Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 5B2, Canada.
Eat Weight Disord. 2020 Jun;25(3):787-793. doi: 10.1007/s40519-019-00689-6. Epub 2019 Apr 24.
Binge eating is a common behavior in children and adolescents who suffer from either eating disorders (EDs) or from severe obesity. The purpose of the current study was to explore the association between social anxiety and binge eating and compare prevalence rates of social anxiety between youth with severe obesity or EDs who did or did not engage in binge eating.
Retrospective data on treatment-seeking youth's (n = 490) eating behaviors and social anxiety at assessment were analyzed.
Results indicate that those who engage in binge eating have higher rates of social anxiety; frequency of binges does not predict severity of social anxiety, though social anxiety predicts presence of binge eating. Adolescents with EDs had higher rates of social anxiety than those with obesity, and for both groups, rates of social anxiety were highest in those who binge.
Clinicians who treat youth with EDs and with obesity should be aware of the relationship between binge eating and social anxiety and of the need for treatment to address both these disorders.
Level V, cross-sectional descriptive study.
暴饮暴食是患有饮食失调症（ED）或严重肥胖的儿童和青少年的常见行为。本研究的目的是探讨社交焦虑与暴饮暴食之间的关联，并比较有或没有暴饮暴食行为的严重肥胖或 ED 青少年中社交焦虑的患病率。
对接受治疗的青少年（n=490）评估时的饮食行为和社交焦虑的回顾性数据进行了分析。
结果表明，暴饮暴食的人社交焦虑程度更高；暴饮暴食的频率并不能预测社交焦虑的严重程度，但社交焦虑会预测是否存在暴饮暴食。患有 ED 的青少年比肥胖的青少年社交焦虑程度更高，对于这两个群体，有暴饮暴食行为的青少年社交焦虑程度最高。
治疗 ED 青少年和肥胖青少年的临床医生应意识到暴饮暴食和社交焦虑之间的关系，以及治疗这两种疾病的必要性。
V 级，横断面描述性研究。
