Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland.
Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine, Hannover Medical School, Hannover, Germany.
BMC Psychiatry. 2024 Aug 13;24(1):556. doi: 10.1186/s12888-024-05943-5.
Binge eating disorder (BED), although relatively recently recognized as a distinct clinical syndrome, is the most common eating disorder. BED can occur as a separate phenomenon or in combination with other mental disorders, adding to the overall burden of the illness. Due to the relatively short history of recognizing BED as a distinct disorder, this review aimed to summarize the current knowledge on the co-occurrence of BED with other psychiatric disorders.
This review adhered to the PRISMA guidelines. Multiple databases, such as MEDLINE, MEDLINE Complete, and Academic Search Ultimate, were used to identify relevant studies. Of the 3766 articles initially identified, 63 articles published within the last 13 years were included in this review. This systematic review has been registered through INPLASY (INPLASY202370075).
The most frequently observed comorbidities associated with BED were mood disorders, anxiety disorders and substance use disorders. They were also related to more severe BED presentations. Other psychiatric conditions frequently associated with BED include reaction to severe stress and adjustment disorders, impulse control disorder, ADHD, personality disorders, behavioral disorders, disorders of bodily distress or bodily experience, and psychotic disorders. Additionally, BED was linked to suicidality and sleep disorders.
The findings highlight the interconnected nature of BED with various psychiatric conditions and related factors, shedding light on the complexity and broader impact of BED on mental health and the need for appropriate screening and appropriately targeted clinical interventions.
尽管暴食障碍（BED）相对较新才被确认为一种独特的临床综合征，但它是最常见的饮食障碍。BED 可以单独发生，也可以与其他精神障碍同时发生，从而增加疾病的整体负担。由于认识到 BED 是一种独特的障碍的历史相对较短，因此本次综述旨在总结 BED 与其他精神障碍同时发生的现有知识。
本综述遵循 PRISMA 指南。使用多个数据库，如 MEDLINE、MEDLINE Complete 和 Academic Search Ultimate，来确定相关研究。在最初确定的 3766 篇文章中，有 63 篇发表于过去 13 年内的文章被纳入本综述。本系统评价已通过 INPLASY（INPLASY202370075）进行注册。
与 BED 最常观察到的合并症是心境障碍、焦虑障碍和物质使用障碍。它们也与更严重的 BED 表现有关。其他与 BED 经常相关的精神疾病包括严重应激和适应障碍、冲动控制障碍、ADHD、人格障碍、行为障碍、身体不适或身体体验障碍、精神病障碍。此外，BED 还与自杀和睡眠障碍有关。
这些发现强调了 BED 与各种精神疾病和相关因素的相互关联性质，揭示了 BED 对心理健康的复杂性和更广泛影响，以及需要进行适当的筛查和有针对性的临床干预。
