Binge eating behaviours, depression and weight control strategies
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The aim of this paper was to explore the relationships between depressive symptoms and weight control strategies in DSM-IV eating disordered patients with binge eating behaviours. We hypothesised that weight control strategies characterised by a loss of control, such as vomiting and purging, may be clinically associated with increased levels of depression. The study population consisted of 402 consecutive outpatients: 27 with binge eating/purging anorexia nervosa (AN-BN), 213 with purging bulimia nervosa (BN-P), 73 with non-purging bulimia nervosa (BN-NP), and 89 with binge eating disorder (BED). The severity of depression was measured using the Beck Depression Inventory (BDI), and binge eating behaviours were investigated using the self-report scale for bulimic behaviours. In the sample as a whole, the severity of depression significantly correlated with the severity of binge eating behaviours, but no significant differences were found in the severity of depression by diagnostic sub-types. In order to avoid the confounding erasing effect of time, a smaller sample of patients with a short history of binge eating behaviours was further explored. Furthermore, because weight control strategies and the eating disorder diagnostic sub-types overlapped imperfectly, the patients were compared on the basis of presence or absence of strategies reflecting an active attempt to master the weight gain due to binge-ing behaviours. The patients adopting active control strategies (N=14) had significantly less severe depressive symptoms than those adopting non-active weight control strategies (N=39). Finally, the Authors discuss some hypotheses concerning the defensive role of weight control strategies and the impact of illness duration on the clinical expression of depression in eating disordered patients.
Key wordsEating disorders depression bulimia weight control strategies Beck Depression Inventory
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- 3.Strober M., Katz J.L.: Depression in the eating disorders: a review and analysis of descriptive family and biological finding. In: Garner D.M., Garfinkel P.E. (Eds.), Diagnostic issues in anorexia nervosa and bulimia nervosa. New York, Brunner/Mazel, 80–111, 1988.Google Scholar
- 6.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC, APA, 1994.Google Scholar
- 8.Flament M., Jeammet P.: Bulimie. Résultats du Reseau INSERM. Doin, 2000.Google Scholar
- 9.Dantchev N., Flament M., Franck N., et al.: Bulimia nervosa and depression: a study on a series of 440 bulimic outpatients. 6th congress of the European Association of Psychiatry. Barcelona, 3–7 Nov 1992.Google Scholar
- 11.Bobon D.P., Sanchez-Blanque A., Von Franckell D.: Comparison between the short form of the Beck Depression Inventory and the combined Beck Pichot Inventory. J. Psychiatr. Biol. Ther., 1, 211–218, 1981.Google Scholar
- 16.Corcos M.: Le corps absent. Exploration psychosoma-tique des troubles des conduites alimentaires. Dunod, 2000, p. 329Google Scholar