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Am J Psychiatry 1993; 150:1472-1479
Copyright © 1993 by American Psychiatric Association
Association of binge eating disorder and psychiatric comorbidity in obese subjects [published erratum appears in Am J Psychiatry 1993 Dec;150(12):1910]
SZ Yanovski, JE Nelson, BK Dubbert and RL Spitzer
Clinical Neuroendocrinology Branch, NIMH, Bethesda, MD 20892.
OBJECTIVE: The authors determined the prevalence of binge eating disorder
in a self-referred study group of moderately and severely obese subjects
and investigated whether binge eating disorder was associated with
psychiatric disorders, a history of psychotherapy, a family history of
psychiatric illness, or a history of sexual abuse. METHOD: They interviewed
89 obese women and 39 obese men (body mass index > 30 kg/m2) who were
not currently in weight loss treatment, using the Binge Eating Disorder
Clinical Interview, the Structured Clinical Interview for DSM-III-R, and
the Structured Clinical Interview for DSM-III-R Personality Disorders.
RESULTS: Forty-three (34%) of the subjects met criteria for binge eating
disorder--33 women and 10 men. Black and white subjects had similar rates
of binge eating disorder. Subjects with binge eating disorder were
significantly more likely than those without the disorder to have a
lifetime prevalence of a DSM-III-R axis I or axis II diagnosis and to have
undergone psychotherapy or counseling. The lifetime rates of major
depression, panic disorder, bulimia nervosa, borderline personality
disorder, and avoidant personality disorder were all significantly higher
in subjects with binge eating disorder. The rate of reported sexual abuse
was not higher among subjects with binge eating disorder; however, they
were significantly more likely to have a family history of substance abuse.
The relative risks for psychiatric disorders were higher in both moderately
and severely obese subjects with binge eating disorder than in those
without the disorder. CONCLUSIONS: Among both moderately and severely obese
subjects, binge eating disorder is associated with higher rates of axis I
and axis II psychiatric disorders.
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