Trends in Psychiatry and Psychotherapy
http://www.trends.periodikos.com.br/article/doi/10.47626/2237-6089-2023-0644
Trends in Psychiatry and Psychotherapy
Original Article

Relationship between psychopathology and binge size in binge eating spectrum disorders

Carla Mourilhe Silva, Gloria Valeria da Veiga, Carlos Eduardo de Moraes, Ronir Raggio Luiz, Phillipa Hay, Jose Carlos Appolinario

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Abstract

Introduction
Food intake during binge eating episodes has been found to be associated with symptoms of depression and anxiety in individuals with eating disorders.

Objective
To evaluate the association between caloric intake during binge eating episodes (BEE) and psychopathology in individuals with binge eating spectrum disorders (BSD).

Methods
One-hundred and fourteen outpatients diagnosed with bulimia nervosa (BN) and binge eating disorder were sequentially assessed. MINI PLUS was used to assess psychiatric  diagnoses. Validated self-report instruments were used to assess general and eating-related psychopathology. The assessment of caloric consumption during BEE was performed through Dietpro Clinical Program. Data analysis was performed with independent Student's t test, effect size (Cohen's d) and Pearson's correlation.

Results
Participants with BSD comorbid with a depressive disorder consumed significantly more calories during BEE than those without depression. Furthermore, participants with BSD and higher levels of impulsivity had a greater caloric intake during the episode. Specifically, regarding BN, participants with greater disease severity consumed more calories  during the episode than those with less severity.

Conclusions
Overall, depression and high impulsivity were associated with a higher caloric intake during BEE in individuals with BSD. For those with BN, the disease severity was associated with greater caloric consumption during the episode. Our results support the relevance of early identification of psychiatric comorbidities and the implementation of strategies to control mood and impulsivity aiming at a better prognosis in the treatment of BSD.

Keywords

Binge eating size, psychopathology, eating disorders, binge eating disorder, bulimia nervosa

Submitted date:
03/18/2023

Accepted date:
08/21/2023

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Trends Psychiatry Psychother

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