Advertisement

Assessment of binge eating disorder in morbidly obese patients evaluated for gastric bypass: SCID versus QEWP-R

  • M. Dymek-Valentine
  • R. Rienecke-Hoste
  • J. Alverdy
Original Research Paper

Abstract

Objective: Binge eating disorder (BED) has been hypothesized to be associated with poor outcome in gastric bypass surgery (GBP). However, past studies have yielded inconsistent results regarding BED and surgical outcome, which may be due to the variety of measures used to assess BED. The present study examines the utility of two commonly used BED diagnostic tools: the Structured Clinical Interview (SCID) and the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R). Method: Subjects were 168 adult patients evaluated for GBP. BED was assessed using the SCID and the QEWP-R. Results: 27% of the sample received a diagnosis of BED using the QEWP-R, compared with 14% using the SCID. Agreement using Cohen’s kappa was 0.37. Compared to subjects with non-concordant diagnoses of BED, subjects with concordant diagnoses scored lower on a measure of self-esteem. Discussion: Although both diagnostic tools use the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) criteria, each yielded different results. Further studies are needed to determine the most accurate method of assessing BED in this population.

Key words

Assessment binge eating gastric bypass 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brewerton T.D.: Binge eating disorder: Diagnosis and treatment options. CNS Drugs, 11, 351–361, 1999.CrossRefGoogle Scholar
  2. 2.
    Masheb R.M., Grilo C.M.: Binge eating disorder: A need for additional diagnostic criteria. Compr. Psychiatry, 41, 159–162, 2000.PubMedCrossRefGoogle Scholar
  3. 3.
    Kinzl J.F., Traweger C., Trefalt E., Mangweth B., Biebl W.: Binge eating disorder in females: A populationbased investigation. Int. J. Eat. Disord., 25, 287–292, 1999.PubMedCrossRefGoogle Scholar
  4. 4.
    Striegel-Moore R.H., Wilson G.T., Wilfley D.E., Elder K.A., Brownell K.D.: Binge eating in an obese community sample. Int. J. Eat. Disord., 23, 27–37, 1998.PubMedCrossRefGoogle Scholar
  5. 5.
    de Zwaan M., Mitchell J.E., Seim H.C., Specker S.M., Pyle R.L., Raymond N.C., Crosby R.B.: Eating related and general psychopathology in obese females with binge-eating disorder. Int. J. Eat Disord., 15, 43–52, 1994.PubMedCrossRefGoogle Scholar
  6. 6.
    Grissett N.I., Fitzgibbon M.L.: The clinical significance of binge eating in an obese population: Support for BED and questions regarding its criteria. Addict. Behav., 21, 57–66, 1996.PubMedCrossRefGoogle Scholar
  7. 7.
    Johnsen L.A.P., Gorin A., Stone A.A., le Grange D.: Characteristics of binge eating among women in the community seeking treatment for binge eating or weight loss. Eat. Behav., 3, 295–305, 2003.PubMedCrossRefGoogle Scholar
  8. 8.
    de Zwaan M., Mitchell J.E., Howell L.M., Monson N., Swan-Kremeier L., Roerig J.L., Kolotkin R.L., Crosby R.D.: Two measures of health-related quality of life in morbid obesity. Obes. Res., 10, 1143–1151, 2002.PubMedCrossRefGoogle Scholar
  9. 9.
    Dymek M., le Grange D., Neven K., Alverdy J.: Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: A brief report. Obes. Surgery, 11, 32–39, 2001.CrossRefGoogle Scholar
  10. 10.
    Hsu L.K.G., Mulliken B., McDonagh B., Krupa Das S., Rand W., Fairburn C.G., Rolls B., McCrory M.A., Saltzman E., Shikora S., Dwyer J., Roberts S.: Binge eating disorder in extreme obesity. Int. J. Obes., 26, 1398–1403, 2002.CrossRefGoogle Scholar
  11. 11.
    Powers P.S., Perez A., Boyd F., Rosemurgy A.: Eating pathology before and after bariatric surgery: A prospective study. Int. J. Eat. Disord., 25, 293–300, 1999.PubMedCrossRefGoogle Scholar
  12. 12.
    Kalarchian M., Wilson G.T., Brolin R., Bradley L.: Binge eating in bariatric surgery patients. Int. J. Eat. Disord., 23, 89–92, 1998.PubMedCrossRefGoogle Scholar
  13. 13.
    Kalarchian M., Wilson G.T., Brolin R., Bradley L.: Effects of bariatric surgery on binge eating and related psychopathology. Eating Weight Disord., 4, 1–5, 1999.Google Scholar
  14. 14.
    Antony M.M., Johnson W.G., Carr-Nangle R.E., Abel J.L.: Psychopathology correlates of binge-eating and binge-eating disorder. Compr. Psychiatry, 35, 386–392, 1994.PubMedCrossRefGoogle Scholar
  15. 15.
    Bulik C.M., Sullivan P.F., Kendler K.S.: Medical and psychiatric morbidity in obese women with and without binge eating. Int. J. Eat. Disord., 32, 72–78, 2002.PubMedCrossRefGoogle Scholar
  16. 16.
    Fowler S.J., Bulik C.M.: Family environment and psychiatric history in women with binge-eating disorder and obese controls. Behaviour Change, 14, 106–112, 1997.Google Scholar
  17. 17.
    Jirik-Babb P., Geliebter A.: Comparison of psychological characteristics of binging and nonbinging obese, adult, female outpatients. Eating Weight Disord., 8, 173–177, 2003.Google Scholar
  18. 18.
    Yanovski S.Z., Nelson J.E., Dubbert B.K., Spitzer R.L.: Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am. J. Psychiatry, 150, 1472–1479, 1993.PubMedGoogle Scholar
  19. 19.
    Marcus M., Wing R., Hopkins J.: Obese binge eaters: Affect, cognitions, and response to behavioral weight control. J. Consult. Clin. Psychol., 56, 433–439, 1988.PubMedCrossRefGoogle Scholar
  20. 20.
    Sherwood N.E., Jeffery R.W., Wing R.R.: Binge status as a predictor of weight loss treatment outcome. Int. J. Obes., 23, 485–493, 1999.CrossRefGoogle Scholar
  21. 21.
    Wing R.R., Greeno C.G.: Behavioural and psychosocial aspects of obesity and its treatment. Baillieres Clin. Endocrinol. Metab., 8, 689–703, 1994.PubMedCrossRefGoogle Scholar
  22. 22.
    Loro A., Orleans C.: Binge eating in obesity: Preliminary findings and guidelines for behavioral treatment. Addict. Behav., 6, 155–166, 1981.PubMedCrossRefGoogle Scholar
  23. 23.
    Mussell M.P., Mitchell J.E., deZwaan M., Crosby R.D., Seim H.C., Crow S.J.: Clinical characteristics associated with binge eating in obese females: A descriptive study. Int. J. Obes., 20, 324–331, 1996.Google Scholar
  24. 24.
    Hsu L.K.G., Benotti P.N., Dwyer J., Roberts S.B., Saltzman E., Shikora S., Rolls B.J., Rand W.: Nonsurgical factors that influence the outcome of bariatric surgery: A review. Psychosom. Med., 60, 338–346, 1998.PubMedGoogle Scholar
  25. 25.
    First M., Spitzer R., Gibbon M., Williams J.: Structured Clinical Interview for DSM-IV Axis I Disorders. New York, Biometrics Research, New York State Psychiatric Institute, 2001.Google Scholar
  26. 26.
    Spitzer R., Yanovski S., Wadden T., Wing R., Marcus M.D., Stunkard A., Devlin M., Mitchell J., Hasin D., Horne R.L.: Binge eating disorder: Its further validation in a multisite study. Int. J. Eat. Disord., 13, 137–153, 1993.PubMedCrossRefGoogle Scholar
  27. 27.
    American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC, APA, 1994.Google Scholar
  28. 28.
    Kolotkin R.L.: Impact of Weight on Quality of Life Questionnaire. Duke University Medical Center, 2000.Google Scholar
  29. 29.
    Beck A., Ward C., Mendelson M., Mock J., Erbaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4, 561–571, 1961.PubMedCrossRefGoogle Scholar
  30. 30.
    Rosenberg M.: Society and the Adolescent Self Image. Princeton, NJ, Princeton University Press, 1965.Google Scholar
  31. 31.
    Cash T.F.: The multidimensional body-self relations questionnaire user’s manual. Norfolk, VA, 1994.Google Scholar
  32. 32.
    Brody M.L., Walsh B.T., Devlin M.J.: Binge eating disorder: Reliability and validity of a new diagnostic category. J. Consult. Clin. Psychol., 62, 381–386, 1994.PubMedCrossRefGoogle Scholar
  33. 33.
    Gladis M.M., Wadden T.A., Foster G.D., Vogt R.A., Wingate B.J.: A comparison of two approaches to the assessment of binge eating in obesity. Int. J. Eat. Disord., 23, 17–26, 1998.PubMedCrossRefGoogle Scholar
  34. 34.
    Greeno C. G., Marcus M.D., Wing R.R.: Diagnosis of binge eating disorder: Discrepancies between a questionnaire and clinical interview. Int. J. Eat. Disord., 17, 153–160, 1995.PubMedCrossRefGoogle Scholar
  35. 35.
    Gormally J., Black S., Daston S., Rardin D.: The assessment of binge eating severity among obese persons. Addict. Behav., 7, 47–55, 1982.PubMedCrossRefGoogle Scholar
  36. 36.
    Cooper Z., Fairburn C.G.: The Eating Disorder Examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. Int. J. Eat. Disord., 6, 1–8, 1987.CrossRefGoogle Scholar
  37. 37.
    Fairburn C.G., Cooper Z.: The Eating Disorder Examination. 12th ed. In: Fairburn C.G., Wilson G.T. (Eds.), Binge eating: Nature, assessment and treatment. New York, Guilford Press, 1993, pp. 317–360.Google Scholar
  38. 38.
    de Zwaan M., Mitchell J.E., Specker S.M., Pyle R.L., Mussell M.P., Seim H.C.: Diagnosing binge eating disorder: Level of agreement between self-report and expert-rating. Int. J. Eat. Disord., 14, 289–295, 1993.PubMedCrossRefGoogle Scholar
  39. 39.
    Kalarchian M.A., Wilson G.T., Brolin R.E., Bradley L.: Assessment of eating disorders in bariatric surgery candidates: Self-report questionnaire versus interview. Int. J. Eat. Disord., 28, 465–469, 2000.PubMedCrossRefGoogle Scholar
  40. 40.
    Wilfley D., Schwartz M., Spurrell E., Fairburn C.: Assessing the specific psychopathology of binge eating disorder patients: Interview or self-report? Behav. Res. Ther., 12, 1151–1159, 1997.Google Scholar

Copyright information

© Editrice Kurtis 2004

Authors and Affiliations

  • M. Dymek-Valentine
    • 1
  • R. Rienecke-Hoste
    • 1
  • J. Alverdy
    • 2
  1. 1.Department of Psychiatry, 50410 Neurosciences HospitalThe University of North CarolinaChapel HillUSA
  2. 2.Department of Surgery, Center for Advanced MedicineThe University of ChicagoChicagoUSA

Personalised recommendations