Depression partially mediates the association between binge eating disorder and health-related quality of life
Open accessAbstract
Research has found that individuals with binge eating disorder (BED) report significantly worse health related quality of life (HRQL) than those without eating disorders. Studies indicate that the association between BED and HRQL is largely accounted for by psychopathology (e.g., depression), rather than physiology (e.g., increased body mass index). However, to our knowledge, no study has yet investigated whether mental health symptoms could potentially mediate the relationship between BED and HRQL. To this aim, the present study compared a sample of adults who met DSM-5 criteria for BED (n = 72) recruited from the community for a treatment trial and a community sample of individuals with no history of an eating disorder (NED; n = 79). Participants completed self-report measures of HRQL (Short-Form 6D), eating disorder psychopathology (Eating Disorder Examination Questionnaire), and anxiety and depressive symptoms (Brief Symptom Inventory). Consistent with previous findings, the BED group reported significantly worse HRQL than the NED group after controlling for age, body mass index, anxiety, depression, and eating disorder psychopathology. Moreover, depression partially mediated the relationship between BED diagnosis and HRQL. These results suggest that lessened HRQL may be partly explained by comorbid symptoms of depression in BED. Clinicians may find it helpful to specifically assess and treat depression in BED as a means of enhancing patients’ well-being. Future research should replicate these findings using longitudinal data that will allow for causal inferences.
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All these symptoms are present in people with eating disorders.
“This is relevant because all these symptoms are present in people with eating disorders [58,59,60].”
From Effects of dog-assisted therapy in adolescents with eating disorders: A study protocol for a pilot controlled trial (2021) · cites this paper as [60]
The Results (Sample Characteristics; page unavailable) report higher depression and eating-disorder symptom scores in the binge eating disorder group. The source studies binge eating disorder specifically, not all eating disorders, and the citing sentence does not identify what “all these symptoms” refers to; it therefore cannot establish that every symptom meant by the citing authors is present. (LLM, conf=0.76)
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Objective Clinical Change of Cognitive-Behavioral Strategies for Binge Eating Behavior: Case Report
Díaz, M. L. B., Miranda, D. J. B., Ortega-Luyando, M., Amaya-Hernández, A., & Franco‐Paredes, K. (2020) · Psychology · doi:10.4236/psych.2020.1112119
Chakrabarty, K., & Chakrabarty, A. S. (2019) · Springer eBooks · doi:10.1007/978-981-15-0962-9_9
The Eating Disorder Quality of Life (EDQoL) Scale
Meneguzzo, P., Collantoni, E., Meregalli, V., Tenconi, E., & Favaro, A. (2022) · Springer eBooks · doi:10.1007/978-3-030-67929-3_85-1
Gambaran Depresi pada Siswa SMP di Kecamatan Malalayang yang Menyandang Obesitas
Inkiriwang, S., Dundu, A. E., & Kaunang, T. M. D. (2023) · Medical Scope Journal · doi:10.35790/msj.v5i1.45115
EATING-RELATED HEALTH BEHAVIORS AND BODY PERCEPTION: A STUDY OF YOUNG ADULTS IN POLAND
Platta, A. M., Mikulec, A. T., Ruszkowska, M., & Suwała, G. (2023) · Zywnosc-nauka Technologia Jakosc · doi:10.15193/zntj/2023/135/451
Berry, M. P., Gunderson, C. G., Alshaeba, S. E., Funaro, M. C., Holleck, J. L., Marhoffer, E. A., & Masheb, R. M. (2026) · Obesity Reviews · doi:10.1111/obr.70154
Kline, K. M., Delibashi, B., Brooks, G. E., & Ortiz, S. N. (2026) · International Journal of Eating Disorders · doi:10.1002/eat.70143
- Authors
- Singleton, C., Kenny, T. E., Hallett, D., & Carter, J. C.
- Affiliations
- Memorial University of Newfoundland (CA)
- Corresponding author
- Carter, Jacqueline C.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2019-02-26
- Volume
- 10
- Pages
- 209-209
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6399201
- OpenAlex
- W2916311357
- Cited by
- 44
- References
- 54
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 10 · 2022: 10 · 2021: 5 · 2020: 8 · 2019: 4
- FWCI
- 7.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Newfoundland & Labrador Centre for Applied Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- binge eating disorder, health-related quality of life, depression, mediation, eating disorder psychopathology, anxiety, comorbidities, body mass index, well-being
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