Binge eating in overweight treatment-seeking adolescents
Binge eating in overweight treatment-seeking adolescents
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DOI：
10.1093/jpepsy/jsl012
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发表时间：
2007-01-01
影响因子：
3.6
通讯作者：
Yanovski, Jack A.
中科院分区：
文献类型：
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作者：
Glasofer, Deborah R.;Tanofsky-Kraff, Marian;Yanovski, Jack A.
目的研究超重、寻求治疗的青少年暴饮暴食的频率和近期发生率与精神病理学的关系。方法我们调查了160名超重（体重指数[BMI]：40.7 +/- 8.8 kg/m（2））青少年报告饮食失控（LOC）事件的频率和近期发生率的心理相关性。根据对进食障碍检查（EDE）的反应，将参与者分为四组：全综合征暴食症（BED）;最近但不频繁的暴食症（在访谈前3个月内发作; RECENT-BINGE）;远程和不频繁的暴食症（在评估前> 3个月发作; PAST-BINGE），或无暴食症发作史（NE）。结果BED组的EDE评分高于其他组（p <0.01），且有更多的负性情绪和焦虑（p <0.01）。与NE相比，RECENT-BINGE也报告了更多的焦虑和更高的EDE评分（p < .01）。结论超重，寻求治疗的青少年与BED是明确区分从青少年没有障碍的饮食相关的精神病理学，情绪和焦虑的措施。最近的结合，而不是过去的结合，也与显着更大的饮食相关的和一般的精神病理学。
Objective To examine the frequency and recency of binge eating in relation to psychopathology in overweight, treatment-seeking adolescents. Methods We investigated psychological correlates of the frequency and recency of reported loss of control (LOC) eating episodes in 160 overweight (body mass index [BMI]: 40.7 +/- 8.8 kg/m(2)) adolescents. On the basis of the responses to the eating disorder examination (EDE), participants were categorized into one of four groups: full-syndrome binge eating disorder (BED); recent but infrequent binge eating (episodes within the 3 months before interview; RECENT-BINGE); remote and infrequent LOC eating (episodes occurring > 3 months before assessment; PAST-LOC), or no history of LOC episodes (NE). Results The BED group reported higher EDE scores (global, p < .01), and more negative mood and anxiety than all other groups (p's < .01). Compared with NE, RECENT-BINGE also reported more anxiety and higher EDE scores (p's < .01). Conclusions Overweight, treatment-seeking adolescents with BED are clearly distinguishable from teens without the disorder on measures of eating-related psychopathology, mood, and anxiety. RECENT-BINGE, but not PAST-LOC, is also associated with significantly greater eating-related and general psychopathology.