scholarly journals Toward an understanding of risk factors for binge-eating disorder in black and white women: a community-based case-control study

2005 ◽  
Vol 35 (6) ◽  
pp. 907-917 ◽  
Author(s):  
RUTH H. STRIEGEL-MOORE ◽  
CHRISTOPHER G. FAIRBURN ◽  
DENISE E. WILFLEY ◽  
KATHLEEN M. PIKE ◽  
FAITH-ANNE DOHM ◽  
...  

Background. This study sought to identify in white women risk factors specific to binge-eating disorder (BED) and for psychiatric disorders in general, and to compare black and white women on risk factors for BED.Method. A case-control design was used. Participants were recruited from the community and included 162 women who met DSM-IV criteria for BED and two comparison groups of women with no history of clinically significant eating disorder symptoms. The comparison women were matched to BED women on age, education and ethnicity and divided into a healthy comparison (HC) group, who had no current psychiatric disorder, and a psychiatric comparison (PC) group, who had a diagnosis of a DSM-IV Axis I psychiatric disorder. The study sample size was determined by the group with the least members (PC), including 107 women with BED and 214 matched comparison women. A broad range of risk factors was assessed with a Risk Factor Interview and the Parental Bonding Instrument.Results. No significant effects for ethnicity by diagnostic group were found. BED women reported higher exposure to childhood obesity, family overeating or binge-eating, family discord, and high parental demands than PC women. The combined BED and PC group scored significantly higher than the HC group on measures of negative affect, parental mood and substance disorders, perfectionism, separation from parents, and maternal problems with parenting.Conclusions. These findings indicate that childhood obesity and familial eating problems are reliable specific risk factors for BED. Ethnicity does not appear to moderate risk for BED.

2002 ◽  
Vol 32 (4) ◽  
pp. 389-400 ◽  
Author(s):  
Faith-Anne Dohm ◽  
Ruth H. Striegel-Moore ◽  
Denise E. Wilfley ◽  
Kathleen M. Pike ◽  
Julie Hook ◽  
...  

2009 ◽  
Vol 42 (3) ◽  
pp. 228-234 ◽  
Author(s):  
Carlos M. Grilo ◽  
Marney A. White ◽  
Robin M. Masheb

2001 ◽  
Vol 158 (9) ◽  
pp. 1455-1460 ◽  
Author(s):  
Kathleen M. Pike ◽  
Faith-Anne Dohm ◽  
Ruth H. Striegel-Moore ◽  
Denise E. Wilfley ◽  
Christopher G. Fairburn

Author(s):  
Robert L. Spitzer ◽  
Michael J. Devlin ◽  
B. Timothy Walsh ◽  
Deborah Hasin ◽  
Rena Wing ◽  
...  

2017 ◽  
Vol 8 ◽  
Author(s):  
Caroline Davis ◽  
Laura Mackew ◽  
Robert D. Levitan ◽  
Allan S. Kaplan ◽  
Jacqueline C. Carter ◽  
...  

1998 ◽  
Vol 55 (5) ◽  
pp. 425 ◽  
Author(s):  
Christopher G. Fairburn ◽  
Helen A. Doll ◽  
Sarah L. Welch ◽  
Phillipa J. Hay ◽  
Beverley A. Davies ◽  
...  

2021 ◽  
Author(s):  
Victoria N. Mutiso ◽  
Prof. David M. Ndetei ◽  
Esther N. Muia ◽  
Rita K. Alietsi ◽  
Lydia Onsinyo ◽  
...  

Abstract Background: Changing lifestyles in Kenya can lead to eating related behaviors and problems. The more severe problems are likely to manifest in clinical settings, but the majority and less severe forms will remain unrecognized. There is therefore the need to take a public health awareness approach to identify cases at community level and initiate appropriate intervention. This requires characterization of Eating Disorders (ED) and its associations in the local context. Our focus will be on the more common Binge Eating Disorder (BED). The overarching objective of this study is to generate Kenyan data on BED and fill a gap that exists not only in Kenya but Africa in general. The specific aims are: (1) To document the patterns and prevalence of different symptoms of BED in a student population whose age range represents a significant proportion of the population. (2) To determine associated psychiatric and substance use disorders (3) To determine independent predictors of BED. Method: We administered to a total of 9742 participants following tools: A researcher designed socio-demographic and economic indicators questionnaire; an instrument on DSM-IV diagnosis of BED and its various symptoms; instruments to determine DSM-IV psychiatric disorders, substance abuse, affectivity, psychosis and stress indicators. The participants were high school, college and university students in four out of the 47 counties in Kenya. We used descriptive and inferential analysis to determine prevalence and association of the different variables. The independent predictors of BED were generated from the generalized linear model (p<0.05). Results: We found a prevalence of 3.2% of BED and a wide range of BED symptoms varying from 8.1% to 19.0%. There were significant (p<0.05) associations between BED with various socio-demographic variables and psychiatric and substance use disorders. However, only some of these disorders were independent predictors of BED. Conclusion: Our findings on prevalence of BED and significant associations with various psychiatric disorders and substance use disorders are similar to those obtained in HICs using similar large scale samples in non-clinical populations. Economic status is not a predictor of BED. Our findings suggest a public health approach to awareness and management.


2000 ◽  
Vol 57 (8) ◽  
pp. 504-510 ◽  
Author(s):  
Zipfel ◽  
Löwe ◽  
Herzog

Die Ernährungs- und Bewegungssituation sowie die sozioökonomischen Umstände haben sich in den vergangenen 50 Jahren in den entwickelten Ländern radikal gewandelt. Folgen dieser Entwicklung sind rasante Steigerungen der Prävalenzraten, insbesondere der Adipositas. Kontrastierend hierzu wird weiterhin ein ausgeprägtes Schlankheitsideal propagiert. Dieses Spannungsfeld ist mitverantwortlich für eine steigende Inzidenz von Essstörungen. Hierzu gehören im Gewichtsspektrum des Normal- bis Übergewichtes die Bulimia nervosa und die Esssucht, bisher noch mit dem englischen Begriff der «Binge-Eating-Disorder» bezeichnet. Obwohl die Bulimia Nervosa bereits 1980 in die DSM-III Kriterien aufgenommen wurde, ergaben Untersuchungen, dass bislang nur etwa 12 Prozent der Betroffenen von den Hausärzten entdeckt und richtig diagnostiziert werden. Ein Grund dieser erschreckend niedrigen Zahl liegt in der Dynamik der Erkrankung, mit einer ausgeprägten Tendenz der Patientinnen zur Verheimlichung, ein weiterer Grund mag in einer noch unzureichenden Aufklärung der Hausärzte liegen. Deshalb werden diagnostische Kriterien und therapeutische Optionen dargestellt. Essstörungen im Bereich des Übergewichtes werden seit dem DSM-IV (1994) im Wesentlichen unter dem Begriff der «Binge-Eating-Disorder (BED)» zusammengefasst. 20–30% der adipösen Patienten, die sich in Gewichtsreduktionsprogrammen befinden, leiden unter dieser Essstörung. Erste Untersuchungsergebnisse zeigen, dass diese Subgruppe der Adipösen eine modifizierte Behandlung mit einer stärkeren Fokussierung auf eine Psychotherapie bedarf. Über die initiale Abklärung einer möglichen Essstörung hinaus sollten auch affektive Störungen (Depressivität und Ängstlichkeit) oder ein gestörtes Körperbild erfasst werden. Falls Hinweise auf eine ausgeprägte Störung in diesen Bereichen vorliegen, sollte Psychotherapie fester Bestandteil eines integrierten Therapiekonzeptes der Adipositas sein.


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