department of Community Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA
Christine E. Bray: Amherst H. Wilder Foundation, Saint Paul, MN 55104, USA
Heather Zwickey: Helfgott Research Institute, National University of Natural Medicine, Portland, OR 97201, USA

IJERPH, 2021, vol. 18, issue 14, 1-16

Abstract: The purpose of this communication is to provide an overview as well as the strengths and weaknesses of Overeaters Anonymous (OA) as an intervention for binge eating disorder treatment. Binge eating disorder is associated with low remission rates, high relapse rates, treatment dissatisfaction, and high rates of failure to receive treatment attributed to stigma, misconceptions, lack of diagnosis, access to care, and inadequate insurance coverage. New interventions are needed that can overcome these barriers. OA is a twelve-step program and established fellowship for individuals who self-identify as having problematic relationships with food or eating. OA can be referred clinically or sought out by an individual confidentially, without a diagnosis, and free of charge. OA’s Nine Tools, Twelve Steps, and Twelve Traditions can provide structure, social support, and open, anonymous sharing that fosters a sense of connection and belonging. This may provide benefit to individuals who value structure and social support in their recovery. The tradition of anonymity may also create some challenges for conducting research and may explain the shortage of empirical support. This commentary reviews existing research findings on the effectiveness of twelve-step interventions and OA. Common misunderstandings about and within OA are also addressed and OA’s limitations are discussed. Overall, OA provides a promising option for binge eating disorder treatment that warrants clinical research on its feasibility and efficacy in a way that respects and protects its tradition of anonymity.

Keywords: eating disorder; binge eating disorder; Overeaters Anonymous; twelve steps; spirituality; food addiction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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