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Assessment of binge eating disorder in morbidly obese patients evaluated for gastric bypass: SCID versus QEWP-R

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Abstract

Objective: Binge eating disorder (BED) has been hypothesized to be associated with poor outcome in gastric bypass surgery (GBP). However, past studies have yielded inconsistent results regarding BED and surgical outcome, which may be due to the variety of measures used to assess BED. The present study examines the utility of two commonly used BED diagnostic tools: the Structured Clinical Interview (SCID) and the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R). Method: Subjects were 168 adult patients evaluated for GBP. BED was assessed using the SCID and the QEWP-R. Results: 27% of the sample received a diagnosis of BED using the QEWP-R, compared with 14% using the SCID. Agreement using Cohen’s kappa was 0.37. Compared to subjects with non-concordant diagnoses of BED, subjects with concordant diagnoses scored lower on a measure of self-esteem. Discussion: Although both diagnostic tools use the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) criteria, each yielded different results. Further studies are needed to determine the most accurate method of assessing BED in this population.

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References

  1. Brewerton T.D.: Binge eating disorder: Diagnosis and treatment options. CNS Drugs, 11, 351–361, 1999.

    Article  Google Scholar 

  2. Masheb R.M., Grilo C.M.: Binge eating disorder: A need for additional diagnostic criteria. Compr. Psychiatry, 41, 159–162, 2000.

    Article  PubMed  CAS  Google Scholar 

  3. Kinzl J.F., Traweger C., Trefalt E., Mangweth B., Biebl W.: Binge eating disorder in females: A populationbased investigation. Int. J. Eat. Disord., 25, 287–292, 1999.

    Article  PubMed  CAS  Google Scholar 

  4. Striegel-Moore R.H., Wilson G.T., Wilfley D.E., Elder K.A., Brownell K.D.: Binge eating in an obese community sample. Int. J. Eat. Disord., 23, 27–37, 1998.

    Article  PubMed  CAS  Google Scholar 

  5. de Zwaan M., Mitchell J.E., Seim H.C., Specker S.M., Pyle R.L., Raymond N.C., Crosby R.B.: Eating related and general psychopathology in obese females with binge-eating disorder. Int. J. Eat Disord., 15, 43–52, 1994.

    Article  PubMed  Google Scholar 

  6. Grissett N.I., Fitzgibbon M.L.: The clinical significance of binge eating in an obese population: Support for BED and questions regarding its criteria. Addict. Behav., 21, 57–66, 1996.

    Article  PubMed  CAS  Google Scholar 

  7. Johnsen L.A.P., Gorin A., Stone A.A., le Grange D.: Characteristics of binge eating among women in the community seeking treatment for binge eating or weight loss. Eat. Behav., 3, 295–305, 2003.

    Article  PubMed  Google Scholar 

  8. de Zwaan M., Mitchell J.E., Howell L.M., Monson N., Swan-Kremeier L., Roerig J.L., Kolotkin R.L., Crosby R.D.: Two measures of health-related quality of life in morbid obesity. Obes. Res., 10, 1143–1151, 2002.

    Article  PubMed  Google Scholar 

  9. Dymek M., le Grange D., Neven K., Alverdy J.: Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: A brief report. Obes. Surgery, 11, 32–39, 2001.

    Article  CAS  Google Scholar 

  10. Hsu L.K.G., Mulliken B., McDonagh B., Krupa Das S., Rand W., Fairburn C.G., Rolls B., McCrory M.A., Saltzman E., Shikora S., Dwyer J., Roberts S.: Binge eating disorder in extreme obesity. Int. J. Obes., 26, 1398–1403, 2002.

    Article  CAS  Google Scholar 

  11. Powers P.S., Perez A., Boyd F., Rosemurgy A.: Eating pathology before and after bariatric surgery: A prospective study. Int. J. Eat. Disord., 25, 293–300, 1999.

    Article  PubMed  CAS  Google Scholar 

  12. Kalarchian M., Wilson G.T., Brolin R., Bradley L.: Binge eating in bariatric surgery patients. Int. J. Eat. Disord., 23, 89–92, 1998.

    Article  PubMed  CAS  Google Scholar 

  13. Kalarchian M., Wilson G.T., Brolin R., Bradley L.: Effects of bariatric surgery on binge eating and related psychopathology. Eating Weight Disord., 4, 1–5, 1999.

    CAS  Google Scholar 

  14. Antony M.M., Johnson W.G., Carr-Nangle R.E., Abel J.L.: Psychopathology correlates of binge-eating and binge-eating disorder. Compr. Psychiatry, 35, 386–392, 1994.

    Article  PubMed  CAS  Google Scholar 

  15. Bulik C.M., Sullivan P.F., Kendler K.S.: Medical and psychiatric morbidity in obese women with and without binge eating. Int. J. Eat. Disord., 32, 72–78, 2002.

    Article  PubMed  Google Scholar 

  16. Fowler S.J., Bulik C.M.: Family environment and psychiatric history in women with binge-eating disorder and obese controls. Behaviour Change, 14, 106–112, 1997.

    Google Scholar 

  17. Jirik-Babb P., Geliebter A.: Comparison of psychological characteristics of binging and nonbinging obese, adult, female outpatients. Eating Weight Disord., 8, 173–177, 2003.

    CAS  Google Scholar 

  18. Yanovski S.Z., Nelson J.E., Dubbert B.K., Spitzer R.L.: Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am. J. Psychiatry, 150, 1472–1479, 1993.

    PubMed  CAS  Google Scholar 

  19. Marcus M., Wing R., Hopkins J.: Obese binge eaters: Affect, cognitions, and response to behavioral weight control. J. Consult. Clin. Psychol., 56, 433–439, 1988.

    Article  PubMed  CAS  Google Scholar 

  20. Sherwood N.E., Jeffery R.W., Wing R.R.: Binge status as a predictor of weight loss treatment outcome. Int. J. Obes., 23, 485–493, 1999.

    Article  CAS  Google Scholar 

  21. Wing R.R., Greeno C.G.: Behavioural and psychosocial aspects of obesity and its treatment. Baillieres Clin. Endocrinol. Metab., 8, 689–703, 1994.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  23. Mussell M.P., Mitchell J.E., deZwaan M., Crosby R.D., Seim H.C., Crow S.J.: Clinical characteristics associated with binge eating in obese females: A descriptive study. Int. J. Obes., 20, 324–331, 1996.

    CAS  Google Scholar 

  24. Hsu L.K.G., Benotti P.N., Dwyer J., Roberts S.B., Saltzman E., Shikora S., Rolls B.J., Rand W.: Nonsurgical factors that influence the outcome of bariatric surgery: A review. Psychosom. Med., 60, 338–346, 1998.

    PubMed  CAS  Google Scholar 

  25. First M., Spitzer R., Gibbon M., Williams J.: Structured Clinical Interview for DSM-IV Axis I Disorders. New York, Biometrics Research, New York State Psychiatric Institute, 2001.

    Google Scholar 

  26. Spitzer R., 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. Eat. Disord., 13, 137–153, 1993.

    Article  PubMed  CAS  Google Scholar 

  27. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC, APA, 1994.

  28. Kolotkin R.L.: Impact of Weight on Quality of Life Questionnaire. Duke University Medical Center, 2000.

    Google Scholar 

  29. Beck A., Ward C., Mendelson M., Mock J., Erbaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4, 561–571, 1961.

    Article  PubMed  CAS  Google Scholar 

  30. Rosenberg M.: Society and the Adolescent Self Image. Princeton, NJ, Princeton University Press, 1965.

    Google Scholar 

  31. Cash T.F.: The multidimensional body-self relations questionnaire user’s manual. Norfolk, VA, 1994.

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  33. Gladis M.M., Wadden T.A., Foster G.D., Vogt R.A., Wingate B.J.: A comparison of two approaches to the assessment of binge eating in obesity. Int. J. Eat. Disord., 23, 17–26, 1998.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  36. Cooper Z., Fairburn C.G.: The Eating Disorder Examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. Int. J. Eat. Disord., 6, 1–8, 1987.

    Article  Google Scholar 

  37. Fairburn C.G., Cooper Z.: The Eating Disorder Examination. 12th ed. In: Fairburn C.G., Wilson G.T. (Eds.), Binge eating: Nature, assessment and treatment. New York, Guilford Press, 1993, pp. 317–360.

    Google Scholar 

  38. 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. Eat. Disord., 14, 289–295, 1993.

    Article  PubMed  Google Scholar 

  39. Kalarchian M.A., Wilson G.T., Brolin R.E., Bradley L.: Assessment of eating disorders in bariatric surgery candidates: Self-report questionnaire versus interview. Int. J. Eat. Disord., 28, 465–469, 2000.

    Article  PubMed  CAS  Google Scholar 

  40. Wilfley D., Schwartz M., Spurrell E., Fairburn C.: Assessing the specific psychopathology of binge eating disorder patients: Interview or self-report? Behav. Res. Ther., 12, 1151–1159, 1997.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, 50410 Neurosciences Hospital, The University of North Carolina, CB#7160, 101 Manning Dr, Chapel Hill, NC, USA

    M. Dymek-Valentine Ph.D. & R. Rienecke-Hoste

  2. Department of Surgery, Center for Advanced Medicine, The University of Chicago, Chicago, IL, USA

    J. Alverdy

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  1. M. Dymek-Valentine Ph.D.
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  2. R. Rienecke-Hoste
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  3. J. Alverdy
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Correspondence to M. Dymek-Valentine Ph.D..

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Dymek-Valentine, M., Rienecke-Hoste, R. & Alverdy, J. Assessment of binge eating disorder in morbidly obese patients evaluated for gastric bypass: SCID versus QEWP-R. Eat Weight Disord 9, 211–216 (2004). https://doi.org/10.1007/BF03325069

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