Raymond N C, Mussell M P, Mitchell J E, de Zwaan M, Crosby R D
Department of Psychiatry, University of Minnesota Hospital and Clinic, Minneapolis 55455, USA.
Int J Eat Disord. 1995 Sep;18(2):135-43. doi: 10.1002/1098-108x(199509)18:2<135::aid-eat2260180205>3.0.co;2-m.
The purpose of this study was to compare data from a group of obese subjects with binge eating disorder (BED) with data from a group of normal weight bulimia nervosa (BN) subjects. Subjects were compared using the Eating Disorder Questionnaire (EDQ), the Eating Disorder Inventory (EDI), the Personality Disorders Questionnaire for DSM-III-R (PDQ-R), the Hamilton Anxiety and Depression Rating Scales, and the Beck Depression Inventory. A group of 35 age-matched subjects were selected retrospectively from treatment study subjects. The EDQ findings indicated that members of the BN group desired a lower body mass index, were more afraid of becoming fat, and more uncomfortable with their binge eating behavior than the BED group members. The BED subjects had a younger age of onset of binge eating behavior (14.3) than the BN subjects (19.8), even though both groups started dieting at a similar age (BED = 15.0, BN = 16.2). The EDI results showed BN subjects had more eating and weight-related pathology, with significantly higher scores on five of the eight subscales. On the PDQ-R more BN subjects endorsed Axis II impairment (BN = 69%, BED = 40%). While demonstrating greater eating pathology in the BN group, this study also found significant pathology and distress in BED subjects.
本研究的目的是比较一组患有暴饮暴食症（BED）的肥胖受试者的数据与一组体重正常的神经性贪食症（BN）受试者的数据。使用饮食失调问卷（EDQ）、饮食失调量表（EDI）、DSM-III-R人格障碍问卷（PDQ-R）、汉密尔顿焦虑和抑郁评定量表以及贝克抑郁量表对受试者进行比较。从治疗研究受试者中回顾性地选取了一组35名年龄匹配的受试者。EDQ的结果表明，与BED组受试者相比，BN组受试者希望有更低的体重指数，更害怕变胖，并且对自己的暴饮暴食行为更感到不适。BED受试者暴饮暴食行为的发病年龄（14.3岁）比BN受试者（19.8岁）更小，尽管两组开始节食的年龄相似（BED = 15.0岁，BN = 16.2岁）。EDI的结果显示，BN组受试者有更多与饮食和体重相关的病理症状，在八个子量表中的五个上得分显著更高。在PDQ-R上，更多的BN组受试者认可轴II障碍（BN = 69%，BED = 40%）。虽然BN组表现出更严重地饮食病理症状，但本研究也发现BED受试者存在显著的病理症状和痛苦。
