What constitutes clinically significant binge eating? Association between binge features and clinical validators in college-age women
What constitutes clinically significant binge eating? Association between binge features and clinical validators in college-age women
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DOI：
10.1002/eat.22115
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发表时间：
2013-04-01
影响因子：
5.5
通讯作者：
Taylor, C. Barr
中科院分区：
文献类型：
--
作者：
Vannucci, Anna;Theim, Kelly R.;Taylor, C. Barr
目的：探讨狂欢特征与临床验证者之间的关系。方法：饮食失调检查评估了549名大学年龄女性的暴食特征：失控（暴食）存在，暴食频率，暴食规模，控制受损指标和暴食严重程度。临床验证者是自我报告的临床损伤和当前的精神科合并症，通过半结构化访谈确定。结果：与无乳腺癌的女性相比，乳腺癌患者报告临床损害和合并症的几率明显更大（ps < 0.001）。在患有糖尿病的女性（n = 252）中，控制能力受损和糖尿病严重程度的指标，而不是狂欢的规模或频率，与报告临床损害和/或合并症的几率更大相关（p < 0.05）。Dictionary：研究结果证实，暴食症的存在可能是暴食症的标志性特征。此外，关于暴食体验的维度评级和可能的控制受损指标可能会提高临床显著暴食的可靠识别。(c)出版社：Wiley Periodicals，Inc. (Int J Eat Disord 2013）
Objective: To investigate the association between binge features and clinical validators. Method: The Eating Disorder Examination assessed binge features in a sample of 549 college-age women: loss of control (LOC) presence, binge frequency, binge size, indicators of impaired control, and LOC severity. Clinical validators were self-reported clinical impairment and current psychiatric comorbidity, as determined via a semistructured interview. Results: Compared with women without LOC, those with LOC had significantly greater odds of reporting clinical impairment and comorbidity (ps < 0.001). Among women with LOC (n = 252), the indicators of impaired control and LOC severity, but not binge size or frequency, were associated with greater odds of reporting clinical impairment and/or comorbidity (ps < 0.05). Dicussion: Findings confirm that the presence of LOC may be the hallmark feature of binge eating. Further, dimensional ratings about the LOC experienceand possibly the indicators of impaired controlmay improve reliable identification of clinically significant binge eating. (c) 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)