Eldredge K L, Agras W S
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California 94305, USA.
Int J Eat Disord. 1996 May;19(4):411-4. doi: 10.1002/(SICI)1098-108X(199605)19:4<411::AID-EAT9>3.0.CO;2-O.
The purpose of this study was to compare individuals who meet all the diagnostic criteria for binge eating disorder (BED), except loss of control, to individuals with BED and eating disorder not otherwise specified (EDNOS) on weight history variables.
Subjects were solicited among new participants in weight loss programs, with 35 meeting BED criteria, 47 meeting criteria for EDNOS, and 6 meeting criteria for BED without loss of control.
Groups were not found to differ on age of onset of overweight or dieting, age of first binge, rate of largest weight loss, or number of times of losing 10 + lb. Groups did differ on highest weight ever and current body mass index (BMI). Subjects with BED without loss of control had a significantly higher highest weight and current BMI than both BED and EDNOS subjects.
The results suggest that individuals reporting all the symptoms of BED except loss of control may be "former" BEDs who have "given up" on efforts to control their binge eating.
本研究旨在比较除缺乏控制感外符合暴饮暴食症(BED)所有诊断标准的个体与患有BED及未另行规定的进食障碍(EDNOS)的个体在体重史变量方面的情况。
在减肥项目的新参与者中招募受试者,其中35人符合BED标准,47人符合EDNOS标准,6人符合无控制感的BED标准。
在超重或节食的发病年龄、首次暴饮暴食的年龄、最大体重减轻率或体重减轻10磅及以上的次数方面,各组之间未发现差异。但在最高体重和当前体重指数(BMI)方面,各组存在差异。无控制感的BED受试者的最高体重和当前BMI显著高于BED和EDNOS受试者。
结果表明,报告了BED的所有症状但缺乏控制感的个体可能是已经“放弃”控制暴饮暴食努力的“既往”BED患者。