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Binge eating and psychopathology in severely obese adolescents

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TLDR
Binge eating symptoms were frequent in severely obese adolescents seeking treatment and the binge eating dimension was related to high levels of anxiety and depression, as well as to low levels of self-esteem and body-esteem.
Abstract
Objective The authors describe binge eating and psychopathology in severely obese adolescents who are seeking treatment for obesity and search for specific psychological features that may be associated with binge eating. Method Obese adolescents (n = 102) were assessed with the Binge Eating Scale (BES), the State–Trait Anxiety Inventory for Children (STAIC), the Beck Depression Inventory (BDI), Coopersmith's Self-Esteem Inventory (SEI), and the Body-Esteem subscale from the Piers–Harris Children's Self-Concept Scale (PHCSS). They were also evaluated with the Montgomery and Asberg Depression Rating Scale (MADRS) and the Brief Scale for Anxiety (BSA). Two subgroups (i.e., binge eaters and non-binge eaters) were then established according to the BES score. Results Binge eating symptoms were frequent in this population and the binge eating dimension was related to high levels of anxiety and depression, as well as to low levels of self-esteem and body-esteem. The dimensions of anxiety and depression were associated specifically with binge eaters. Discussion As observed in the obese adult population, binge eating symptoms were found frequently in severely obese adolescents seeking treatment and were related strongly to studied parameters. Obese adolescents who binge eat are a subgroup with high psychopathologic distress. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 235–243, 2003.

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References
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TL;DR: The construction of a depression rating scale designed to be particularly sensitive to treatment effects is described, and its capacity to differentiate between responders and non-responders to antidepressant treatment was better than the HRS, indicating greater sensitivity to change.
Journal ArticleDOI

The assessment of binge eating severity among obese persons

TL;DR: The results showed that the Binge Eating Scale successfully discriminated among persons judged by trained interviewers to have either no, moderate or severe binge eating problems, such that severe bingers tended to set up diets which were unrealistically strict while reporting low efficacy expectations to sustain a diet.
Journal ArticleDOI

Eating patterns and obesity.

TL;DR: The eating behavior of obese human subjects is considered from this point of view, and three distinctive eating patterns are described, including the night-eating syndrome, characterized by morning anorexia, evening hyperphagia, and insomnia.
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The brief scale for anxiety: a subdivision of the comprehensive psychopathological rating scale.

TL;DR: A rating scale suitable for recording anxious symptoms is described and comprises 10 items, all of which are rated on a 7 point scale, suitable for the rating of pathological anxiety alone or for anxiety occurring in the setting of other psychological or medical disorder.
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