Functional impairment associated with bulimic behaviors in a community sample of men and women
ABSTRACT To examine functional impairment associated with bulimic behaviors in a community sample of men and women.
Binge eating, purging, fasting, extreme weight and shape concerns, and "days-out-of-role" were assessed in a community sample of men (n = 1,290) and women (n = 1,757) aged 15-94 years.
Participants who reported regular eating disorder behaviors had higher levels of functional impairment than those who did not. This was the case for both men and women and for each of the behaviors assessed, although differences between purgers and nonpurgers were not statistically significant. Also in both men and women, participants who reported eating disorder behaviors and weight or shape concerns had higher levels of impairment than those who reported these behaviors in the absence of weight or shape concerns. In multivariate analysis, binge eating, fasting and weight or shape concerns all contributed to the likelihood of impairment in men, whereas only the presence of weight or shape concerns was significantly associated with impairment in women.
Whereas bulimic behaviors are associated with elevated levels of functional impairment in both men and women, weight or shape concerns may be more central to the experience of this impairment in women.
- SourceAvailable from: Marc De Hert
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- "In the literature, data on gender differences related to the mental HRQL are conflicting. While some studies have found it to be associated with equal impairment (Mond and Hay, 2007) and/or greater distress in women compared to men (Lewinsohn et al., 2002), a recent study found that the mental HRQL SF-36 subscale was associated with greater impairment in men compared to women (Mitchison et al., 2013). More research is needed before any firm conclusions can be made. "
ABSTRACT: This study compared the mental and physical health related quality of life (HRQL) of 40 obese persons with BED with 20 age-, gender and body mass index (BMI) matched obese persons without BED and 40 age- and gender matched non-obese volunteers. Variables contributing to the variability in HRQL were identified. Participants were asked to fill in the MOS 36-item Short Form Health Survey (SF-36), the Symptoms Checklist-90 (SCL-90), the Baecke questionnaire, the bulimia subscale of the Eating Disorder Inventory and the Body Attitude Test. All participants also performed a 6-minute walk test (6MWT). BED patients showed a significant impaired physical and mental HRQL compared with obese and non-obese control groups. In the BED-group female participants showed a significantly more impaired mental HRQL than male participants (40.0±21.2 versus 66.6±10.1). The distance achieved on the 6MWT (512.1±75.8 m) explained 22.5% of the variability in physical HRQL in the obese BED-group while gender and the SCL-90 depression score (39.1±12.2) explained 47.1% of the variability in mental HRQL. The present findings suggest that the treatment of obese individuals with BED might benefit by giving more attention to HRQL, depressive symptoms and physical fitness.Psychiatry Research 04/2014; DOI:10.1016/j.psychres.2014.01.015 · 2.68 Impact Factor
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- "Specifically, in a large community sample of 1,290 men and 1,757 women, Mond and Hay (2007) found that respondents who reported binge eating were significantly more likely to have missed days from work than individuals who did not report binge eating. "
ABSTRACT: Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive-behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU). Participants were 123 adult members of an HMO (mean age = 37.2 years, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (C. G. Fairburn & Z. Cooper, 1993). Participants were randomized either to treatment as usual (TAU) or to TAU plus CBT-GSH. The clinical outcomes were binge-free days and quality-adjusted life years (QALYs); total societal cost was estimated using costs to patients and the health plan and related costs. Compared to those receiving TAU only, those who received TAU plus CBT-GSH experienced 25.2 more binge-free days and had lower total societal costs of $427 over 12 months following the intervention (incremental CEA ratio of -$20.23 per binge-free day or -$26,847 per QALY). Lower costs in the TAU plus CBT-GSH group were due to reduced use of TAU services in that group, resulting in lower net costs for the TAU plus CBT group despite the additional cost of CBT-GSH. Findings support CBT-GSH dissemination for recurrent binge-eating treatment.Journal of Consulting and Clinical Psychology 06/2010; 78(3):322-33. DOI:10.1037/a0018982 · 4.85 Impact Factor
Conference Paper: Analysis of composite synchronizationParallel and Distributed Simulation, 2002. Proceedings. 16th Workshop on; 02/2002