Sansone Randy A, Schumacher David, Wiederman Michael W, Routsong-Weichers Lynn
Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine in Dayton, Ohio, United States.
Eat Behav. 2008 Apr;9(2):197-202. doi: 10.1016/j.eatbeh.2007.08.002. Epub 2007 Aug 25.
In this study, we examined the prevalence of binge eating disorder (BED) and borderline personality disorder (BPD) in a sample of 121 candidates seeking surgery for obesity. In this predominantly female sample (85.9%), according to the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R), the prevalence of BED was 6.5%. As for the prevalence of BPD, 14.0% exceeded the clinical cut-off score on the Self-Harm Inventory (SHI), 14.0% exceeded the clinical cut-off score on the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4), and 7.4% exceeded the clinical cut-off score on the McLean Screening Inventory for Borderline Personality Disorder (MSI-BPD). Overall, 24.8% of the sample exceeded the clinical cut-off on at least one measure of BPD whereas only 3.3% exceeded the clinical cut-off on all three measures. In addition, there was a significant inverse relationship between the discrepancy between highest and lowest adult body mass index, and scores on the PDQ-4 and the MSI-BPD. The authors discuss the implications of these findings.
在本研究中，我们对121名寻求肥胖手术的候选人样本进行了暴饮暴食症（BED）和边缘型人格障碍（BPD）患病率的调查。在这个以女性为主的样本（85.9%）中，根据修订后的饮食与体重模式问卷（QEWP-R），BED的患病率为6.5%。至于BPD的患病率，14.0%的人在自我伤害量表（SHI）上超过了临床临界分数，14.0%的人在人格诊断问卷-4（PDQ-4）的边缘型人格量表上超过了临床临界分数，7.4%的人在边缘型人格障碍麦克林筛查量表（MSI-BPD）上超过了临床临界分数。总体而言，24.8%的样本在至少一项BPD测量指标上超过了临床临界值，而只有3.3%的人在所有三项测量指标上都超过了临床临界值。此外，成人最高和最低体重指数之间的差异与PDQ-4和MSI-BPD的分数之间存在显著的负相关。作者讨论了这些发现的意义。
