Binge eating disorder, anxiety, depression and body image in grade III obesity patients

RESUMO

INTRODUCTION: The objective of this study was to assess the frequency of Binge Eating Disorder (BED) or Binge Eating episodes (BINGE), anxiety, depression and body image disturbances in severely obese patients seeking treatment for obesity. METHOD: We assessed 50 patients (10M and 40F) with Body Mass Index (BMI) between 40 and 81.7 Kg/m² (mean 52.2±9.2 Kg/m²) and aging from 18 to 56 years (mean 38.5±9.7). Used instruments Questionnaire on Eating and Weight Patterns FACE="Symbol">¾ Revised (QEWP-R) for BED or BINGE assessment, Beck Depression Inventory (BDI) for depressive symptoms, State - Trait Anxiety Inventory (STAI-TRAIT and STAI-STATE) for anxiety and Body Shape Questionnaire (BSQ) for body image assessments.

RESULTS:

In this population BED and BINGE frequencies were 36 percent and 54 percent, respectively. Symptoms of depression were detected in 100 percent while severe symptomatology was found in 84 percent of the cases. The frequency of anxiety as a trait was 70 percent, as a state, 54 percent and 76 percent of all patients reported discomfort regarding body image. The frequency of BED was higher in patients with higher anxiety scores as a personality trait (>40) but not as a state (46 percent vs. 13 percent; p<0,05). A high frequency of BINGE was found in those with higher scores (>140) in the BSQ assessment.

CONCLUSION:

Our results indicate a high frequency of binge eating episodes, severe depressive symptoms, anxiety and concern with body image in grade III obesity patients