Mussell M P, Mitchell J E, Weller C L, Raymond N C, Crow S J, Crosby R D
Department of Psychiatry, Eating Disorders Research, University of Minnesota, Minneapolis, USA.
Int J Eat Disord. 1995 May;17(4):395-401. doi: 10.1002/1098-108x(199505)17:4<395::aid-eat2260170412>3.0.co;2-i.
Binge eating disorder (BED) identified in adulthood is often clinically associated with obesity and a lifetime history of affective disorders. Several authors have suggested that dieting may predispose individuals to binge eating which then may lead to obesity. However, few BED studies have examined the chronology of the onset of binge eating, dieting, obesity, and mood disorders. This study evaluated retrospective reports from 30 women participating in a BED treatment study. Although the majority of subjects in this adult sample were obese, initiation of binge eating behavior usually occurred during adolescence at a time when most subjects reported being of normal weight. Obesity developed several years after the age of onset of meeting BED criteria. Onset of binge eating usually predated that of dieting or major depressive disorder in the majority of subjects. The results support the importance of early intervention for binge eating.
成年期确诊的暴饮暴食症（BED）在临床上通常与肥胖症以及情感障碍的终生病史相关。几位作者认为节食可能使个体易患暴饮暴食症，进而可能导致肥胖。然而，很少有关于暴饮暴食症的研究考察过暴饮暴食、节食、肥胖和情绪障碍发病的先后顺序。本研究评估了30名参与暴饮暴食症治疗研究的女性的回顾性报告。尽管这个成年样本中的大多数受试者都肥胖，但暴饮暴食行为通常始于青春期，那时大多数受试者报告体重正常。肥胖在达到暴饮暴食症标准的发病年龄数年之后出现。在大多数受试者中，暴饮暴食的发作通常早于节食或重度抑郁症的发作。这些结果支持了对暴饮暴食进行早期干预的重要性。
