The morbid obesity group had significantly higher rates of current BED (25.0%) and night eating syndrome (27.5%) diagnoses, as assessed by the DSM-5 criteria (p < 0.001). The total and sub-scale scores of the EDEQ were not normally distributed. A Kruskal-Wallis assessment revealed that the total and sub-scale scores of different BMI categories differed significantly, showing that higher BMI was associated with higher EDEQ scores. When the FA and non-FA groups were compared, FA was significantly associated with more severe eating symptomatology as assessed by EDEQ (Table 5).
When morbid obesity, FA, and BED diagnoses were examined together, although comorbidities were present, the majority of FA diagnoses (75%) did not meet the diagnostic criteria for BED. In the morbid obesity group, 22.5% had both FA and BED diagnoses. The comorbid group differed from the FA-only group with greater tolerance (? 2 = 6.10, p = 0.01), failure to fulfill major role obligations (? 2 = 9.93, p < 0.01), and higher attentional impulsivity scores (z = ?2.08, p = 0.04). On the other hand, the FA-only group differentiated from the comorbid FA and BED group, as they met the two following BED criteria significantly less frequently: (i) repetitive binge eating episodes and a sense of lack of control over eating during the episode, and (ii) feeling disgusted with oneself, depressed, or very guilty after overeating (p = 0.02, p = 0.06, respectively).
Finally, a logistic regression was performed to ascertain the effects of age, gender, sociodemographic characteristics, eating disorders and impulsivity on the likelihood that participants had FA. The logistic regression model was statistically significant, [? ( 11 ) 2 = , p < 0.05]. The model explained 45.7% (Nagelkerke R 2 ) of the variance in FA. Women were 6.7 times more likely to exhibit FA than men. The presence of BED (OR: 8.33 %95CI [1.96–]; p < 0.05) and higher BIS-11 scores (OR = 1.09 %95CI [1.02–1.23]; p = 0.03) independently predicted the diagnosis of FA.
In this instance-control studies assessing the new the amount away from and you can relevant situations that have FA in different Bmi groups, it was found that FA are on the increased Bmi, an early on onset of diet and more regular diet-weight gain schedules; also higher attentional and you may engine impulsivity. Also, the new FA danger signal count try definitely synchronised with Bmi. Our very own findings recommend that FA might play an important role for the obesity, through death of command over food usage within the an addictive trends. For this reason, managing FA might be a helpful method with regards to lbs losses.
This new Frequency out-of FA Playing with DSM-IV and you can DSM-5 Techniques
Brand new prevalence out of FA on morbid obesity classification since the analyzed from the YFAS (15.0%) is comparable with that in two studies in this field, where fifteen and 16.9% out of bariatric businesses candidates was in fact clinically determined to have FA (45, 46). Although not, there are many studies used among somebody in the process of weight-losses functions in which large costs particularly 21.1% (47), twenty five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) was basically receive. It large version would be because of the mind-statement character out of YFAS, that’s quicker-mission than simply a standard clinical research hence the attempt had a lowered indicate Body mass index than the aforementioned education. It is stated you to DSM-IV material dependence analysis corresponds to significant material play with illness off new DSM-5 (51). Given this, the newest frequency out-of FA on morbid being obese group seems to getting forty.0%, implying you to the adult hub definitely DSM-5 requirements is more permissive in terms of deciding FA, while YFAS you will overlook some cases. Furthermore, because the YFAS, which is according to the DSM-IV compound reliance standards does not include desire, which can join lower than actual prices.