Psychiatry 2 Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126, Pisa, Italia.
Endocrinology Unit, Department of Clinical and Experimental Medicine, Obesity and Lipodystrophy Research Center, University Hospital of Pisa, Pisa, Italy.
Eat Weight Disord. 2022 Jun;27(5):1695-1704. doi: 10.1007/s40519-021-01306-1. Epub 2021 Oct 6.
The co-occurrence of obesity, eating and mood disorders has been frequently reported in clinical and epidemiological settings. This study aimed to explore the prevalence of night-eating obese patients referred for bariatric surgery and to identify associated psychopathology and psychiatric comorbidity.
The sample was composed of 121 obese patients consecutively enrolled between November 2010 and May 2012 during psychiatric evaluations for bariatric intervention. Clinical features and psychiatric diagnoses were collected. Night-eating was investigated through the administration of the Night-eating Questionnaires (NEQ) and was defined as the presence of self-reported evening hyperphagia and/or nocturnal ingestions. Binge-eating and purging behaviors and general psychopathology were respectively assessed using the Bulimic Investigatory Test, Edinburgh and the Symptom Checklist-90-Revised.
Night-eating was reported by twenty subjects (16.5%). Patients with night-eating behavior were significantly more frequently diagnosed with bipolar spectrum disorders and with comorbid eating and mood disorders in comparison with other patients. Night-eating patients showed significantly more binging/purging behaviors and greater severity of somatization, obsessive-compulsive symptoms, phobic anxiety, psychoticism and sleep disorders. Patients with bipolar disorder type 1 or 2 scored significantly higher than those without mood disorders at NEQ total score, mood/sleep and nocturnal ingestions subscales, but also scored significantly higher than other patients with mood disorders at the latter subscale.
Patients with evening hyperphagia and/or nocturnal ingestions should be carefully evaluated to detect possible bipolar spectrum disorders and other eating disorders. Prompt management of these conditions should be provided before bariatric interventions.
V, cross-sectional descriptive study.
肥胖、饮食和情绪障碍的共病在临床和流行病学环境中经常被报道。本研究旨在探讨接受减重手术的夜间进食肥胖患者的患病率，并确定相关的精神病理学和精神共病。
该样本由 121 名肥胖患者组成，他们在 2010 年 11 月至 2012 年 5 月期间接受减重干预的精神评估中连续入组。收集了临床特征和精神诊断。通过夜间进食问卷（NEQ）来调查夜间进食，将自我报告的傍晚暴食和/或夜间进食定义为夜间进食。使用暴食症调查测试、爱丁堡和症状清单 90 修订版分别评估暴食和清除行为以及一般精神病理学。
二十名患者（16.5%）报告了夜间进食。与其他患者相比，有夜间进食行为的患者更频繁地被诊断为双相谱系障碍和共患饮食和情绪障碍。夜间进食患者的暴食/清除行为明显更多，躯体化、强迫症状、恐惧症、精神病和睡眠障碍的严重程度也明显更高。1 型或 2 型双相障碍患者在 NEQ 总分、情绪/睡眠和夜间摄入分量表上的得分明显高于无情绪障碍患者，在后者分量表上的得分也明显高于其他有情绪障碍患者。
应仔细评估有傍晚暴食和/或夜间进食的患者，以发现可能的双相谱系障碍和其他饮食障碍。应在减重干预前提供这些情况的及时管理。
V，横断面描述性研究。
