Brody M L, Walsh B T, Devlin M J
New York State Psychiatric Institute, New York 10032.
J Consult Clin Psychol. 1994 Apr;62(2):381-6. doi: 10.1037//0022-006x.62.2.381.
This study examined the reliability and validity of binge eating disorder (BED), which has been proposed for inclusion in the Diagnostic and Statistical Manual of Mental Disorders ([DSM] 4th ed.; American Psychiatric Association, in press). The interrater reliability of the BED diagnosis compared favorably with that of most diagnoses in the revised third edition of the DSM. To assess validity, we compared obese individuals with and without BED and bulimia nervosa patients. BED subjects differed from the non-BED obese group on variables related to dieting and weight histories but did not differ significantly on other important variables, including measures of psychopathology. When compared with bulimia nervosa patients, subjects with BED had significantly less psychopathology and reported significantly less dietary restraint. This study lends some support to the concept of BED but suggests that additional studies of the characteristics of this disorder at different degrees of obesity would be useful.
本研究检验了暴饮暴食症（BED）的信度和效度，该病症已被提议纳入《精神疾病诊断与统计手册》（第4版；美国精神病学协会，即将出版）。BED诊断的评定者间信度与《精神疾病诊断与统计手册》修订第三版中的大多数诊断相比更具优势。为评估效度，我们比较了患有和未患有BED的肥胖个体以及神经性贪食症患者。BED受试者在与节食和体重史相关的变量上与非BED肥胖组不同，但在其他重要变量上，包括精神病理学测量方面，差异不显著。与神经性贪食症患者相比，BED受试者的精神病理学症状明显较少，且报告的饮食限制也明显较少。本研究为BED的概念提供了一些支持，但表明对该病症在不同肥胖程度下的特征进行更多研究将是有益的。
