Impact of binge eating disorder in the psychopathological profile of obese women.
OBJECTIVE
Our objective was to evaluate the psychopathological profile of obese women with binge eating disorder (BED) using the Symptom Checklist-90 (SCL-90).


METHODS
Two hundred twelve obese women who seek for weight loss treatment were sequentially selected to participate in the study. Binge eating disorder was diagnosed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Binge eating disorder severity was assessed using Binge Eating Scale. Depressive symptoms were assessed using Beck Depression Inventory. The psychopathological profile was assessed using the SCL-90.


RESULTS
Binge eating disorder was diagnosed in 54 patients (26.6%). Obese patients with BED presented significant higher scores in all domains of SCL-90 (P < .05 for all) in comparison with obese patients without BED. A significant relationship was found among Binge Eating Scale, Beck Depression Inventory, and all domains of the SCL-90 (P < .05 for all). After linear regression, obsessivity-compulsivity (P = .03), interpersonal sensitivity (P = .0064), paranoid ideas (P = .03), and psychoticism (P = .01) were independently related to the severity of BED.


CONCLUSIONS
Obese women with BED presented a more severe psychopathological profile than obese controls. Among all, obsessivity-compulsivity, interpersonal sensitivity, paranoid ideas, and psychoticism seem to be strongly linked to BED severity.
Grupo de Obesidade e Transtornos Alimentares (GOTA) do Instituto Estadual de Diabetes e Endocrinologia (IEDE) e do Instituto de Psiquiatria da Universidade do Brasil (IPUB), Rio de Janeiro/RJ CEP 20.211-340, Brazil.
Julia
J
Fandiño
Rodrigo O
RO
Moreira
Carolina
C
Preissler
Caroline W
CW
Gaya
Marcelo
M
Papelbaum
Walmir F
WF
Coutinho
Jose C
JC
Appolinario
D000328:Adult; D056912:Binge-Eating Disorder / Q000503:physiopathology / Q000523:psychology*; D003192:Compulsive Behavior / Q000523:psychology; D003863:Depression / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D009765:Obesity / Q000523:psychology*; D009770:Obsessive Behavior / Q000523:psychology; D010258:Paranoid Behavior / Q000523:psychology; D011599:Psychopathology; D012720:Severity of Illness Index