The dark room with group therapy to deal with binge eating disorder.
It’s the project Be reborn fielded, first in Italy, in Campania.
Ermenegilda Pagano Director of the Rinascere project Metabolic and Nutritional Rehabilitation Department of the Santa Maria del Pozzo Hospital says: «The Rinascere project is in Day Hospital but also in hospital and has an agreement with the Health System and was born 5 years ago for the treatment of obesity and related pathologies such as excess weight on the joints National. Every year metabolic syndrome, diabetes, hypertension, hypercholesterolemia, multi-district arthrosis which affects joints due to excess weight and related syndromes which also concern the depressive sphere. Every year we admit at least 700 to 800 patients per year. Rinascere now focuses on Binge Eating Disorder which affects approximately 88% of patients who come to the facility for obesity.”
INSIGHTS
«It is one of the first projects in Italy, as it has the particularity of treating Eating Disorder which is also defined as Eating Disorder through hospitalization and in day hospital.
Binge Eating Disorder is a disorder of eating behavior and the concept of eating. The patient, the person, frequently has uncontrolled compulsiveness towards food and therefore, during the day, even at indifferent times, he goes on real binges, ingesting large quantities of food without appetite until he swells to the point of feeling ill. The moment this moment of uncontrolled eating ends, the patient understands that he has done something wrong for his own well-being and a sense of guilt also arises, a depressive syndrome which reinforces the depressive syndrome even further. . With the Rinascere project we tackle the pathology in all its aspects. Metabolic cuisine is a cuisine where specialized chefs, trained in professional schools, are trained and prepared to cook in a metabolic, healthy way, with particular attention to caloric intake and the distribution of macro and micronutrients carried out in such a way as to be able to produce dietary, healthy foods, without taking anything away from taste and palatability.”
« The metabolic walk is a walk that is carried out taking into account the patient’s parameters, weight, height, therefore body composition, cardiological and respiratory performance in order to improve the latter together with weight loss. The metabolic laboratory is an applied clinical nutrition laboratory where the patient visits very frequently during the period of hospitalization and day hospital but also in a more deferred manner when he is discharged, for the evaluation of anthropometric parameters, eating behavior and for the related evaluation corrections of both dietary therapy, physical therapy and drug therapy.
«Then Rinascere also includes the Metabolic Gym with physiotherapists who are experts in the treatment of obesity, as the physical movement of the obese patient is different from the traditional one. The patient is rehabilitated not only for weight loss but also for the acquisition of the right posture which is compromised in obese people and for the recovery of functional activities. Then there is the dark room, it is a room where autogenic training and group psychotherapy are carried out in the presence of a group psychotherapist and a psychologist!”. This was stated by Dr. Ermenegilda Pagano, Director of the Rinascere project, a center also specialized in the diagnosis and treatment of pathologies linked to the eating disorder defined as Binge Eating Disorder, at the Santa Maria del Pozzo Hospital, in Campania. On November 30, study data on the activities will be illustrated to the press during a conference scheduled at the Santa Maria del Pozzo Hospital. And patients come from all over Italy, in particular from the North.”
**How does the Rinascere Project’s integrated approach, combining physical interventions like metabolic cuisine and metabolic walks with psychological therapies like group psychotherapy and autogenic training, address the complex interplay of biological, psychological, and social factors contributing to Binge Eating Disorder?**
## Interview: Re-birth Project – Addressing Binge Eating Disorder
**Introduction**
Welcome to World Today News. We’re joined today by Dr. Ermenegilda Pagano, Director of the Rinascere Project at the Santa Maria del Pozzo Hospital in Campania, and Dr. [Invite a second guest, ideally a psychologist or therapist specializing in eating disorders] to discuss the innovative “Be Reborn” project, which tackles Binge Eating Disorder (BED) through a multi-faceted approach.
**Section 1: Understanding Binge Eating Disorder**
Dr. Pagano, you mentioned that BED affects approximately 88% of the patients who come to the Rinascere Project for obesity. Could you elaborate on what BED is, its prevalence, and why it often co-occurs with obesity?
* **Follow-up question:** Dr. [Second Guest], from a psychological perspective, what triggers BED, and how does it manifest beyond the physical act of overeating?
**Section 2: The Components of the Rinascere Project**
Dr. Pagano, the Rinascere Project utilizes a unique blend of therapies, including metabolic cuisine, metabolic walks, and a metabolic laboratory. Could you elaborate on each of these elements and how they contribute to treating both the physical and psychological aspects of BED?
* **Follow-up question:** Dr. [Second Guest], how does the psychological component of the Rinascere Project, such as group psychotherapy and autogenic training in the dark room, complement these physical interventions?
**Section 3: Patient Experience and Outcomes**
Dr. Pagano, you mentioned that patients come from all over Italy. What is it about the Rinascere Project that attracts people from different regions, and what kind of results have you observed in your patients?
* **Follow-up question:** Dr. [Second Guest], what challenges do patients typically face during their time at the Rinascere Project, and how are these challenges addressed?
**Section 4: Future Directions and Broader Impact**
Dr. Pagano, what are the future goals of the Rinascere Project, and do you see this model being replicated in other parts of Italy or even internationally?
* **Follow-up question:** Dr. [Second Guest], what is your perspective on the role of specialized programs like Rinascere in addressing the growing issue of eating disorders?
**Conclusion**
Thank you both for sharing your valuable insights into the innovative work being done at the Rinascere Project. We hope this interview helps shed light on the complexities of BED and the importance of a holistic approach to treatment.
