DSM-IV Psychiatric Disorder Comorbidity and Its Correlates in Binge Eating Disorder
DSM-IV Psychiatric Disorder Comorbidity and Its Correlates in Binge Eating Disorder
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DOI：
10.1002/eat.20599
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发表时间：
2009-04-01
影响因子：
5.5
通讯作者：
Masheb, Robin M.
中科院分区：
文献类型：
--
作者：
Grilo, Carlos M.;White, Marney A.;Masheb, Robin M.
目的：评估DSM-IV中暴食症（BED）患者的终生和当前精神障碍合并症，并检查合并症与性别、选定的既往肥胖相关变量和当前进食障碍精神病理学的关系。方法：404例BED患者的连续系列研究（310名女性，94名男性）进行了可靠的半结构化诊断和临床访谈，以评估DSM-IV精神疾病和进食障碍的特征。总体而言，73.8%的BED患者至少有一种额外的终身精神疾病，43.1%的患者至少有一种当前精神疾病。生活方面，情绪（54.2%），焦虑（37.1%）和物质使用（24.8%）障碍最常见。就当前合并症而言，情绪（26.0%）和焦虑（24.5%）最常见。几乎没有观察到性别差异;男性有更高的物质使用障碍的终身率和强迫症的当前率。有精神病合并症的BED患者报告首次节食年龄较早，且BMI较高。与终生（非当前）或无精神病史的卧床患者相比，当前患有合并症的患者当前饮食失调精神病理学和负面影响水平显着较高，自尊心较低。讨论：在寻求治疗的卧床患者中，当前精神合并症的存在与更大的饮食失调精神病理学和相关的痛苦有关。(C)出版社：Wiley Periodicals，Inc.
Objective: To assess DSM-IV lifetime and current psychiatric disorder comorbidity in patients with binge eating disorder (BED) and to examine associations of comorbidity with gender, selected historical obesity-related variables, and current eating disorder psychopathology.Method: A consecutive series of 404 patients with BED (310 women, 94 men) were reliably administered semistructured diagnostic and clinical interviews to assess DSM-IV psychiatric disorders and features of eating disorders.Results: Overall, 73.8% of patients with BED had at least one additional lifetime psychiatric disorder and 43.1% had at least one current psychiatric disorder. Lifetime-wise, mood (54.2%), anxiety (37.1%), and substance use (24.8%) disorders were most common. In terms of current comorbidity, mood (26.0%) and anxiety (24.5%) were most common. Few gender differences were observed; men had higher lifetime rates of substance use disorders and current rates of obsessive compulsive disorder. Patients with BED with current psychiatric comorbidity reported earlier age at first diet and higher "lifetime-high" BMI. Patients with current comorbidity also had significantly higher levels of current eating disorder psychopathology and negative affect and lower self-esteem relative to patients with BED with either lifetime (noncurrent) or no psychiatric histories.Discussion: Among treatment-seeking patients with BED, the presence of current psychiatric comorbidity is associated with greater eating disorder psychopathology and associated distress. (C) 2008 by Wiley Periodicals, Inc.