Rush University Medical Center, Department of Behavioral Sciences, 1653 W. Congress Parkway, Chicago, IL 60612, United States.
Eat Behav. 2010 Apr;11(2):79-84. doi: 10.1016/j.eatbeh.2009.10.001. Epub 2009 Oct 18.
Research suggests that that binge eating, stress, and depression are prevalent among individuals seeking bariatric surgery. However, ethnic differences in the prevalence of binge eating and binge eating disorder (BED) in this population remain unclear, as does the impact of depression and stress on any such relationship. Further, no studies to date have examined the prevalence of binge eating in Hispanic women presenting for bariatric surgery. This study sought to (a) compare the prevalence and severity of binge eating symptomatology and BED diagnosis in Hispanic, African American, and Caucasian women presenting for gastric bypass surgery, (b) examine the impact of depressive symptoms and stress on binge eating symptomatology, and (c) investigate whether ethnicity moderated any relationship between depression, stress, and binge eating. Results indicated that Hispanic women exhibited equal rates of binge eating symptomatology, BED, and depressive symptomatology as African American and Caucasian women. However, Caucasian women exhibited greater binge eating symptomatology than African American women, and African American women endorsed greater levels of stress than Caucasian women. Across all ethnic groups, depressive symptomatology, but not stress, significantly predicted binge eating severity. These findings suggest that Hispanic women presenting for bariatric surgery report binge eating rates equivalent to Caucasian and African American women, and that depressive symptoms are an important predictor of binge eating in female bariatric surgery candidates across ethnic groups.
研究表明，寻求减肥手术的人群中，暴食、压力和抑郁较为普遍。然而，这一人群中，暴食和暴食障碍（BED）的流行程度在不同种族之间存在差异尚不清楚，抑郁和压力对任何此类关系的影响也不清楚。此外，迄今为止，尚无研究调查过接受减肥手术的西班牙裔女性中暴食的流行程度。本研究旨在：（a）比较接受胃旁路手术的西班牙裔、非裔美国人和白种女性的暴食症状和 BED 诊断的流行程度和严重程度；（b）检查抑郁症状和压力对暴食症状的影响；（c）研究种族是否调节抑郁、压力和暴食之间的任何关系。结果表明，西班牙裔女性的暴食症状、BED 和抑郁症状与非裔美国人和白种女性相当。然而，白种女性的暴食症状比非裔美国女性更为明显，而非裔美国女性的压力水平比白种女性更高。在所有种族群体中，抑郁症状而非压力显著预测暴食严重程度。这些发现表明，接受减肥手术的西班牙裔女性报告的暴食发生率与白种和非裔美国女性相当，抑郁症状是跨种族女性减肥手术候选者暴食的一个重要预测因素。
