Adami G F, Gandolfo P, Meneghelli A, Scopinaro N
Department of Internal Medicine, University of Genoa, Italy.
Int J Eat Disord. 1996 Dec;20(4):405-13. doi: 10.1002/(SICI)1098-108X(199612)20:4<405::AID-EAT8>3.0.CO;2-R.
Evaluating the influence of dieting and of being overweight on binge-eating episodes and on psychological traits in severely obese patients.
Clinical interviews and self-report questionnaires prior to and 2 years following biliopancreatic diversion (BPD) when subjects adopt a completely free eating style and achieve in maintaining a normal or nearly normal body weight.
At two years following the operation, the prevalence of binge-eating episodes sharply fell and the subjects' overall psychological conditions improved; only a few patients started binging.
These results point out the importance of dieting and of overweight itself in determining eating behavior disturbances or psychopathology. The fact that only a very small number of patients continue or start binging following BDP suggests that a minority of obese bingers should be considered as true eating-disordered patients.
评估节食和超重对重度肥胖患者暴饮暴食发作及心理特征的影响。
在胆胰分流术（BPD）之前及之后两年进行临床访谈和自我报告问卷调查，此时受试者采用完全自由的饮食方式并成功维持正常或接近正常体重。
术后两年，暴饮暴食发作的患病率急剧下降，受试者的整体心理状况有所改善；只有少数患者开始暴饮暴食。
这些结果指出了节食和超重本身在决定饮食行为紊乱或精神病理学方面的重要性。只有极少数患者在胆胰分流术后继续或开始暴饮暴食，这一事实表明，少数肥胖的暴饮暴食者应被视为真正患有饮食失调症的患者。
