Striegel-Moore R H, Wilson G T, Wilfley D E, Elder K A, Brownell K D
Department of Psychology, Wesleyan University, Middletown, Connecticut 06459-0408, USA.
Int J Eat Disord. 1998 Jan;23(1):27-37. doi: 10.1002/(sici)1098-108x(199801)23:1<27::aid-eat4>3.0.co;2-3.
The present study sought to examine the validity and utility of diagnostic criteria for binge-eating disorder (BED) by replicating and extending a study reported by de Zwaan and colleagues (International Journal of Eating Disorders, 15, 43-52, 1994).
Four groups of obese individuals were selected from a large community-based sample of men and women: 33 women and 20 men with BED, 79 women and 40 men with subthreshold BED, 21 women and 39 men who reported recurrent overeating, and 80 female and 80 male normal controls. The groups were compared on measures of body image concern, dieting behavior, and associated psychological distress.
Individuals with BED were distinguishable from overeaters and normal controls on a number of psychological and behavioral variables. Few differences were found between subthreshold and full-syndrome BED, raising questions about the diagnostic validity of the frequency threshold. Men with BED did not differ from women with BED above and beyond the gender-related differences observed across all four groups.
Our findings support the view of BED as a distinct syndrome.
本研究旨在通过重复并扩展德·兹万及其同事发表的一项研究（《国际进食障碍杂志》，第15卷，第43 - 52页，1994年），来检验暴食症（BED）诊断标准的有效性和实用性。
从一个基于社区的大型男女样本中选取了四组肥胖个体：33名患有暴食症的女性和20名患有暴食症的男性，79名患有阈下暴食症的女性和40名患有阈下暴食症的男性，21名报告反复暴饮暴食的女性和39名报告反复暴饮暴食的男性，以及80名女性正常对照和80名男性正常对照。对这些组在身体意象关注、节食行为及相关心理困扰方面的测量指标进行比较。
在一些心理和行为变量上，患有暴食症的个体与暴饮暴食者及正常对照有所区分。阈下暴食症和完全综合征暴食症之间几乎没有差异，这引发了关于频率阈值诊断有效性的疑问。患有暴食症的男性与患有暴食症的女性之间的差异，并不超出在所有四组中观察到的与性别相关的差异。
我们的研究结果支持将暴食症视为一种独特综合征的观点。
