engleski

Negative emotions and binge eating symptoms in obese patients

Objectives. Binge eating is relatively common among obese individuals seeking weight loss treatment, and predicts less weight loss during treatment because of the excess calories consumed during binges. This research attempted to explain the relation of anxiety, depression, anger, weight control efficacy, and body mass index with binge eating. Methods. Participants were 91 obese patients treated for coronary heart disease, 68 men and 23 women, mean age 55.4± ; ; 8.03 with a BMI of 31.55± ; ; 3.1 kg/m2. They completed Binge Eating Scale, Hospital Anxiety and Depression Scale, State-Trait Anger Expression Inventory, and Weight Efficacy Life-Style Questionnaire. 6.6% of cases had the result indicative of possible binge eating disorder and 1.1% largely indicative of binge eating. Results. The correlation analysis reveals significant relationships among binge eating symptoms and anxiety but higher scores on binge eating were associated with lower weight self-efficacy and anger control. Obese women binge eat more frequently than obese men, have higher BMI and are more anxious. Obese patients with binge eating disorder reported higher scores than non-binge eating disorder patients in the anxiety scale. Results of regression analysis indicate that anxiety, and lower anger control are significant predictors of binge eating symptoms in obese. Anger may have some etiological role and could be a premorbid personality characteristic or a risk factor for developing binge eating disorder. Conclusion. Results indicate the need for prevention and treatment programs especially the use of cognitive-behavioural techniques that have been shown to successfully treat binge eating. Treatment should be focused not simply on eating behaviour but also on some aspects of emotional functioning such as anxiety and anger control. High levels of anger may also be a barrier to treatment by maintaining psychopathology and should therefore be addressed in treatment with the goal of improving the adaptive management of these emotions.

negative emotions; binge eating disorder; obesity; coronary heart disease

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