Mussell M P, Mitchell J E, de Zwaan M, Crosby R D, Seim H C, Crow S J
Department of Psychiatry, University of Minnesota Medical School, USA.
Int J Obes Relat Metab Disord. 1996 Apr;20(4):324-31.
To investigate differences in clinical characteristics of obese female participants based on presence and degree of binge eating behavior.
Descriptive comparison of various clinical characteristics of obese women diagnosed with binge eating disorder (BED) assessed by semi-structured interview to those for similar weight participants reporting subthreshold BED and those who do not binge eat. SUBJECTS. 185 healthy women seeking obesity treatment (age: 20-55 y, BMI: 28.4-51.5 kg/m2).
Baseline self-report questionnaires included the Weight and Eating Patterns (QEWP), Eating Disorders Questionnaire (EDQ), Beck Depression Inventory (BDI); clinical interviews included the Hamilton Depression Rating Scale (HDRS) and Structured Clinical Interview for DSM-III-R-Patient Version (SCID-P).
In comparison to other obese women, obese participants meeting full BED criteria report an earlier onset of binge eating, increased food cravings, increased diet pill use, decreased fasting, greater fear of gaining weight, increased body perception disturbance, and increased depressive symptomatology and general psychopathology.
Obese women with BED report greater eating-related and general psychopathology than non-binge eating disordered women of comparable weight. Although endorsement of food cravings unrelated to hunger was associated with binge eating diagnosis, the role of dietary restriction among this population remains unclear and requires further investigation. Theoretical and clinical implications that binge eating episodes for individuals with BED may be related to negative affect states and increased dietary disinhibition are discussed.
基于暴饮暴食行为的存在与否及程度，调查肥胖女性参与者的临床特征差异。
通过半结构化访谈对诊断为暴饮暴食症（BED）的肥胖女性的各种临床特征与体重相似但报告有阈下BED的参与者以及无暴饮暴食行为的参与者进行描述性比较。研究对象为185名寻求肥胖治疗的健康女性（年龄：20 - 55岁，BMI：28.4 - 51.5 kg/m²）。
基线自我报告问卷包括体重与饮食模式问卷（QEWP）、饮食失调问卷（EDQ）、贝克抑郁量表（BDI）；临床访谈包括汉密尔顿抑郁评定量表（HDRS）和《精神疾病诊断与统计手册》第三版修订本患者版结构化临床访谈（SCID - P）。
与其他肥胖女性相比，符合完全BED标准的肥胖参与者报告暴饮暴食发作更早、食物渴望增加、减肥药使用增加、禁食减少、对体重增加的恐惧更大、身体感知障碍增加以及抑郁症状和一般精神病理学增加。
患有BED的肥胖女性比体重相当但无暴饮暴食症的女性报告有更多与饮食相关的和一般精神病理学问题。虽然认可与饥饿无关的食物渴望与暴饮暴食诊断相关，但该人群中节食的作用仍不明确，需要进一步研究。讨论了BED个体的暴饮暴食发作可能与消极情绪状态和饮食抑制增加有关的理论和临床意义。
