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Prevalence of binge eating disorder in obese adults seeking weight loss treatment

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Abstract

Binge eating has been identified as a common problem in samples of obese persons. Earlier studies found that approximately 30% of participants presenting for weigh loss treatment could be diagnosed with Binge Eating Disorder (BED). This study investigated the prevalence of BED using the Questionnaire on Eating and Weight Patterns (QEWP) and the Interview for the Diagnosis of Eating Disorders (IDED) in a sample of 468 obese adults seeking weight loss treatment at two research facilities. The study found that only a smal percentage of the participants met Diagnostic and Statistical Manual for Mental Disorders 4th Revision (DSM-IV) diagnostic criteria for BED using either the IDED (1.3%) or QEWP (7.3%). A larger percentage of the sample (10.7% based on the IDED and 20.5% based on the QEWP) reported binge eating, but did not endorse all criteria necessary to warrant a diagno sis of BED. The primary finding of the study was that the prevalence of BED in treatmen seeking obese adults was much lower than was reported in previous studies. Also, there was significant discrepancy in prevalence rates of BED as defined by self-report and interview assessment methods, with the interview method yielding lower estimates of prevalence These findings suggest that the prevalence of BED may be lower than estimates of earlier reports. We recommend that future studies of BED use reliable and valid interview methods and that this research focus on more diverse populations, including men and a variety o racial and ethnic groups.

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References

  1. Marcus M.D., Wing R.R., Lamparski D.M.: Binge eating and dietary restraint in obese patients. Addict. Behav. 10, 163–168, 1985.

    Article  CAS  PubMed  Google Scholar 

  2. Spitzer R.L., Devlin M., Walsh B.T., Hasin D., Wing R.R., Marcus M.D., Stunkard A., Wadden T., Yanovski S., Agras S., Mitchell J., Nonas C.: Binge eating disorder: A multisite field trial of the diagnostic criteria. Int. J. Eating Disord. 11, 191–203, 1992.

    Article  Google Scholar 

  3. Spitzer R.L., 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. Eating Disord. 13, 137–153, 1993.

    Article  CAS  Google Scholar 

  4. Devlin M.J., Walsh B.T., Spitzer R.L., Hasin D.: Is there another binge eating disorder? A review of the literature on overeating in the absence of bulimia nervosa. Int. J. Eating Disord. 11, 333–340, 1992.

    Article  Google Scholar 

  5. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Washington DC., A.P.A. Press, 1994.

  6. Fairburn C.G., Welch S.L., Hay P.J.: The classification of recurrent overeating: The “binge eating disorder” proposal. Int. J. Eating Disord. 13, 155–159, 1993.

    Article  CAS  Google Scholar 

  7. Dansky B.S., Brewerton T.D., Kilpatrick D.G., O’Neil P., Resnick H.S., Best C.L., Saunders B.E.: The nature and prevalence of binge eating disorder in a national sample of women. DSM-IV Sourcebook, Washington: American Psychiatric Association Press, (in press).

  8. Gormally J., Black S., Daston S., Rardin D.: The assessment of binge eating severity among obese persons. Addict. Behav. 7, 47–55, 1982.

    Google Scholar 

  9. Brody M.L., Walsh T., Devlin M.J.: Binge eating disorder: Reliability and validity of a new diagnostic category. J. Consult Clin. Psychol. 62, 381–386, 1994.

    Article  CAS  PubMed  Google Scholar 

  10. 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. Eating Disord. 14, 289–295, 1993.

    Article  Google Scholar 

  11. Greeno C.G., Marcus M.D., Wing R.R.: Diagnosis of binge eating disorder: Discrepancies between a questionnaire and clinical interview. Int. J. Eating Disord. 17, 153–160, 1995.

    Article  CAS  Google Scholar 

  12. Stunkard A., Berkowitz R., Wadden T., Tanrikut C., Reiss E., Young L.: Binge eating disorder and the night-eating syndrome. Int. J. Obesity, 20, 1–6, 1996.

    CAS  Google Scholar 

  13. Loro A.D., Orleans C.S.: Binge eating in obesity: Preliminary findings and guidelines for behavioral analysis and treatment. Addict. Behav. 6, 155–166, 1981.

    Article  PubMed  Google Scholar 

  14. de Zwaan M., Nutzinger D.O., Schoenbeck G.: Binge eating in overweight women. Compr. Psychiatry, 33, 256–261, 1992.

    Article  PubMed  Google Scholar 

  15. Nangle D.W., Johnson W.G., Carr-Nangle R.E., Engler L.B.: Binge eating disorder and the proposed DSM-IV criteria: Psychometric analysis of the questionnaire of eating and weight patterns. Int. J. Eating Disord. 16 (2), 147–157, 1994.

    Article  CAS  Google Scholar 

  16. Williamson D.A.: Assessment of eating disorders: Obesity, anorexia, and bulimia nervosa. New York, Pergamon Press, Inc., 1990.

    Google Scholar 

  17. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 3rd ed.-rev., Washington DC., A.P.A. Press, 1987.

  18. Wilson G.T., Walsh B.T.: Eating disorders in the DSM-IV. J. Abnorm. Psychol. 100, 362–365, 1991.

    CAS  Google Scholar 

  19. Kutlesic V., Williamson D.A., Gleaves D.H., Barbin J.M., Murphy-Eberenz K.P.: The interview for diagnosis of eating disorders-IV: Application to DSM-IV diagnostic criteria. Psychological Assessment, (in press).

  20. Williamson D.A., Anderson D.A., Gleaves D.H.: Anorexia and bulimia nervosa: Structured interview methodologies and psychological assessment. In: Thompson K. (Ed.), Body image, eating disorders, and obesity: An integrative guide for assessment and treatment. Washington DC., American Psychological Association, 1996, pp. 205–223.

    Google Scholar 

  21. McNemar Q.: Psychological Statistics. New York, John Wiley and Sons, 1962.

  22. Bruce B., Agras W.S.: Binge eating in females: A population-based investigation. Int. J. Eating Disord. 12, 365–373, 1992.

    Article  Google Scholar 

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Varnado, P.J., Williamson, D.A., Bentz, B.G. et al. Prevalence of binge eating disorder in obese adults seeking weight loss treatment. Eat Weight Disord 2, 117–123 (1997). https://doi.org/10.1007/BF03339961

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