Marcus M D, Moulton M M, Greeno C G
University of Pittsburgh School of Medicine, PA 15213, USA.
Addict Behav. 1995 Nov-Dec;20(6):747-55. doi: 10.1016/0306-4603(95)00104-2.
In this study we examined whether obese women with binge eating disorder (BED) reporting earlier onset binge eating differed from those with later onset binge eating on salient clinical parameters. Subjects were 112 women who sought treatment for BED. Subjects with early (< or = age 18) and later onset (> age 18) did not differ in age, weight, body mass index, or severity of binge eating. Participants were interviewed using the Eating Disorder Examination (EDE) and the Structured Clinical Interview for DSM-III-R, and completed a weight and diet history questionnaire. Early-onset binge eaters were more likely than those with later-onset to binge-eat before dieting, to have early onset of obesity and dieting, to have longer binge-free periods, and more paternal obesity and binge eating. Early-onset binge eaters also reported more eating-disorders psychopathology, and they were more likely to report a lifetime history of bulimia nervosa and DSM-III-R mood disorder. These data suggest that there are marked differences among BED patients presenting for treatment. Further research is needed to determine whether these differences reflect a different etiology or have implications for treatment.
在本研究中，我们调查了报告有较早发作性暴饮暴食的肥胖暴食症（BED）女性与有较晚发作性暴饮暴食的女性在显著临床参数上是否存在差异。研究对象为112名寻求BED治疗的女性。早发性（年龄≤18岁）和晚发性（年龄＞18岁）的研究对象在年龄、体重、体重指数或暴饮暴食的严重程度方面并无差异。使用饮食失调检查（EDE）和DSM-III-R结构化临床访谈对参与者进行访谈，并让他们填写一份体重和饮食史问卷。早发性暴饮暴食者比晚发性暴饮暴食者更有可能在节食前就出现暴饮暴食，肥胖和节食的发作更早，无暴饮暴食期更长，且父亲肥胖和暴饮暴食的情况更多。早发性暴饮暴食者还报告了更多的饮食失调精神病理学症状，并且更有可能报告有神经性贪食症和DSM-III-R情绪障碍的终生病史。这些数据表明，前来接受治疗的BED患者之间存在显著差异。需要进一步研究以确定这些差异是否反映了不同的病因或对治疗有何影响。
