Prevalence and correlates of binge eating disorder in a community sample
Prevalence and correlates of binge eating disorder in a community sample
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DOI：
10.1016/j.comppsych.2006.08.002
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发表时间：
2007-03-01
影响因子：
7.3
通讯作者：
Cloninger, C. Robert
中科院分区：
文献类型：
--
作者：
Grucza, Richard A.;Przybeck, Thomas R.;Cloninger, C. Robert
目的：暴饮暴食症（BED）的诊断标准出现在精神疾病诊断和统计手册第四版中，作为“进一步研究的标准”。“很少有关于BED的流行病学研究。我们的目的是描述的患病率和相关的床，由患者健康问卷（PHQ）在社区sample.Method：描述性流行病学从910名随机确定的参与者居住在大都市区的圣刘易斯，密苏里州的调查。结果：60人（6.6%）筛选阳性当前床，由PHQ（床+）评估。男性和女性一样有可能筛查出阳性。BED+受试者患抑郁症、广泛性焦虑症、惊恐发作和既往自杀企图的几率显著升高; BED筛查阴性（BED-）的肥胖个体患这些综合征的几率并不升高。BED+受试者，而不是其他肥胖个体，在心理健康相关的生活质量指标上表现出明显较低的分数。与BED症状相关的人格特征包括高新奇寻求、高伤害回避和低自我导向。肥胖、BED-个体的人格和精神特征更接近于正常体重、BED-个体，这表明BED不同于典型的肥胖。BED+受试者报告的平均体重指数为34.1，超过6个单位以上BED-subjects.Conclusion：PHQ-BED标准与实质性损害，精神共病，肥胖和有效地区分肥胖个体的心理问题，从肥胖受试者没有类似的问题。BED可能比其他饮食失调更普遍，在男性和女性中同样普遍。(c)2007年爱思唯尔公司All rights reserved.
Objective: Diagnostic criteria for binge eating disorder (BED) appear in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition as "criteria for further study." Few epidemiological studies of BED have been conducted. Our aim was to describe the prevalence and correlates of BED, as assessed by the Patient Health Questionnaire (PHQ) in a community sample.Method: Descriptive epidemiology from a survey of 910 randomly ascertained participants residing in the greater metropolitan area of St Louis, Mo.Results: Sixty individuals (6.6%) screened positive for current BED, as assessed by the PHQ (BED+). Men were as likely to screen positive as women. BED+ subjects were at substantially elevated odds for depression, generalized anxiety disorder, panic attacks, and past suicide attempts; individuals with obesity who screened negative for BED (BED-) were not at elevated odds for these syndromes. BED+ subjects, but not other obese individuals, exhibited substantially lower scores on measures of mental health-related quality of life. Personality traits associated with BED symptoms included high Novelty Seeking, high Harm Avoidance, and low Self-directedness. Personality and psychiatric profiles in obese, BED- individuals were closer to those for normal-weight, BED- individuals, suggesting that BED is distinct from typical obesity'. BED+ subjects reported mean body mass index of 34.1, more than 6 units above BED- subjects.Conclusion: PHQ-BED criteria are associated with substantial impairment, psychiatric comorbidity, and obesity and effectively discriminate obese individuals with psychological problems from obese subjects without similar problems. BED may be considerably more prevalent than other eating disorders and equally prevalent among men and women. (c) 2007 Elsevier Inc. All rights reserved.