Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.
Eur Eat Disord Rev. 2012 May;20(3):e144-7. doi: 10.1002/erv.2162. Epub 2012 Feb 26.
The aim of this study was to determine the prevalence of impulse control disorders (ICDs) in morbidly obese individuals. One hundred bariatric surgery candidates were examined using a module of the Structured Clinical Interview for DSM-IV that has been developed for ICDs. Nineteen per cent suffered from at least one current ICD and 27% met the criteria for any lifetime ICD, most frequently skin picking (current, 8%; lifetime, 9%), compulsive buying (current 6%, lifetime 8%), and intermittent explosive disorder (current, 5%; lifetime, 10%). Patients with regular binge eating (N = 25) reported significantly more often a history of at least one ICD compared with those without binge eating. The results indicate a high prevalence of ICDs among morbidly obese prebariatric surgery patients that are related to regular binge eating.
本研究旨在确定病态肥胖个体中冲动控制障碍（ICD）的患病率。使用专门针对 ICD 开发的 DSM-IV 结构化临床访谈模块对 100 名接受减肥手术的候选人进行了检查。19%的人患有至少一种当前的 ICD，27%的人符合任何终身 ICD 的标准，最常见的是皮肤搔抓（当前 8%，终身 9%）、强迫性购买（当前 6%，终身 8%）和间歇性爆发障碍（当前 5%，终身 10%）。与没有暴食行为的患者相比，经常暴食（N=25）的患者报告 ICD 病史的频率明显更高。结果表明，肥胖症预备减肥手术患者中冲动控制障碍的患病率很高，这与经常暴食有关。
