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Prevalence and correlates of binge eating disorder in a community sample.
Compr Psychiatry. 2007 Mar-Apr; 48(2):124-31.CP

Abstract

OBJECTIVE

Diagnostic criteria for binge eating disorder (BED) appear in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition as "criteria for further study." Few epidemiological studies of BED have been conducted. Our aim was to describe the prevalence and correlates of BED, as assessed by the Patient Health Questionnaire (PHQ) in a community sample.

METHOD

Descriptive epidemiology from a survey of 910 randomly ascertained participants residing in the greater metropolitan area of St Louis, Mo.

RESULTS

Sixty individuals (6.6%) screened positive for current BED, as assessed by the PHQ (BED+). Men were as likely to screen positive as women. BED+ subjects were at substantially elevated odds for depression, generalized anxiety disorder, panic attacks, and past suicide attempts; individuals with obesity who screened negative for BED (BED-) were not at elevated odds for these syndromes. BED+ subjects, but not other obese individuals, exhibited substantially lower scores on measures of mental health-related quality of life. Personality traits associated with BED symptoms included high Novelty Seeking, high Harm Avoidance, and low Self-directedness. Personality and psychiatric profiles in obese, BED- individuals were closer to those for normal-weight, BED- individuals, suggesting that BED is distinct from typical obesity. BED+ subjects reported mean body mass index of 34.1, more than 6 units above BED- subjects.

CONCLUSION

PHQ-BED criteria are associated with substantial impairment, psychiatric comorbidity, and obesity and effectively discriminate obese individuals with psychological problems from obese subjects without similar problems. BED may be considerably more prevalent than other eating disorders and equally prevalent among men and women.

Authors+Show Affiliations

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA. rick@tci.wustl.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17292702

Citation

Grucza, Richard A., et al. "Prevalence and Correlates of Binge Eating Disorder in a Community Sample." Comprehensive Psychiatry, vol. 48, no. 2, 2007, pp. 124-31.
Grucza RA, Przybeck TR, Cloninger CR. Prevalence and correlates of binge eating disorder in a community sample. Compr Psychiatry. 2007;48(2):124-31.
Grucza, R. A., Przybeck, T. R., & Cloninger, C. R. (2007). Prevalence and correlates of binge eating disorder in a community sample. Comprehensive Psychiatry, 48(2), 124-31.
Grucza RA, Przybeck TR, Cloninger CR. Prevalence and Correlates of Binge Eating Disorder in a Community Sample. Compr Psychiatry. 2007 Mar-Apr;48(2):124-31. PubMed PMID: 17292702.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of binge eating disorder in a community sample. AU - Grucza,Richard A, AU - Przybeck,Thomas R, AU - Cloninger,C Robert, Y1 - 2006/11/09/ PY - 2006/04/10/received PY - 2006/06/29/revised PY - 2006/08/14/accepted PY - 2007/2/13/pubmed PY - 2007/5/3/medline PY - 2007/2/13/entrez SP - 124 EP - 31 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 48 IS - 2 N2 - OBJECTIVE: Diagnostic criteria for binge eating disorder (BED) appear in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition as "criteria for further study." Few epidemiological studies of BED have been conducted. Our aim was to describe the prevalence and correlates of BED, as assessed by the Patient Health Questionnaire (PHQ) in a community sample. METHOD: Descriptive epidemiology from a survey of 910 randomly ascertained participants residing in the greater metropolitan area of St Louis, Mo. RESULTS: Sixty individuals (6.6%) screened positive for current BED, as assessed by the PHQ (BED+). Men were as likely to screen positive as women. BED+ subjects were at substantially elevated odds for depression, generalized anxiety disorder, panic attacks, and past suicide attempts; individuals with obesity who screened negative for BED (BED-) were not at elevated odds for these syndromes. BED+ subjects, but not other obese individuals, exhibited substantially lower scores on measures of mental health-related quality of life. Personality traits associated with BED symptoms included high Novelty Seeking, high Harm Avoidance, and low Self-directedness. Personality and psychiatric profiles in obese, BED- individuals were closer to those for normal-weight, BED- individuals, suggesting that BED is distinct from typical obesity. BED+ subjects reported mean body mass index of 34.1, more than 6 units above BED- subjects. CONCLUSION: PHQ-BED criteria are associated with substantial impairment, psychiatric comorbidity, and obesity and effectively discriminate obese individuals with psychological problems from obese subjects without similar problems. BED may be considerably more prevalent than other eating disorders and equally prevalent among men and women. SN - 0010-440X UR - https://www.unboundmedicine.com/medline/citation/17292702/Prevalence_and_correlates_of_binge_eating_disorder_in_a_community_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(06)00096-4 DB - PRIME DP - Unbound Medicine ER -