Nonnormative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome
Nonnormative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome
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DOI：
10.1016/j.soard.2014.09.018
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发表时间：
2015-05-01
影响因子：
3.1
通讯作者：
Hilbert, Anja
中科院分区：
文献类型：
--
作者：
Baldofski, Sabrina;Tigges, Wolfgang;Hilbert, Anja
背景：暴食症（BED）作为一种独特的饮食失调类别，而夜间进食综合症（NES）作为其他特定喂养或饮食失调的一种形式，最近被纳入第五版精神障碍诊断和统计手册（DSM-5）。本研究旨在调查肥胖前期患者 BED 和 NES 的患病率以及与各种形式的非规范饮食行为和精神病理学的关联。在一项连续的多中心注册研究中，招募了德国 6 个减肥手术中心的患者。方法：总体而言，使用饮食失调检查和自我报告问卷对 233 名减肥前患者进行了评估。评估与临床程序无关。结果：目前肥胖前患者分别有 4.3% 和 8.2% 符合全综合征 BED 和 NES 的诊断标准。此外，分别有 8.6% 和 6.9% 的患者符合亚综合征 BED 和 NES 标准。 3.9% 的患者诊断出患有 BED 和 NES 共病。与没有任何饮食失调症状的患者相比，患有 BED 和 NES 的患者报告称情绪化饮食更多，在没有饥饿的情况下进食，并且有更多的食物成瘾症状。此外，BED 和 NES 患者之间的差异在于，BED 患者的暴食事件更为客观，饮食担忧、体重担忧和整体饮食失调精神病理学水平更高。结论：BED 和 NES 在肥胖前患者中普遍存在，诊断之间存在一定程度的重叠。与非规范饮食行为和精神病理学的关联表明了它们的临床意义和区分有效性。 (C) 2015 年美国代谢和减肥外科学会。版权所有。
Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This study sought to investigate the prevalence of BED and NES and associations with various forms of nonnormative eating behavior and psychopathology in prebariatric patients. Within a consecutive multicenter registry study, patients in 6 bariatric surgery centers in Germany were recruited.Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Co-morbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge-eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.Conclusion: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with nonnormative eating behavior and psychopathology point to their clinical significance and discriminant validity. (C) 2015 American Society for Metabolic and Bariatric Surgery. All rights reserved.