scholarly journals Impact of binge eating disorder on functional impairment and work productivity in an adult community sample in the United States

2017 ◽  
Vol 71 (7) ◽  
pp. e12970 ◽  
Author(s):  
Manjiri Pawaskar ◽  
Edward A. Witt ◽  
Dylan Supina ◽  
Barry K. Herman ◽  
Thomas A. Wadden
2016 ◽  
Vol 77 (08) ◽  
pp. e968-e974 ◽  
Author(s):  
Nicole Cossrow ◽  
Manjiri Pawaskar ◽  
Edward A. Witt ◽  
Eileen E. Ming ◽  
Timothy W. Victor ◽  
...  

2016 ◽  
Vol 128 (3) ◽  
pp. 311-316 ◽  
Author(s):  
Dylan Supina ◽  
Barry K. Herman ◽  
Carla B. Frye ◽  
Alicia C. Shillington

2001 ◽  
Vol 31 (8) ◽  
pp. 1455-1466 ◽  
Author(s):  
J. G. JOHNSON ◽  
R. L. SPITZER ◽  
J. B. W. WILLIAMS

Background. Although psychiatric patients with eating disorders are known to be at risk for a variety of health problems, relatively little is known about eating disorders and associated health problems in other populations. An epidemiological study was conducted to investigate health problems and impairment associated with bulimia nervosa (BN) and binge eating disorder (BED) among female primary care and obstetric gynaecology patients.Methods. Psychiatric disorders, physical illnesses, disabilities, functional status and stress were assessed among 4651 female patients (age range:18 to 99 years) at 8 primary care and 7 obstetric gynaecology clinics throughout the United States.Results. Two hundred eighty-nine women (6·2%) were diagnosed with BN or BED. The prevalence of BN was approximately 1% among young and middle-aged women. The prevalence of BED increased steadily from early (3·3%) through middle (8·5%) adulthood. Anxiety disorders, mood disorders and diabetes were much more common among women with BN or BED than among women without these eating disorders. Women with BN or BED reported markedly poorer functioning and much higher levels of disability, health problems, insomnia, psychosocial stress and suicidal thoughts than did women without BN or BED, after co-occurring psychiatric disorders were controlled statistically. Yet, fewer than one of ten cases of BN or BED was recognized by the patients’ physicians.Conclusions. Patients with BN or BED often experience considerable disability, impairment, distress and co-occurring illnesses. Increased recognition of eating disorders may be a crucial step towards encouraging more patients to seek treatment for these disabling conditions.


2006 ◽  
Vol 40 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Jonathan J. Mond ◽  
Phillipa J. Hay ◽  
Bryan Rodgers ◽  
Cathy Owen ◽  
James Mitchell

Objective: To inform the classification of bulimic-type eating disorders, the correlates of purging and non-purging methods of weight control were examined in a large community sample of young adult women reporting recurrent episodes of binge eating. Method: Scores on self-report measures of eating disorder psychopathology, functional impairment and health-service utilization were compared among individuals who reported (recurrent episodes of binge eating and) the use of either purging (self-induced vomiting, laxative or diuretic misuse; n = 41) or non-purging (extreme dietary restriction, excessive exercise, or use of diet pills; n = 62) methods of weight control. Individuals who reported recurrent binge eating in the absence of extreme weight control behaviours (n = 442) were also included in the analysis. Results: Non-purgers tended to be younger and heavier and have higher levels of eating disorder psychopathology and functional impairment than purgers and non-compensating binge eaters, however these differences were not statistically significant. Purgers were more likely than non-purgers to have sought treatment specifically for a problem with eating, however this difference was no longer significant after age and body mass index were statistically controlled. In multivariate analysis, frequency of extreme dietary restriction was the best predictor of functional impairment. Conclusions: These findings call into question the validity of subtyping of bulimia nervosa into purging and non-purging forms as outlined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.


2002 ◽  
Vol 32 (4) ◽  
pp. 389-400 ◽  
Author(s):  
Faith-Anne Dohm ◽  
Ruth H. Striegel-Moore ◽  
Denise E. Wilfley ◽  
Kathleen M. Pike ◽  
Julie Hook ◽  
...  

Author(s):  
Jet D. Termorshuizen ◽  
Hunna J. Watson ◽  
Laura M. Thornton ◽  
Stina Borg ◽  
Rachael E. Flatt ◽  
...  

ABSTRACTWe received rapid ethical permission to evaluate the early impact of COVID-19 on people with eating disorders. Participants in the United States (US, N=511) and the Netherlands (NL, N=510), recruited through ongoing studies and social media, completed an online baseline survey that included both quantitative measures and free-text responses assessing the impact of COVID-19 on situational circumstances, eating disorder symptoms, eating disorder treatment, and general well-being. Results revealed strong and wide-ranging effects on eating disorder concerns and illness behaviors that were consistent with diagnoses. Participants with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge. Respondents noted marked increases in anxiety since 2019 and reported greater concerns about the impact of COVID-19 on their mental health than physical health. Although many participants acknowledged and appreciated the transition to telehealth, limitations of this treatment modality for this population were raised. Individuals with past histories of eating disorders noted concerns about relapse related to COVID-19 circumstances. Encouragingly, respondents also noted positive effects including greater connection with family, more time for self-care, and motivation to recover.


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