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 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.
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In such a case-manage data assessing the brand new the total amount out of and you can associated points which have FA in numerous Body mass index kinds, it actually was learned that FA was of this https://datingranking.net/pl/millionairematch-recenzja a high Bmi, an early start of diet and more regular diet-weight gain time periods; as well as large attentional and motor impulsivity. Furthermore, the brand new FA symptom matter are absolutely correlated which have Body mass index. All of our conclusions suggest that FA you will enjoy an important role from inside the obesity, compliment of death of command over restaurants consumption within the an addicting trends. For this reason, managing FA would-be a useful method in terms of weight losings.
New Prevalence of FA Using DSM-IV and you can DSM-5 Ways
Brand new prevalence regarding FA in the morbid obesity category because analyzed because of the YFAS (fifteen.0%) is similar thereupon in two knowledge on the planet, in which fifteen and you can sixteen.9% off bariatric operations individuals was indeed identified as having FA (forty-five, 46). Yet not, there are many more studies presented among some one undergoing weight-loss surgery in which high costs like 21.1% (47), twenty-five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) have been discovered. Which highest type would-be considering the worry about-declaration characteristics away from YFAS, that is smaller-objective than just a standardized medical evaluation hence our shot got a reduced imply Bmi compared to the latter degree. It is stated one to DSM-IV compound dependency prognosis represents serious substance play with problems of the fresh new DSM-5 (51). With all this, new frequency regarding FA from the morbid being obese classification generally seems to become 40.0%, implying one to DSM-5 conditions was a lot more permissive when it comes to deciding FA, whereas YFAS you’ll overlook some cases. More over, once the YFAS, that is according to research by the DSM-IV substance reliance conditions does not include craving, which might subscribe to lower than genuine costs.