Allison Kelly C, Wadden Thomas A, Sarwer David B, Fabricatore Anthony N, Crerand Canice E, Gibbons Lauren M, Stack Rebecca M, Stunkard Albert J, Williams Noel N
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
Surg Obes Relat Dis. 2006 Mar-Apr;2(2):153-8. doi: 10.1016/j.soard.2006.03.014.
To assess the prevalence of night eating syndrome (NES) and binge eating disorder (BED) and their related behavioral and psychological correlates in persons who sought bariatric surgery.
A consecutive series of 215 persons with extreme obesity (82% women, 70% European American) completed the Weight and Lifestyle Inventory and a semistructured interview as part of a pre-surgery behavioral/psychological assessment. Diagnoses for NES and BED were based on graded diagnostic criteria.
Percentages of participants who met diagnostic criteria for NES by interview were 1.9% for the strictest definition and 8.9% across all definitions of NES. After interview, full DSM-TR criteria for BED were met by 4.2%; an additional 1.4% reported binge eating at least once per week. Self-reported prevalence of NES and BED were higher. Those with NES or BED had significantly more symptoms of depression and a greater history of psychological complications than the remaining sample.
The prevalence rates of NES and BED among this population of bariatric surgery candidates were lower than expected based on previous reports. Findings and hypotheses regarding lowered prevalence rates are discussed.
评估寻求减肥手术的人群中夜间进食综合征（NES）和暴饮暴食症（BED）的患病率及其相关行为和心理关联因素。
连续纳入215例极度肥胖者（82%为女性，70%为欧美裔），作为术前行为/心理评估的一部分，完成体重与生活方式问卷及半结构化访谈。NES和BED的诊断基于分级诊断标准。
通过访谈符合NES最严格定义诊断标准的参与者百分比为1.9%，符合NES所有定义的为8.9%。访谈后，4.2%的参与者符合BED的完整DSM-TR标准；另有1.4%报告每周至少暴饮暴食一次。自我报告的NES和BED患病率更高。与其余样本相比，患有NES或BED的人抑郁症状明显更多，心理并发症病史更长。
基于先前报告，该减肥手术候选人群中NES和BED的患病率低于预期。讨论了关于患病率降低的研究结果和假设。
