Hilbert Anja, Czaja Julia
Fachbereich Psychologie, Philipps-Universität Marburg, Marburg.
Psychother Psychosom Med Psychol. 2007 Nov;57(11):413-9. doi: 10.1055/s-2007-986204.
Emerging evidence suggests that subgroups of obese children, including children with binge eating, suffer from an increased psychopathology. The current study provides an overview of research on binge eating disorder (BED) symptomatology in childhood. Data from a community-based investigation in children aged 8-13 years show that binge episodes co-occurred with eating concerns, weight and shape concerns, depressiveness, and overweight and obesity, but not with psychiatric diagnoses or general behavioral disturbances. Recurrent binge eating was associated with clinically significant eating disorder psychopathology, but a BED diagnosis was present in only a few cases. The DSM-IV criteria and further proposed research criteria for children showed low to moderate associations with binge eating frequency. Psychological characteristics associated with recurrent binge eating in children are in need of further study.
新出现的证据表明,肥胖儿童的亚组,包括患有暴饮暴食症的儿童,心理病理学患病率有所增加。本研究概述了儿童暴饮暴食症(BED)症状学的研究情况。一项针对8至13岁儿童的社区调查数据显示,暴饮暴食发作与饮食问题、体重和体型问题、抑郁以及超重和肥胖同时出现,但与精神疾病诊断或一般行为障碍无关。反复暴饮暴食与具有临床意义的饮食失调心理病理学相关,但只有少数病例符合BED诊断标准。《精神疾病诊断与统计手册》第四版(DSM-IV)标准以及针对儿童进一步提出的研究标准与暴饮暴食频率的关联较低至中等。与儿童反复暴饮暴食相关的心理特征有待进一步研究。