PSYCHOPATHOLOGY CORRELATES OF BINGE-EATING AND BINGE-EATING DISORDER

PSYCHOPATHOLOGY CORRELATES OF BINGE-EATING AND BINGE-EATING DISORDER
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DOI:
10.1016/0010-440x(94)90280-1
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发表时间:
1994-09-01
影响因子:
7.3
通讯作者:
ABEL, JL
ABEL, JL
中科院分区:
医学2区
文献类型:
--
作者:
ANTONY, MM;JOHNSON, WG;ABEL, JL

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本研究探讨了与暴食症(BED)相关的精神病理学,这是DSM-IV提出的一个新的诊断类别,用于在没有清除的情况下对有显著暴食问题的患者进行分类。精神病理学的自我报告测量(例如,对72名前瞻性(1)符合BED标准(DSM-IV标准),(2)报告经常暴饮暴食但不符合BED标准,(3)否认饮食问题的妇女进行了研究。满足BED标准的受试者在所有指标上的精神病理学水平均高于正常人,亚临床暴食者的评分介于这两组之间,但他们更接近于没有饮食问题的受试者。校正重量后,结果模式基本不变。BED受试者和亚临床暴食者对自己身体的满意度低于正常对照组。这些研究结果表明,BED不仅表现为频繁的暴饮暴食,更重要的是与精神病理学的升高有关。总的来说,这些结果支持提出的诊断标准为床。版权所有(C)1994由W.B.桑德斯公司
The present study examined the psychopathology associated with binge eating disorder (BED), a new diagnostic category proposed for DSM-IV to classify patients with significant binge eating problems in the absence of purging. Self-report measures of psychopathology (e.g., depression, anxiety) and body image disturbance were administered to 72 women who prospectively (1) met criteria for BED (DSM-IV criteria), (2) reported frequent bingeing but did not meet BED criteria, and (3) denied problems with eating. Subjects satisfying BED criteria reported higher levels of psychopathology than normals on all measures, and subclinical binge eaters scored between these two groups, but they were closer to subjects without eating problems. The pattern of results was essentially unchanged when corrected for weight. BED subjects and subclinical binge eaters were less satisfied with their bodies than were normal controls. These findings suggest that BED is not only characterized by frequent bingeing, but more importantly is associated with elevated psychopathology. Overall, these results lend support to the diagnostic criteria proposed for BED. Copyright (C) 1994 by W.B. Saunders Company