Comorbid psychopathology in binge eating disorder: relation to eating disorder severity at baseline and following treatment.
Comorbid psychopathology in binge eating disorder: relation to eating disorder severity at baseline and following treatment.
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DOI：
10.1037/0022-006x.68.4.641
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发表时间：
2000
影响因子：
5.9
通讯作者：
Denise E Wilfley;M. Friedman;Jennifer Zoler Dounchis;R. Stein;R. Welch;Samuel A. Ball
中科院分区：
文献类型：
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作者：
Denise E Wilfley;M. Friedman;Jennifer Zoler Dounchis;R. Stein;R. Welch;Samuel A. Ball
暴饮暴食症（BED）患者有很高的精神病理学共病率，但对共病与饮食障碍特征或治疗反应的关系知之甚少。这些问题在162名参加心理治疗试验的BED患者中进行了研究。轴I精神病理学与基线进食障碍严重程度无显著相关，如DSM-III-R（SCID-I和SCID-II）结构化临床访谈和进食障碍检查所测量。然而，轴II精神病理学的存在与基线时更严重的暴饮暴食和进食障碍精神病理学显著相关。虽然轴II精神病理学的总体存在并不能预测治疗结果，但B类人格障碍的存在预测了治疗后1年的暴饮暴食水平显著较高。结果表明，需要考虑集群B疾病时，设计治疗床。
Individuals with binge eating disorder (BED) have high rates of comorbid psychopathology, yet little is known about the relation of comorbidity to eating disorder features or response to treatment. These issues were examined among 162 BED patients participating in a psychotherapy trial. Axis I psychopathology was not significantly related to baseline eating disorder severity, as measured by the Structured Clinical Interview for DSM-III-R (SCID-I and SCID-II) and the Eating Disorder Examination. However, presence of Axis II psychopathology was significantly related to more severe binge eating and eating disorder psychopathology at baseline. Although overall presence of Axis II psychopathology did not predict treatment outcome, presence of Cluster B personality disorders predicted significantly higher levels of binge eating at 1 year following treatment. Results suggest the need to consider Cluster B disorders when designing treatments for BED.