Investigations out of Dining Addiction and you may Restaurants Disorders
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 https://datingranking.net/pl/omegle-recenzja/ 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.
Talk
In this case-manage investigation examining the latest the total amount out of and you may related situations that have FA in numerous Body mass index kinds, it had been discovered that FA was associated with the a high Bmi, a young start of dieting and more regular eating plan-gaining weight time periods; also highest attentional and motor impulsivity. Also, brand new FA danger signal matter was positively correlated with Body mass index. Our very own conclusions advise that FA you will enjoy an important role inside carrying excess fat, through loss of power over eating application into the an addicting manner. Therefore, dealing with FA could well be a helpful method in terms of lbs losses.
The fresh Frequency off FA Having fun with DSM-IV and you can DSM-5 Approaches
The latest incidence off FA regarding the morbid obesity group once the reviewed by the YFAS (fifteen.0%) is similar with that in two education in the arena, where fifteen and you can 16.9% away from bariatric procedures candidates were clinically determined to have FA (forty five, 46). not, there are other degree held one of anybody undergoing lbs-losses operations where large costs like 21.1% (47), twenty five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) was discovered. That it high version would be as a result of the care about-declaration nature regarding YFAS, that is shorter-goal than a standardized logical investigations which all of our decide to try had a reduced mean Bmi compared to the the second education. People say you to definitely DSM-IV material dependency medical diagnosis represents serious substance have fun with illness regarding the brand new DSM-5 (51). Given this, the brand new frequency out-of FA from the morbid being obese group generally seems to end up being 40.0%, implying one to DSM-5 conditions would be so much more permissive with regards to deciding FA, whereas YFAS you’ll neglect some instances. Also, due to the fact YFAS, which is according to the DSM-IV material dependency standards does not include desire, which might donate to below genuine prices.