Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States
Autor: | Edward A. Witt, M. Haim Erder, Thomas A. Wadden, Eileen E. Ming, Manjiri Pawaskar, Nicole Cossrow, Timothy W. Victor, Barry K. Herman |
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Rok vydání: | 2016 |
Předmět: |
National health
050103 clinical psychology education.field_of_study medicine.medical_specialty business.industry 05 social sciences Population medicine.disease DSM-5 Unmet needs Dsm iv tr 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Binge-eating disorder Medicine 0501 psychology and cognitive sciences Young adult business education Psychiatry Body mass index 030217 neurology & neurosurgery Demography |
Zdroj: | The Journal of Clinical Psychiatry. 77:e968-e974 |
ISSN: | 0160-6689 |
DOI: | 10.4088/jcp.15m10059 |
Popis: | OBJECTIVE To estimate binge eating disorder (BED) prevalence according to DSM-5 and DSM-IV-TR criteria in US adults and to estimate the proportion of individuals meeting DSM-5 BED criteria who reported being formally diagnosed. METHODS A representative sample of US adults who participated in the National Health and Wellness Survey were asked to respond to an Internet survey (conducted in October 2013). Assessments included 3-month, 12-month, and lifetime BED prevalence based on DSM-5 and DSM-IV-TR criteria and demographics, psychiatric comorbidities, and self-esteem (Rosenberg Self-Esteem Scale). Descriptive statistics are provided. Prevalence estimates were calculated using poststratification sampling weights. RESULTS Of 22,397 respondents, 344 (women, n = 242; men, n = 102) self-reported symptoms consistent with DSM-5 BED symptom criteria. The 3-month, 12-month, and lifetime DSM-5 prevalence estimates (95% CIs) projected to the US population were 1.19% (1.04%-1.37%), 1.64% (1.45%-1.85%), and 2.03% (1.83%-2.26%), respectively. The 12-month and lifetime projected DSM-IV-TR prevalence estimates were 1.15% (1.00%-1.32%) and 1.52% (1.35%-1.70%), respectively. Of respondents meeting DSM-5 BED criteria in the past 12 months, 3.2% (11/344) reported receiving a formal diagnosis. Compared with non-BED respondents, respondents meeting DSM-5 BED criteria in the past 12 months were younger (mean ± SD age = 46.01 ± 14.32 vs 51.59 ± 15.80 years; P < .001), had a higher body mass index (mean ± SD = 33.71 ± 9.36 vs 27.96 ± 6.68 kg/m²; P < .001), and had lower self-esteem (mean ± SD score = 16.47 ± 6.99 vs 23.33 ± 6.06; P < .001). CONCLUSIONS DSM-5 BED criteria resulted in higher BED prevalence estimates than with DSM-IV-TR criteria. Most BED respondents did not report being formally diagnosed, indicating an unmet need in BED recognition and diagnosis. |
Databáze: | OpenAIRE |
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