Night eating syndrome and binge eating disorder. among persons seeking bariatric surgery: Prevalence and related features

Night eating syndrome and binge eating disorder. among persons seeking bariatric surgery: Prevalence and related features
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DOI:
10.1038/oby.2006.286
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发表时间:
2006-03-01
期刊:
影响因子:
6.9
通讯作者:
Williams, Noel N.
Williams, Noel N.
中科院分区:
医学2区
文献类型:
--
作者:
Allison, Kelly C.;Wadden, Thomas A.;Williams, Noel N.

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目的:评估寻求减肥手术的人中夜间进食综合征(NES)和暴饮暴食障碍(BED)的患病率及其相关的行为和心理相关性。研究方法和程序:连续对215名极端肥胖者(82%是女性,70%是欧洲裔美国人)完成体重和生活方式问卷调查以及作为手术前行为/心理评估的一部分进行系列访谈。NES和BED的诊断基于分级诊断标准。结果:通过访谈符合NES诊断标准的参与者百分比在最严格的定义中为1.9%,在所有NES定义中为8.9%。访谈后,4.2%的人达到了完整的DSM-TR床标准;另有1.4%的人报告每周至少暴饮暴食一次。自我报告的NES和BED患病率较高。与其余样本相比,患有NES或BED的人有更多的抑郁症状和更大的心理并发症史。讨论:根据先前的报道,NES和BED在这一减肥手术候选人群中的患病率低于预期。关于降低患病率的发现和假设也进行了讨论。
Objective: To assess the prevalence of night eating syndrome (NES) and binge eating disorder (BED) and their related behavioral and psychological correlates in persons who sought bariatric surgery.Research Methods and Procedures: A consecutive series of 215 persons with extreme obesity (82% women, 70% European American) completed the Weight and Lifestyle Inventory and a sernistructured interview as part of a presurgery behavioral/psychological assessment. Diagnoses for NES and BED were based on graded diagnostic criteria.Results: Percentages of participants who met diagnostic criteria for NES by interview were 1.9% for the strictest definition and 8.9% across all definitions of NES. After interview, full DSM-TR criteria for BED were met by 4.2%; an additional 1.4% reported binge eating at least once per week. Self-reported prevalence of NES and BED were higher. Those with NES or BED had significantly more symptoms of depression and a greater history of psychological complications than the remaining sample.Discussion: The prevalence rates of NES and BED among this population of bariatric surgery candidates were lower than expected based on previous reports. Findings and hypotheses regarding lowered prevalence rates are discussed.