社区样本中暴饮暴食症与神经性贪食症的比较。
Comparison of binge eating disorder and bulimia nervosa in a community sample.
作者信息
Striegel-Moore R H, Cachelin F M, Dohm F A, Pike K M, Wilfley D E, Fairburn C G
机构信息
Department of Psychology, Wesleyan University, Middletown, Connecticut, USA.
出版信息
Int J Eat Disord. 2001 Mar;29(2):157-65. doi: 10.1002/1098-108x(200103)29:2<157::aid-eat1005>3.0.co;2-8.
OBJECTIVE
This study examined the relationship between binge eating disorder (BED), a newly proposed eating disorder, and bulimia nervosa (BN).
METHOD
Three groups recruited from the community were compared: women with BED (n = 150), women with purging BN (n = 48), and women with nonpurging BN (n = 14).
RESULTS
The three groups did not differ significantly in education, weight or shape concern, and current or lifetime prevalence of nine major mental disorders. Women with BED, compared with women with purging BN, were older, less likely to have a history of anorexia nervosa, and less likely to have been treated for an eating disorder. Obesity was more commonly associated with BED than with either subtype of BN.
DISCUSSION
Our results lend some support to BED as an eating disorder distinct from purging BN. More research is needed to clarify the position of nonpurging BN relative to BED and purging BN.
目的
本研究探讨了一种新提出的饮食失调症——暴饮暴食症（BED）与神经性贪食症（BN）之间的关系。
方法
对从社区招募的三组人群进行比较：患有暴饮暴食症的女性（n = 150）、有清除行为的神经性贪食症女性（n = 48）和无清除行为的神经性贪食症女性（n = 14）。
结果
三组在教育程度、对体重和体型的关注以及九种主要精神障碍的当前或终生患病率方面无显著差异。与有清除行为的神经性贪食症女性相比，患有暴饮暴食症的女性年龄更大，患神经性厌食症的病史较少，接受饮食失调治疗的可能性也较小。肥胖与暴饮暴食症的关联比与神经性贪食症的任何一种亚型都更为常见。
讨论
我们的结果为暴饮暴食症作为一种有别于有清除行为的神经性贪食症的饮食失调症提供了一些支持。需要更多研究来阐明无清除行为的神经性贪食症相对于暴饮暴食症和有清除行为的神经性贪食症的地位。
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