Masheb R M, Grilo C M
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520-8098, USA.
Eat Weight Disord. 2004 Sep;9(3):194-9. doi: 10.1007/BF03325066.
To examine Health-Related Quality of Life (HRQL) in patients with binge eating disorder (BED).
Cross-sectional comparison of HRQL in a BED sample to published normative and clinical samples. Further cross-sectional comparisons within the BED sample comparing obese and non-obese subjects, and depressed and non-depressed subjects.
Ninety-four patients (73 women and 21 men), who met DSM-IV criteria and attended a medical school based program for BED, participated. Mean body mass index (BMI) was 35.2 (SD = 8.1), and mean age was 44.9 (SD = 8.3); 78.7% of participants were Caucasian.
Subjects completed the Medical Outcomes Study Short Form-36 Health Survey (SF-36), a self-report measure of HRQL.
BED patients reported worse functioning in all HRQL domains than US norms, and in some domains of HRQL than obese treatment seekers. Among BED patients, obese BED subjects had significantly worse Physical Component summary scores than non-obese BED subjects, whereas depressed BED subjects had significantly worse Mental Component summary scores than non-depressed BED subjects.
Obesity status and depression appear to be related to HRQL among BED patients with obesity being related to physical HRQL and depression being related to mental HRQL.
研究暴饮暴食症(BED)患者的健康相关生活质量(HRQL)。
将BED样本中的HRQL与已发表的标准样本和临床样本进行横断面比较。在BED样本中进一步对肥胖和非肥胖受试者、抑郁和非抑郁受试者进行横断面比较。
94名符合《精神疾病诊断与统计手册》第四版(DSM-IV)标准并参加了医学院针对BED的项目的患者参与了研究。平均体重指数(BMI)为35.2(标准差=8.1),平均年龄为44.9(标准差=8.3);78.7%的参与者为白种人。
受试者完成了医学结局研究简表36健康调查(SF-36),这是一种HRQL的自我报告测量方法。
BED患者在所有HRQL领域的功能状况均比美国标准差,且在某些HRQL领域比寻求肥胖治疗的患者差。在BED患者中,肥胖的BED受试者的身体成分总结得分显著低于非肥胖的BED受试者,而抑郁的BED受试者的心理成分总结得分显著低于非抑郁的BED受试者。
肥胖状态和抑郁似乎与BED患者的HRQL相关,肥胖与身体HRQL相关,抑郁与心理HRQL相关。