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The aim of study was to evaluate mood and impulsivity in obese people with binge eating disorder.
Method:
A total of 149 obese subjects [71 with Binge Eating Disorder (BED) and 78 without BED] were included in the study and compared to 151 non-clinical populations. They were assessed with the Structured Clinical Interview (SCID-I), Eating Attitudes Test (EAT), Beck Depression Inventory (BDI), and Barrat Impulsiveness Scale-11 (BIS-11).
Results:
The ratio of obese subjects with BED is 47,6%. Obesity and BED prevalence was higher in female patients. Childhood obesity was significantly more frequent in obese subjects with BED (p < 0.05). the history of admission to psychiatry clinics and the ratio of suicide attempt were more frequent in obese group. the ratio sixty one of the 146 (41,2%) subjects with obesity had diagnosed as depressive disorder according to DSM-IV criteria. Thirty three of 71 BED (46,5%) had diagnosed as depressive disorder. there are no significant differences between BED(+) and BED(-) groups for depression (p > 0.05). Cognitive impulsivity and nonplanning activity scores of depressive group were significantly higher than the subjects without depression. (p < 0.05). Cognitive impulsivity scores of depressive obese were significantly higher than the obese without depression (p < 0.05).
[Table-1].
BED(+)
BED(-)
Control
p
Mean±SD
Mean±SD
Mean±SD
BMI (kg/m2)
33.3 ± 4.1
33.4 ± 5.7
22.2 ± 2.1*
><0.001
EAT score
27.6 ± 12.3
25.5 ± 12.7
7.2 ± 7.8*
><0.001
BDI score
16.2 ± 9.3
14.4 ± 10.5
6.9 ± 75.2*
><0.001
BIS-Total
67.5 ± 10.8**
59.9 ± 17.9
60.0 ± 16.9
>0.003
BIS-NPA
26.6 ± 4.1***
25.3 ± 5.1
24.1 ± 5.1
>0.002
BIS-CI
20.6 ± 7.0
23.2 ± 16.4
22.2 ± 12.7
>0.475
BIS-MI
21.8 ± 3.7
21.6 ± 4.0
20.9 ± 4.2
>0.260
Conclusion:
Obesity is strongly related with depression and impulsivity. Impulsivity was significantly higher in depressive obese subjects than non-depressive ones. Futhermore, impulsivity was a prominent feature in obese subjects with BED. This also provides clues for influences of each of these two characteristics on obesity.
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