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Cited by 160Eating Disorders and BehaviorsPersonality Disorders and PsychopathologyNutrition, Health and Food Behavior

The DOI matches its Crossref record; 23 of the 24 references it cites were found in a registry or an index.

Psychopathology in subgroups of obese women with and without binge eating disorder

Specker, Sheila, de Zwaan, Martina, Raymond, Nancy, Mitchell, James·1994·Comprehensive Psychiatry
DOI 10.1016/0010-440x(94)90190-2
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Abstract

The examination of psychopathology in subgroups of obese patients is a new area of research in psychiatry. This project studied rates and types of psychopathology among obese subjects meeting the proposed DSM-IV criteria of binge eating disorder (BED) and obese subjects without BED. One hundred obese women with a mean age of 39.2 years and a mean body mass index (BMI) of 35.9 kg/m2 were evaluated using the Structured Clinical Interview for DSM-III-R (SCID-Modified Version) and a self-rating personality inventory, Personality Diagnostic Questionnaire-Revised (PDQ-R), before entering a treatment study for weight reduction. Those subjects meeting proposed DSM-IV criteria for BED had significantly higher lifetime rates for an axis I diagnosis compared with those that did not meet criteria for BED. Subjects with BED showed higher rates of lifetime affective disorder and bulimia nervosa, but did not differ on any other axis I diagnoses. Axis II cluster B and cluster C diagnoses were found more frequently among BED subjects. The specific diagnoses of histrionic, borderline, and avoidant personality disorders were found significantly more often among BED subjects. The results support the idea that binge eating may identify a distinct subgroup among the obese population who have significantly higher rates of certain forms of psychopathology on both Axis I and Axis II. The findings of increased rates of depression are consistent with other studies and suggest that our treatment modalities need to address this problem.

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Crossref · 10.1016/0010-440x(94)90190-2

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  1. Spitzer, 1991, Binge eating disorder: to be or not to be in DSM IV, Int J Eat Disord, 10, 627, 10.1002/1098-108X(199111)10:6<627::AID-EAT2260100602>3.0.CO;2-4 · DOI

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Metadata

Authors
Specker, S., de Zwaan, M., Raymond, N., & Mitchell, J.
Affiliations
University of Minnesota (US)
Corresponding author
Specker, Sheila
ORCID
Venue
Comprehensive Psychiatry
Publisher
Elsevier BV
Published
1994-05
Volume
35
Issue
3
Pages
185-190
ISSN
0010-440X (ISSN-L)
DOI
10.1016/0010-440x(94)90190-2
OpenAlex
W2154499837
Cited by
160
References
24
Citations by year
2026: 1 · 2023: 2 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 8 · 2012: 8
FWCI
6.12
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Comprehensive Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
binge eating disorder, obesity, women, psychopathology, personality disorders, mood disorders, bulimia nervosa, depression, borderline personality disorder, histrionic personality disorder, avoidant personality disorder, personality disorder clusters
MeSH terms
Adult, Mental Disorders, Bulimia, Feeding Behavior, Female, Humans, Hyperphagia, Middle Aged, Obesity, Personality Assessment, Personality Disorders, Psychiatric Status Rating Scales, Psychopathology

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