title: Binge eating as a determinant of emotional state in overweight and obese males with cardiovascular disease.
abstract: OBJECTIVE
  The present study investigates the association between depression, anxiety and binge eating at baseline with weight-change after an approximately 1-year period in a clinical sample of obese adult males with cardiovascular disease.
  
  
  METHODS
  At the time of the first measurement, the sample consisted of 69 overweight and obese men (age range between 36 and 74); 34 patients attended a follow-up measurement 6-17 months after the first measurement, and completed selected psychological instruments.
  
  
  RESULTS
  After the follow-up period, only 28.7% patients' lost weight, 29.9% patients' had the same weight, and finally 41.4% patients' gained weight. When comparing the first and the second assessments, the level of anxiety and depression is relatively stable. Men, who, at the time of the second assessment, gained weight, and were binge eating at baseline, were more depressed and anxious in comparison with the other two groups of patients.
  
  
  CONCLUSIONS
  It is necessary to focus primarily on binge eating symptoms as a part of weight reduction treatment as well as to treat anxiety and depression in CVD patients. Binge eating is an eating disorder per se, and therefore it is important to treat it before the person starts weight reduction procedures as part of the risk prevention treatment for CVD patients.
authors: Department of Psychology, Faculty of Humanities and Social Science, Sveučilišna avenija 4, 51000 Rijeka, Croatia. pokrajac@ffri.hr
authors: Alessandra
authors: A
authors: Pokrajac-Bulian
authors: Mladenka
authors: M
authors: Tkalčić
authors: Neala
authors: N
authors: Ambrosi-Randić
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology; D056912:Binge-Eating Disorder / Q000523:psychology*; D002318:Cardiovascular Diseases / Q000523:psychology*; D003863:Depression / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology*; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D015431:Weight Loss