Binge eating disorder and related features in bariatric surgery candidates
Binge eating disorder and related features in bariatric surgery candidates
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DOI：
10.1515/med-2019-0043
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发表时间：
2019-01-01
期刊：
影响因子：
2.1
通讯作者：
Cotrufo, Paolo
中科院分区：
文献类型：
--
作者：
Cella, Stefania;Fei, Landino;Cotrufo, Paolo
目的：本研究报告力求：1）评估肥胖手术候选人中暴食症（BED）和异常饮食行为的患病率; 2）比较有和没有BED的患者在饮食障碍，心理特征和健康状况方面的差异; 3）个体化哪些因素与暴食严重程度显著相关。研究方法：63名术前患者（17名男性和46名女性）通过专门的社会人口统计学计划、Rosenberg自尊量表、进食障碍量表-3、暴食量表和一般健康问卷-28进行筛选。通过临床访谈进行BED诊断。结果如下：卧床和饮食失调，如暴饮暴食，对饮食缺乏控制感和不适当的补偿行为，在接受减肥手术的患者中很常见。床和非床的主题之间的显着差异，有关饮食失调和心理特征出现。多元回归分析显示，只有情绪失调显着预测暴食的脆弱性。结论：认识到参与肥胖患者饮食失调的发展和维持的因素，可能会支持特定治疗策略的选择，并改善减肥手术的结果。对这一问题的进一步研究将是有益的。
Objective: The present study sought to: 1) assess the prevalence of Binge Eating Disorder (BED) and abnormal eating behaviors in bariatric surgery candidates; 2) compare patients with and without BED as regards to eating disturbances, psychological characteristics, and health status; 3) individuate which factors were significantly related to binge eating severity. Methods: Sixty-three preoperative patients (17 males and 46 females) were screened by means of an ad hoc socio-demographic schedule, the Rosenberg Self-Esteem Scale, the Eating Disorders Inventory-3, the Binge Eating Scale, and the General Health Questionnaire-28. BED diagnosis was performed through a clinical interview. Results: BED and disordered eating, such as episodes of binge eating, sense of lack of control over eating and inappropriate compensatory behaviors, appear common in patients undergoing weight loss surgery. Significant differences between BED and non-BED subjects in relation to eating disturbances and psychological characteristics emerged. Multiple regression analysis revealed that only emotional dysregulation significantly predicted binge eating vulnerability. Conclusion: The recognition of factors involved in the development and maintenance of disordered eating in bariatric patients may support the choice of particular therapeutic strategies and improve bariatric surgery outcome. Further studies on this issue would be useful.