The clinical significance of binge eating in an obese population: Support for BED and questions regarding its criteria
The clinical significance of binge eating in an obese population: Support for BED and questions regarding its criteria
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DOI：
10.1016/0306-4603(95)00039-9
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发表时间：
1996-01-01
影响因子：
4.4
通讯作者：
Fitzgibbon, ML
中科院分区：
文献类型：
--
作者：
Grissett, NI;Fitzgibbon, ML
本研究调查了192名在大学饮食失调项目中寻求治疗的肥胖者中暴食症（BED）的患病率。受试者回答了关于暴饮暴食的存在和严重程度的自我报告问卷，并被分为两组：（a）48名非暴饮暴食者和（B）144名暴饮暴食者，其中72人符合BED标准。暴饮暴食者报告说，肥胖发病较早，精神病理学水平较高，控制体重的能力较低。72名被诊断为BED的人和72名不符合BED标准的暴食者之间的比较表明，前一组表现出更严重的暴食和更高水平的抑郁。鉴于暴食者和非暴食者之间在一系列心理变量上的差异，这些发现支持了BED作为一种新的诊断类别的临床和研究价值。然而，他们也表明，无论频率和相关的行为特征如何，暴饮暴食的严重程度都是最重要的区别特征。需要进一步的研究来确定BED诊断的最合适阈值。
The present study examined the prevalence of binge eating disorder (BED) among 192 obese individuals seeking treatment in a university-based eating disorders program. Subjects responded to a self-report questionnaire on the presence and severity of binge eating and were divided into two groups: (a) 48 non-binge eaters and (b) 144 binge eaters, 72 of whom met criteria for BED. Binge eaters reported earlier onset of obesity, higher levels of psychopathology, and less competence in relation to weight control. Comparison between the 72 individuals diagnosed with BED and the 72 binge eaters not meeting BED criteria indicated that the former group evidenced more severe binge eating and a higher level of depression. Given the differences across a range of psychological variables between binge eaters and non-binge eaters, these findings support the clinical and research value of BED as a new diagnostic category. However, they also indicate that severity of binge eating, regardless of frequency and associated behavioral features, is the most important distinguishing characteristic. Further research is needed to determine the most appropriate threshold for BED diagnosis.