A comparative analysis of role attainment and impairment in binge-eating disorder and bulimia nervosa: results from the WHO World Mental Health Surveys

Kessler, Ronald C.; Shahly, Victoria; Hudson, James I.; Supina, Dylan; Berglund, Patricia A.; Chiu, Wai Tat; Gruber, Michael J.; Aguilar‐Gaxiola, Sergio; Alonso, Jordi; Andrade, Laura Helena; Benjet, Corina; Bruffærts, Ronny; Girolamo, Giovanni de; Graaf, Ron de; Florescu, Silvia; Haro, Josep María; Murphy, Sam; Posada‐Villa, José; Scott, Kate M.; Xavier, Miguel

doi:10.1017/s2045796013000516

Cited by 48 publications

(39 citation statements)

References 66 publications

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“…Furthermore, in a study of females conducted at primary care and gynecologic clinics throughout the US, BED was associated with worse health-related QoL on all domains of the Medical Outcomes 20-item Study Short-Form Health Survey compared with females without psychiatric disorders 73. In regard to functional disability, BED is associated with impaired role attainment relative to individuals without BED as measured by females with BED (but not males) being less likely to marry and males with BED (but not females) being less likely to be employed 75. On the Sheehan Disability Scale, ~50% of individuals with BED reported some level of role impairment 7.…”

Section: Evidence Base For Factors Not Included As Diagnostic Criteriamentioning

confidence: 95%

Characteristics of binge eating disorder in relation to diagnostic criteria

Wilfley¹,

Citrome²,

Herman³

2016

NDT

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The objective of this review was to examine the evidentiary basis for binge eating disorder (BED) with reference to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) diagnostic criteria for BED. A PubMed search restricted to titles and abstracts of English-language reviews, meta-analyses, clinical trials, randomized controlled trials, journal articles, and letters using human participants was conducted on August 7, 2015, using keywords that included “binge eating disorder,” DSM-5, DSM-IV, guilt, shame, embarrassment, quantity, psychological, behavior, and “shape and weight concerns.” Of the 257 retrieved publications, 60 publications were considered relevant to discussions related to DSM-5 diagnostic criteria and were included in the current review, and 20 additional references were also included on the basis of the authors’ knowledge and/or on a review of the reference lists from relevant articles obtained through the literature search. Evidence supports the duration/frequency criterion for BED and the primary importance of loss of control and marked distress in identifying individuals with BED. Although overvaluation of shape/weight is not a diagnostic criterion, its relationship to the severity of BED psychopathology may identify a unique subset of individuals with BED. Additionally, individuals with BED often exhibit a clinical profile consisting of psychiatric (eg, mood, obsessive–compulsive, and impulsive disorders) and medical (eg, gastrointestinal symptoms, metabolic syndrome, and type 2 diabetes) comorbidities and behavioral profiles (eg, overconsumption of calories outside of a binge eating episode and emotional eating). Future revisions of the BED diagnostic criteria should consider the inclusion of BED subtypes, perhaps based on the overvaluation of shape/weight, and an evidence-based reassessment of severity criteria.

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Section: Evidence Base For Factors Not Included As Diagnostic Criteriamentioning

confidence: 95%

Characteristics of binge eating disorder in relation to diagnostic criteria

Wilfley¹,

Citrome²,

Herman³

2016

NDT

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“…ED are associated with high morbidity and mortality 8,9 . However, most studies to date have exclusively investigated AN and BN or have relied on clinical samples or patient registers that are not representative of individuals with ED in the general population 10 .…”

Section: Introductionmentioning

confidence: 99%

Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood

Micali¹,

Solmi²,

Horton³

et al. 2015

Journal of the American Academy of Child & Adolescent Psych

180

219

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Objective To investigate whether anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorders (OSFED), including purging disorder (PD), subthreshold BN, and BED at ages 14 and 16, are prospectively associated with later depression, anxiety disorders, alcohol and substance use, and self-harm. Method Eating disorders were ascertained at 14 and 16 years of age in 6,140 youth at age 14 (58% of those eligible) and 5,069 at age 16 (52% of those eligible) as part of the prospective Avon Longitudinal Study of Parents and Children (ALSPAC). Outcomes (depression, anxiety disorders, binge drinking, drug use, deliberate self-harm, weight status) were measured using interviews and questionnaires about 2 years following predictors. Generalized estimating equation models adjusting for gender, socio-demographic variables, and prior outcome were used to examine prospective associations between eating disorders and each outcome. Results All eating disorders were predictive of later anxiety disorders. AN, BN, BED, PD, and OSFED were prospectively associated with depression (respectively AN: odds ratio [OR]=1.39 [95% CIs: 1.00-1.94]; BN: OR=3.39[1.25-9.20]; BED: OR=2.00 [1.06-3.75]; PD: OR=2.56 [1.38-4.74]). All eating disorders but AN predicted drug use and deliberate self-harm (BN: OR=5.72[2.22-14.72], PD: OR=4.88[2.78-8.57], subthreshold BN: OR=3.97[1.44-10.98], subthreshold BED: OR=2.32[1.43-3.75]). Whilst BED and BN predicted obesity (respectively OR=3.58 [1.06-12.14] and OR=6.42 [1.69-24.30]), AN was prospectively associated with underweight. Conclusions Adolescent eating disorders, including subthreshold presentations, predict negative outcomes, including mental health disorders, substance use, deliberate self-harm, and weight outcomes. This study highlights the high public health and clinical burden of eating disorders among adolescents.

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“…In the World Health Organization (WHO) Mental Health Surveys, role impairment based on the Sheehan Disability Scale (SDS), which assesses functional impairment in three domains (work/school, social life/leisure activities and family life/home responsibilities),4 was reported by 46.7% of individuals meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision ( DSM‐IV‐TR ) diagnostic criteria for BED, with 13.2% reporting severe role impairment 2. The WHO surveys also reported that early‐onset BED (ie, onset before completion of one's education) was associated with a reduced likelihood of being married among women and a reduced likelihood of being employed among men 5. On the Work Productivity and Activity Impairment (WPAI) scale,6 individuals who reported binge eating behaviour also reported greater impairment in work productivity and non‐work activities, as well as increased rates of absenteeism than individuals who did not report binge eating 7, 8…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2017

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SummaryAimThis study compared functioning and productivity in individuals meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐5) diagnostic criteria for binge eating disorder (BED) to those without BED.MethodsA sample of US adults from the National Health and Wellness Survey completed an Internet survey in October 2013. In addition to BED diagnostic criteria, the survey assessed functional impairment and productivity, respectively, using the Sheehan Disability Scale (SDS) and Work Productivity and Activity Impairment (WPAI) questionnaire. Differences between BED and non‐BED respondents were assessed using multivariate models controlling for factors, including age, sex and comorbidities.ResultsOf 22 397 respondents, 344 were categorised as BED respondents and 20 437 as non‐BED respondents. Compared with non‐BED respondents, BED respondents exhibited significantly (all P<.001) greater functional impairment on the SDS, as measured by mean±SD total (14.04±9.46 vs 3.41±6.36), work/school (3.86±3.62 vs 1.01±2.21), social life/leisure activities (5.29±3.49 vs 1.22±2.33) and family life/home responsibilities (4.89±3.44 vs 1.18±2.26) scores. Adjusted odds ratios (95% CIs) indicated that BED respondents were more impaired than non‐BED respondents on the work/school (4.24 [3.33–5.40]), social life/leisure activities (6.37 [4.97–8.15]) and family life/home responsibilities (5.76 [4.51–7.34]) domains of the SDS. On the WPAI, BED respondents reported significantly (all P<.001) higher percentages (mean±SD) of absenteeism (9.59%±19.97% vs 2.90%±12.95%), presenteeism (30.00%±31.64% vs 10.86%±20.07%), work productivity loss (33.19%±33.85% vs 12.60%±23.22%) and activity impairment (43.52%±34.36% vs 19.94%±27.22%) than non‐BED respondents.ConclusionsThe findings suggest individuals with BED experience considerable impairment in functioning and work productivity compared with individuals without BED.

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A comparative analysis of role attainment and impairment in binge-eating disorder and bulimia nervosa: results from the WHO World Mental Health Surveys

Cited by 48 publications

References 66 publications

Characteristics of binge eating disorder in relation to diagnostic criteria

Characteristics of binge eating disorder in relation to diagnostic criteria

Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood

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

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