Isnard Pascale, Michel Gregory, Frelut Marie-Laure, Vila Gilbert, Falissard Bruno, Naja Wadih, Navarro Jean, Mouren-Simeoni Marie-Christine
Service de Psychopathologie de l'Enfant et de l'Adolescent, Hôpital Robert Debré, Paris, France.
Int J Eat Disord. 2003 Sep;34(2):235-43. doi: 10.1002/eat.10178.
The authors describe binge eating and psychopathology in severely obese adolescents who are seeking treatment for obesity and search for specific psychological features that may be associated with binge eating.
Obese adolescents (n = 102) were assessed with the Binge Eating Scale (BES), the State-Trait Anxiety Inventory for Children (STAIC), the Beck Depression Inventory (BDI), Coopersmith's Self-Esteem Inventory (SEI), and the Body-Esteem subscale from the Piers-Harris Children's Self-Concept Scale (PHCSS). They were also evaluated with the Montgomery and Asberg Depression Rating Scale (MADRS) and the Brief Scale for Anxiety (BSA). Two subgroups (i.e., binge eaters and non-binge eaters) were then established according to the BES score.
Binge eating symptoms were frequent in this population and the binge eating dimension was related to high levels of anxiety and depression, as well as to low levels of self-esteem and body-esteem. The dimensions of anxiety and depression were associated specifically with binge eaters.
As observed in the obese adult population, binge eating symptoms were found frequently in severely obese adolescents seeking treatment and were related strongly to studied parameters. Obese adolescents who binge eat are a subgroup with high psychopathologic distress.
作者描述了寻求肥胖治疗的重度肥胖青少年中的暴饮暴食及精神病理学情况，并探寻可能与暴饮暴食相关的特定心理特征。
对102名肥胖青少年使用暴饮暴食量表（BES）、儿童状态-特质焦虑量表（STAIC）、贝克抑郁量表（BDI）、库珀史密斯自尊量表（SEI）以及皮尔斯-哈里斯儿童自我概念量表（PHCSS）中的身体自尊分量表进行评估。他们还接受了蒙哥马利-阿斯伯格抑郁评定量表（MADRS）和简易焦虑量表（BSA）的评估。然后根据BES得分建立了两个亚组（即暴饮暴食者和非暴饮暴食者）。
该人群中暴饮暴食症状很常见，且暴饮暴食维度与高焦虑和抑郁水平以及低自尊和身体自尊水平相关。焦虑和抑郁维度与暴饮暴食者有特定关联。
正如在肥胖成年人群中所观察到的，在寻求治疗的重度肥胖青少年中经常发现暴饮暴食症状，且与所研究的参数密切相关。暴饮暴食的肥胖青少年是一个有高度精神病理困扰的亚组。
