Subtypes of binge eating disorder based on psychiatric history.
OBJECTIVE
This investigation sought to identify subtypes of binge eating disorder (BED) based on history of mood disorder (MOOD) and substance use disorder (SUD).


METHODS
Eighty-four women who met criteria for BED were administered semistructured interviews and completed self-report questionnaires assessing eating pathology, depressive symptoms, self-esteem, body dissatisfaction, and personality traits.


RESULTS
Thirty-nine participants (46.4%) had a lifetime history of a SUD and 60 (71.4%) had a lifetime history of a MOOD. The SUD subtype was associated with a greater impulsivity and frequency of binge eating episodes compared with the no SUD subtype. The MOOD subtype participants reported greater distress, more psychopathology, less dietary restraint, lower self-esteem, more frequent binge eating, higher levels of negative affect, and more frequent trauma and abuse history than the no MOOD subtype.


CONCLUSIONS
The results of this study indicate that subtypes of BED on the basis of MOOD and SUD may be associated with a more severe variant of the disorder.
Peterson
Carol B
CB
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota 55454, USA. peter161@umn.edu
Miller
Kathryn B
KB
Crow
Scott J
SJ
Thuras
Paul
P
Mitchell
James E
JE
D000328:Adult; D001828:Body Image; D003937:Diagnosis, Differential; D001068:Feeding and Eating Disorders / Q000145:classification* / Q000523:psychology*; D005260:Female; D006801:Humans; D008487:Medical History Taking; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications* / Q000523:psychology; D010551:Personality; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology