Screening for Binge Eating Disorder in people with obesity

Screening for Binge Eating Disorder in people with obesity
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DOI:
10.1016/j.orcp.2018.02.002
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发表时间:
2018-05-01
影响因子:
4.3
通讯作者:
Danner, Unna N.
Danner, Unna N.
中科院分区:
医学4区
文献类型:
--
作者:
Wever, Mirjam C. M.;Dingemans, Alexandra E.;Danner, Unna N.

文献摘要

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超重中暴饮暴食症的风险因素(REO)问卷是营养学家区分患有肥胖症和不患有暴饮暴食症(BED)的个体的筛选工具。第一项研究测试了REO的辨别能力,并确定了最佳截止值。在第二项研究中,这个截止值被用来从一个肥胖的个体样本中识别出有和没有BED的个体,并与一组正式诊断为BED的个体进行了临床和个性特征的比较。结果表明,REO的敏感性为95.1%,特异性为81.5%,良好的内部一致性α = 0.96,探索性因素分析显示,REO的4个潜在因素解释了63.7%的总方差。由REO确定的具有BED症状的个体的特征与正式诊断为BED的个体的特征相当,并且与没有BED症状的肥胖个体不同。通过用REO筛查肥胖个体,更容易识别那些表现出BED症状的人,并可将其转诊至心理治疗机构进行进一步评估和适当治疗。(C)2018亚洲大洋洲肥胖研究协会。由爱思唯尔有限公司出版。保留所有权利。
The Risk factors for Binge Eating Disorder in Overweight (REO) questionnaire is a screening tool for nutritionists to discriminate between individuals with obesity with and without Binge Eating Disorder (BED). The first study tested the discriminative ability of the REO and identified an optimal cut-off value. In the second study this cut-off value was used to identify individuals with and without BED from a sample of individuals with obesity visiting a nutritionist and compared clinical and personality characteristics with a group of individuals officially diagnosed with BED. Results showed that the REO has a sensitivity of 95.1%, specificity of 81.5%, a good internal consistency of alpha = .96, and an exploratory factor analysis showed four underlying factors of the REO that explained a total variance of 63.7%. Characteristics of individuals with BED symptoms identified by the REO and those officially diagnosed with BED were comparable and differed from individuals with obesity without BED symptoms. By screening individuals with obesity with the REO those presenting with BED symptoms are more easily identified, and can be referred to psychological treatment facilities for further assessment and appropriate treatment. (C) 2018 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.