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Obesity Surgery

, Volume 23, Issue 1, pp 1–6 | Cite as

Examining the Binge Eating Scale in Screening for Binge Eating Disorder in Bariatric Surgery Candidates

  • Allison E. GrupskiEmail author
  • Megan M. Hood
  • Brian J. Hall
  • Leila Azarbad
  • Stephanie L. Fitzpatrick
  • Joyce A. Corsica
Clinical Research

Abstract

Background

This study assessed the utility of the Binge Eating Scale (BES) as a measure of binge eating disorder (BED) in a bariatric surgery-seeking population by (a) determining the optimal BES cut score for predicting BED, (b) calculating concordance statistics, and (c) determining the predictive value of each BES item.

Methods

Four hundred seventy-three patients presented for a psychological evaluation prior to Roux-en-Y gastric bypass surgery. The BES and the SCID semi-structured interview for BED were administered.

Results

Receiver operating characteristic curve analyses identified an optimal BES cut score of 17, which correctly classified 78% of patients with BED. A cut score of 27 improved this statistic, but significantly increased the number of false negatives, which is undesirable for a screening assessment. Discriminant function analyses revealed that nearly all BES items significantly predicted BED.

Conclusions

The BES is a valid screener of BED for patients seeking bariatric surgery; however, false positives can be expected. Administering the BES as part of a comprehensive psychological evaluation can help improve the assessment and treatment of patients presenting for bariatric surgery.

Keywords

Binge eating Binge eating disorder Binge eating scale Bariatric Gastric bypass Assessment 

Notes

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Devlin MJ, Goldfein JA, Flancbaum L, et al. Surgical management of obese patients with eating disorders: a survey of current practice. Obes Surg. 2004;14:1252–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Niego SH, Kofman MD, Weis JJ, et al. Binge eating in the bariatric surgery population: a review of the literature. Int J Eat Disord. 2007;40:349–59.PubMedCrossRefGoogle Scholar
  3. 3.
    American Psychiatric Association. Diagnostic and statistic manual of mental disorders, revised 4th ed. Washington: American Psychiatric Association; 2000.Google Scholar
  4. 4.
    Mitchell JE, Devlin MJ, de Zwaan M, et al. Binge eating disorder: clinical foundations and treatment. New York: Guilford; 2008. p. 787.Google Scholar
  5. 5.
    Gormally J, Black S, Daston S, et al. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7:47–55.PubMedCrossRefGoogle Scholar
  6. 6.
    Di Bernardo M, Barciulli E, Ricca V, et al. Binge eating scale in obese patients: validation of the Italian version. Minerva Psichiatr. 1998;39:125–30.Google Scholar
  7. 7.
    Freitas S, Lopes CS, Coutinho W, et al. Translation and adaption into Portuguese of the binge-eating scale. Rev Bras Psiquiatr. 2001;23:215–20.CrossRefGoogle Scholar
  8. 8.
    Partida OZ, García RR, Cárdenas AR, et al. Evaluation of the binge eating scale in Mexican population: translation and psychometric properties of the Spanish version. Psiquiatría. 2006;22:30–6.Google Scholar
  9. 9.
    Timmerman GM. Binge eating scale: further assessment of validity and reliability. J Appl Biobehav Res. 1999;4:1–12.CrossRefGoogle Scholar
  10. 10.
    Fairburn CG, Cooper Z. The eating disorders examination (12th ed). In: Fairburn CG, Wilson GT, editors. Binge eating: nature, assessment, and treatment. New York: Guilford; 1993. p. 317–31.Google Scholar
  11. 11.
    First MB, Spitzer RL, Gibbon M, et al. Structured clinical interview for DSM-IV-TR axis I disorders—patient edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute; 2002.Google Scholar
  12. 12.
    Celio AA, Wilfley DE, Crow SJ, et al. A comparison of the binge eating scale, questionnaire for eating and weight patterns-revised, and eating disorder examination questionnaire with instructions with the eating disorder examination in the assessment of binge eating disorder and its symptoms. Int J Eat Disord. 2004;36:434–44.PubMedCrossRefGoogle Scholar
  13. 13.
    Greeno CG, Marcus MD, Wing RR. Diagnosis of binge eating disorder: discrepancies between a questionnaire and clinical interview. Int J Eat Disord. 1995;2:153–60.CrossRefGoogle Scholar
  14. 14.
    Freitas SR, Lopes CS, Appolinario JC, et al. The assessment of binge eating disorder in obese women: a comparison of the binge eating scale with the structured clinical interview for the DSM-IV. Eat Behav. 2006;7:282–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Ricca V, Mannucci E, Moretti S, et al. Screening for binge eating disorder in obese outpatients. Compr Psychiatry. 2000;41:111–5.PubMedCrossRefGoogle Scholar
  16. 16.
    Marcus MD, Wing RR, Hopkins J. Obese binge eaters: affect, cognitions, and response to behavioral weight control. J Consult Clin Psychol. 1988;3:433–9.Google Scholar
  17. 17.
    Hood MM, Corsica JA, Azarbad L. Do patients seeking laparoscopic adjustable gastric banding surgery differ from those seeking gastric bypass surgery? A comparison of psychological profiles across ethnic groups. Obes Surg. 2011;21(4):440–7.PubMedCrossRefGoogle Scholar
  18. 18.
    Bocchieri-Ricciardi LE, Chen EY, Munoz D, et al. Pre-surgery binge eating status: effect on eating behavior and weight outcome after gastric bypass. Obes Surg. 2006;16:1198–204.PubMedCrossRefGoogle Scholar
  19. 19.
    Kalarchian MA, Wilson GT, Brolin RE, et al. Effects of bariatric surgery on binge eating and related psychopathology. Eat Weight Disord. 1999;4:1–5.PubMedGoogle Scholar
  20. 20.
    Malone M, Alger-Mayer S. Binge status and quality of life after gastric bypass surgery: a one-year study. Obes Res. 2004;12:473–81.PubMedCrossRefGoogle Scholar
  21. 21.
    Powers PS, Perez A, Boyd F, et al. Eating pathology before and after bariatric surgery: a prospective study. Int J Eat Disord. 1999;25:293–300.PubMedCrossRefGoogle Scholar
  22. 22.
    de Zwaan M, Hilbert A, Swan-Kremeier L, et al. Comprehensive interview assessment of eating behavior 18–35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6:79–85.PubMedCrossRefGoogle Scholar
  23. 23.
    Green AE, Dymek-Valentine M, Pytluk S, et al. Psychosocial outcome of gastric bypass surgery for patient with and without binge eating. Obes Surg. 2004;14:975–85.PubMedCrossRefGoogle Scholar
  24. 24.
    Kalarchian MA, Marcus MD, Wilson GT, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg. 2002;12:270–5.PubMedCrossRefGoogle Scholar
  25. 25.
    Mitchell JE, Lancaster KL, Burgard MA, et al. Long-term follow-up of patients’ status after gastric bypass. Obes Surg. 2001;11:464–8.PubMedCrossRefGoogle Scholar
  26. 26.
    Dymek MP, le Grange D, Neven K, et al. Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg. 2001;11:32–9.PubMedCrossRefGoogle Scholar
  27. 27.
    Saunders R. “Grazing”: a high-risk behavior. Obes Surg. 2004;14:98–102.PubMedCrossRefGoogle Scholar
  28. 28.
    Wilfley DE, Wilson CT, Agras WS. The clinical significance of binge eating disorder. Int J Eat Disord. 2003;34:S96–S106.PubMedCrossRefGoogle Scholar
  29. 29.
    Greenberg I, Sogg S, Perna FM. Behavioral and psychological care in weight loss surgery: best practice update. Obesity. 2009;17:880–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  • Allison E. Grupski
    • 1
    Email author
  • Megan M. Hood
    • 1
  • Brian J. Hall
    • 2
    • 3
  • Leila Azarbad
    • 4
  • Stephanie L. Fitzpatrick
    • 1
    • 5
  • Joyce A. Corsica
    • 1
  1. 1.Department of Behavioral SciencesRush University Medical CenterChicagoUSA
  2. 2.Department of PsychologyKent State UniversityKentUSA
  3. 3.Department of PsychiatryMedical University of South CarolinaCharlestonUSA
  4. 4.Psychology DepartmentNorth Central CollegeNapervilleUSA
  5. 5.Department of PsychologyUniversity of MiamiCoral GablesUSA

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