Abstract
This article examined the prevalence of binge eating disorder (BED), obesity, and depressive symptomatology in a biracial, population-based cohort of men and women participating in a longitudinal study of cardiovascular risk factor development. The Revised Questionnaire on Eating and Weight Patterns was used to establish BED status among the 3,948 (55% women, 48% Black) participants (age 28–40 years). Body mass index (BMI: kg/m2) was used to define overweight (BMI>-27.3 in women and ≥27.8 in men). Depressive symptomatology was assessed with the Center for Epidemiologic Study Depression Scale. Prevalence of BED was 1.5% in the cohort overall, with similar rates among Black women, White women, and White men. Black men had substantially lower BED rates. Depressive symptomatology was markedly higher among individuals with BED. Among overweight participants, BED prevalence (2.9%) was almost double that of the overall cohort. There were no differences in BED rates between overweight Black and White women. Thus, BED was common in the general population, with comparable rates among Black women, White women, and White men, but low rates among Black men. Obesity was associated with substantially higher prevalence of BED. Treatment studies that target obese men and minority women with BED are indicated.
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References
American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders (4th Ed.). Washington, DC: American Psychiatric Association, 1994.
Yanovski SZ: Binge eating disorder: Current knowledge and future directions.Obesity Research. 1993,1: 306–324.
Spitzer RL, Devlin M, Walsh BT, et al: Binge eating disorder: A multisite field trial of the diagnostic criteria.International Journal of Eating Disorders. 1992,11: 191–203.
Spitzer RL, Yanovski S, Wadden T, et al: Binge eating disorder: Its further validation in a multisite study.International Journal of Eating Disorders. 1993,13: 137–153.
Fairburn CG, Beglin SJ: Studies of the epidemiology of bulimia nervosa.American Journal of Psychiatry. 1990,147: 401–408.
Turnbull S, Ward A, Treasure J, Hershel J, Derby L: The demand for eating disorder care—An epidemiological study using the general practice research database.British Journal of Psychiatry. 1996,169: 705–712.
Basdevant A, Pouillon M, Lahlou N, et al: Prevalence of binge eating disorder in different populations of French women.International Journal of Eating Disorders. 1995,18: 309–315.
Bruce B, Agras WS: Binge eating in females: A population-based investigation.International Journal of Eating Disorders. 1995,12: 365–373.
Gotestam KG, Agras WS: General population-based epidemiological study of eating disorders in Norway.International Journal of Eating Disorders. 1995,18: 119–126.
Smith DE: Binge eating in ethnic minority groups.Addictive Behaviors. 1995,20: 695–703.
Fitzgibbon MI, Spring B, Avellone MB, et al: Correlates of binge eating in Hispanic, Black, and White women.International Journal of Eating Disorders (in press, 1998).
Yanovski SZ, Nelson JE, Dubbert BK, Spitzer RL: Association of binge eating disorder and psychiatric comorbidity in obese subjects.American Journal of Psychiatry. 1993,150: 1472–1479.
Telch CF, Agras WS, Rossiter EM: Binge eating increases with increasing adiposity.International Journal of Eating Disorders. 1988,7: 115–119.
Marcus MD, Wing RR, Ewing L, et al: Psychiatric disorders among obese binge eaters.International Journal of Eating Disorders. 1990,9: 69–77.
Friedman GD, Cutter GR, Donahue RP, et al: CARDIA: Study design, recruitment, and some characteristics of the examined subjects.Journal of Clinical Epidemiology. 1988,41: 1105–1116.
Council of Scientific Affairs, American Medical Association: Treatment of obesity in adults.Journal of the American Medical Association. 1988,260: 2547–2551.
Nangle DW, Johnson WG, Carr-Nangle RE, Engler LB: Binge eating disorders and the proposed DSM-IV criteria: Psychometric analysis of the questionnaire of eating and weight patterns.International Journal of Eating Disorders. 1994,16: 147–157.
Fairburn CG, Beglin SJ: Assessment of eating disorders: Interview or self-report questionnaire?International Journal of Eating Disorders. 1994,16: 363–370.
de Zwaan M, Mitchell JE, Specker SM, et al: Diagnosing binge eating disorder: Level of agreement between self-report and expertrating.International Journal of Eating Disorders. 1993,14: 289–295.
Williams JBW, Gibbon M, First MB, et al: The structured clinical interview for DSM III-R (SCID): Multi-site test-retest reliability.Archives of General Psychiatry. 1992,49: 630–636.
Greeno CG, Marcus MD, Wing RR: Diagnosis of binge eating disorder: Discrepancies between a questionnaire and clinical interview.International Journal of Eating Disorders. 1995,17: 153–160.
Radloff LS: The CES-D scale: A self-report depression scale for research in the general population.Applied Psychological Measures. 1977,1: 385–401.
Myers JK, Weissman MM: Use of a self-report symptom scale to detect depression in a community sample.American Journal of Psychiatry. 1980,137: 1081–1084.
Frerichs RR, Aneshensel CS, Clark VA: Prevalence of depression in Los Angeles county.American Journal of Epidemiology. 1981,113: 691–699.
Weissman MM, Sholmskas D, Pottenger M, et al: Assessing depressive symptoms in five psychiatric populations: A validation study.American Journal of Epidemiology. 1977,106: 203–214.
Wells KB, Stewart A, Hays RD, et al: The functioning and well-being of depressed patients: Results from the medical outcomes study.Journal of the American Medical Association. 1989,262: 914–919.
DiPietro L, Anda RF, Williamson DF, Stunkard AJ: Depressive symptoms and weight change in a national cohort of adults.International Journal of Obesity. 1992,16: 745–753.
Son BK, Markovitz JH, Winders S, Smith D: Smoking, nicotine dependence, and depressive symptoms in the CARDIA study: Effects of educational status.American Journal of Epidemiology. 1997,145: 110–116.
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL: Increasing prevalence of overweight among US adults: The national health and nutrition examination surveys, 1960 to 1991.Journal of the American Medical Association. 1994,272: 205–211.
Agras WS, Telch CF, Arnow B, et al: Does interpersonal therapy help patients with binge eating disorder who fail to respond to cognitive-behavioral therapy?Journal of Consulting and Clinical Psychology. 1995,63: 356–360.
de Zwaan MD, Mitchell JE, Seim HC, et al: Eating related and general psychopathology in obese females with binge eating disorder.International Journal of Eating Disorders. 1994,15: 43–52.
Marcus MD, Moulton MM, Greeno CG: Binge eating onset in obese patients with binge eating disorder.Addictive Behaviors. 1995,20: 747–755.
Mussell MP, Mitchell JE, Weller CL, et al: Onset of binge eating, dieting, obesity, and mood disorders among subjects seeking treatment for binge eating disorder.International Journal of Eating Disorders. 1995,17: 395–410.
Wadden TA, Stunkard AJ: Social and psychological consequences of obesity.Annals of Internal Medicine. 1985,103: 1062–1067.
Weissenburger J, Rush AJ, Gilles DE, Stunkard AJ: Weight change in depression.Psychiatry Research. 1986,17: 275–283.
Antony MM, Johnson WG, Carr-Nangle RE, Abel JL: Psychopathology correlates of binge eating and binge eating disorder.Comprehensive Psychiatry. 1994,35: 386–392.
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Preparation of this manuscript was supported in part by the National Heart, Lung, and Blood Institute contracts N01-HC-48047, N01-HC-48048, N01-HC-48049, N01-HC-48050, and N01-HC-95095.
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Smith, D.E., Marcus, M.D., Lewis, C.E. et al. Prevalence of binge eating disorder, obesity, and depression in a biracial cohort of young adults. ann. behav. med. 20, 227–232 (1998). https://doi.org/10.1007/BF02884965
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DOI: https://doi.org/10.1007/BF02884965