Barnes Rachel D, White Marney A, Masheb Robin M, Grilo Carlos M
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Prim Care Companion J Clin Psychiatry. 2010;12(4). doi: 10.4088/PCC.09m00868blu.
This study assessed the accuracy of self-reported weight, height, and body mass index in obese patients with binge-eating disorder (DSM-IV-TR criteria) presenting at primary care clinics and tested whether the degree of inaccuracy was associated with demographic factors or eating disorder and depressive features.
Sixty-six participants were interviewed using the Eating Disorder Examination interview, completed the Eating Disorder Examination Questionnaire and the Beck Depression Inventory, and had their height and weight measured between November 2007 and May 2009.
Self-reported and measured weight did not differ significantly, but participants significantly overestimated their height (P < .01), and this discrepancy resulted in a significantly lower self-reported than measured body mass index (P < .05). Discrepancy scores did not differ by eating disorder or depressive symptoms, sex, or ethnicity, although increasing age was associated with overestimation of height and underestimation of body mass index.
The findings suggest that obese patients with binge-eating disorder in primary care settings are reasonably accurate reporters of weight and height and that the degree of inaccuracy does not appear to be systematically related to eating disorder psychopathology or depressive features.
本研究评估了在初级保健诊所就诊的患有暴饮暴食症（符合《精神疾病诊断与统计手册》第四版修订版标准）的肥胖患者自我报告的体重、身高和体重指数的准确性，并测试了不准确程度是否与人口统计学因素、饮食失调及抑郁特征相关。
2007年11月至2009年5月期间，对66名参与者进行了饮食失调检查访谈，让他们完成饮食失调检查问卷和贝克抑郁量表，并测量了他们的身高和体重。
自我报告的体重与测量的体重无显著差异，但参与者显著高估了自己的身高（P < .01），这种差异导致自我报告的体重指数显著低于测量的体重指数（P < .05）。尽管年龄增长与身高高估和体重指数低估有关，但饮食失调或抑郁症状、性别或种族的差异得分并无不同。
研究结果表明，在初级保健机构中，患有暴饮暴食症的肥胖患者对体重和身高的报告相当准确，且不准确程度似乎与饮食失调心理病理学或抑郁特征无系统关联。
