Abstract
OBJECTIVE: This study examined whether obese males with binge eating disorder (BED) seeking weight loss treatment differed significantly from obese females with BED seeking weight loss treatment in developmental variables, weight loss history, current and lifetime prevalence of psychiatric disorders, and metabolic abnormalities. METHODS: Psychiatric (using the Structural Clinical Interview for DSM-IV), medical, and laboratory assessments of 44 obese males with BED were compared with assessments from 44 age- and race-matched obese females with BED seeking weight loss treatment. RESULTS: High rates of mood disorders, anxiety disorders, and metabolic syndrome were observed in the population as a whole. Obese males with BED had attempted significantly fewer diets, medications and supplements for weight loss before seeking weight loss treatment. The two genders did not differ significantly in any other of the examined variables. CONCLUSIONS: Our results suggest that while obese men and women with BED who present for weight management are very similar, males had fewer previous attempts at weight loss, possibly related to their less pronounced body dissatisfaction or fewer help-seeking behaviors as compared to females. Our results also support findings of substantial comorbidity among obesity, BED, mood and anxiety disorders, and metabolic syndrome in weight loss seeking populations, in men as well as women.
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Soundy T.J., Lucas A.R., Suman V.J., Melton L.J., 3rd.: Bulimia nervosa in Rochester, Minnesota from 1980 to 1990. Psychol. Med., 25, 1065–1071, 1995.
Fontaine K.R., Barofsky I., Andersen R.E., Bartlett S.J., Wiersema L., Cheskin L.J., et al.: Impact of weight loss on health-related quality of life. Qual. Life Res., 8, 275–277, 1999.
Lucas A.R., Beard C.M., O’Fallon W.M., Kurland L.T.: 50-year trends in the incidence of anorexia nervosa in Rochester, Minn.: a population-based study. Am. J. Psychiatry, 148, 917–922, 1991.
Striegel-Moore R.H., Franko D.L.: Epidemiology of binge eating disorder. Int. J. Eat. Disord., 34 (Suppl.): S19–S29, 2003.
Costanzo P.R., Musante G.J., Friedman K.E., Kern L.S., Tomlinson K.: The gender specificity of emotional, situational, and behavioral indicators of binge eating in a diet-seeking obese population. Int. J. Eat. Disord., 26, 205–210, 1999.
Ross H.E., Ivis F.: Binge eating and substance use among male and female adolescents. Int. J. Eat. Disord., 26, 245–260, 1999.
DiGioacchino R.F., Sargent R.G., Sharpe P.A., Miller P.: Gender differences among those exhibiting characteristics of binge eating disorder. Eat. Weight Disord., 4, 76–80, 1999.
Yanovski S.Z., Nelson J.E., Dubbert B.K., Spitzer R.L.: Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am. J. Psychiatry, 150, 472–479, 1993.
Mazzeo S.E., Saunders R., Mitchell K.S.: Gender and binge eating among bariatric surgery candidates. Eat. Behav. 7, 47–52, 2006.
Jirik-Babb P., Norring C.: Gender comparisons in psychological characteristics of obese, binge eaters. Eat. Weight Disord., 10: e101–e104, 2005.
Tanofsky M.B., Wilfley D.E., Spurrell E.B., Welch R., Brownell K.D.: Comparison of men and women with binge eating disorder. Int. J. Eat. Disord., 21, 49–54, 1997.
Barry D.T., Grilo C.M., Masheb R.M.: Gender differences in patients with binge eating disorder. Int. J. Eat. Disord., 31, 63–70, 2002.
Jambekar S.A., Masheb R.M., Grilo C.M.: Gender differences in shame in patients with binge-eating disorder. Obes. Res., 11, 571–577, 2003.
Schneider J.A., Agras W.S.: Bulimia in males: a matched comparison with females. Int. J. Eat. Disord., 6, 235–242, 1987.
Malhotra S., King K.H., Welge J.A., Brusman-Lovins L., McElroy S.L.: Venlafaxine treatment of binge-eating disorder associated with obesity: a series of 35 patients. J. Clin. Psychiatry, 63, 802–806, 2002.
First M.B., Spitzer R.L., Gibbon M., et al.: Structured Clinical Interview for DSM-IV Axis I disorders (SCID). New York, New York State Psychiatric Institute, Biometric Research, 1996.
Hirschfeld R.M., Williams J.B., Spitzer R.L., Calabrese J.R., Flynn L., Keck P.E., Jr., et al.: Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. Am. J. Psychiatry, 157, 1873–1875, 2000.
Beck A.T., Ward C.H., Mendelson M., Mock J., Erbaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4: 561–571, 1961.
Clearfield M.B.: The national cholesterol education program adult treatment panel ill guidelines. J. Am. Osteopath. Assoc., 103 (Suppl. 1): S1–S5, 2003.
Guy W.: ECDEU Assessment Manual for Psychopharmacology, US Dept. Health, Education and Welfare publication (ADM). Rockville, Md, National Institute of Mental Health, 1976.
Marchesini G., Melchionda N., Apolone G., Cuzzolaro M., Mannucci E., Corica F., et al.: The metabolic syndrome in treatment-seeking obese persons. Metabolism, 53, 435–440, 2004.
Graffagnino C.L., Falko J.M., La Londe M., Schaumburg J., Hyek M.F., Shaffer L.E., et al.: Effect of a community-based weight management program on weight loss and cardiovascular disease risk factors. Obesity (Silver Spring), 14, 280–288, 2006.
Bautista-Castano I., Molina-Cabrillana J., Montoya-Alonso J.A., Serra-Majem L.: Variables predictive of adherence to diet and physical activity recommendations in the treatment of obesity and overweight, in a group of Spanish subjects. Int. J. Obes. Relat. Metab. Disord., 28, 697–705, 2004.
French S.A., Jeffery R.W., Sherwood N.E., Neumark-Sztainer D.: Prevalence and correlates of binge eating in a nonclinical sample of women enrolled in a weight gain prevention program. Int. J. Obes. Relat. Metab. Disord., 23, 576–585, 1999.
Geist R., Heinmaa M., Katzman D., Stephens D.: A comparison of male and female adolescents referred to an eating disorder program. Can. J. Psychiatry, 44, 374–378, 1999.
Blokstra A., Burns C.M., Seidell J.C.: Perception of weight status and dieting behaviour in Dutch men and women. Int. J. Obes. Relat. Metab. Disord., 23, 7–17, 1999.
Fontaine K.R.: Predicting treatment seeking for overweight. J. Nerv. Ment. Dis., 187, 248–250, 1999.
Jeffery R.W., Adlis S.A., Forster J.L.: Prevalence of dieting among working men and women: the healthy worker project. Health Psychol., 10, 274–281, 1991.
Wang P.S., Demler O., Olfson M., Pincus H.A., Wells K.B., Kessler R.C.: Changing profiles of service sectors used for mental health care in the United States. Am. J. Psychiatry, 163, 1187–1198, 2006.
Moller-Leimkuhler A.M.: Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. J. Affect. Disord., 71, 1–9, 2002.
Galdas P.M., Cheater F., Marshall P.: Men and health help-seeking behaviour: literature review. J. Adv. Nurs., 49, 616–623, 2005.
Jorm A.F., Kelly C.M., Wright A., Parslow R.A., Harris M.G., McGorry P.D.: Belief in dealing with depression alone: Results from community surveys of adolescents and adults. J. Affect. Disord., 96, 59–65, 2006.
Fothergill K.E., Ensminger M.E.: Childhood and adolescent antecedents of drug and alcohol problems: A longitudinal study. Drug Alcohol Depend., 82: 61–76, 2006.
Shakeshaft A.P., Bowman J.A., Sanson-Fisher R.W.: Community-based drug and alcohol counselling: who attends and why? Drug Alcohol Rev., 21, 153–162, 2002.
Simon G.E., Von Korff M., Saunders K., Miglioretti D.L., Crane P.K., van Belle G., et al.: Association between obesity and psychiatric disorders in the US adult population. Arch. Gen. Psychiatry, 63, 824–830, 2006.
Spencer E.A., Appleby P.N., Davey G.K., Key T.J.: Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr., 5, 561–565, 2002.
Masheb R.M., Grilo C.M.: Accuracy of self-reported weight in patients with binge eating disorder. Int. J. Eat. Disord., 29, 29–36, 2001.
Braun D.L., Sunday S.R., Huang A., Halmi K.A.: More males seek treatment for eating disorders. Int. J. Eat. Disord., 25, 415–424, 1999.
Crisp A.H., Burns T.: Primary anorexia nervosa in the male and female: A comparison of clinical features and prognosis. New York, NY, Brunner/Mazel, 1990.
Pope H.G., Hudson J.I., Johnas J.M.: Bulimia in men: A series of fifteen cases. J. Nerv. Mental Dis., 174, 117–119, 1986.
Woodside D.B., Garfinkel P.E., Lin E., Goering P., Kaplan A.S., Goldbloom D.S., et al.: Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. Am. J. Psychiatry, 158, 570–574, 2001.
Woodside D.B., Bulik C.M., Thornton L., Klump K.L., Tozzi F., Fichter M.M., et al.: Personality in men with eating disorders. J. Psychosom. Res., 57, 273–278, 2004.
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Guerdjikova, A.I., McElroy, S.L., Kotwal, R. et al. Comparison of obese men and women with binge eating disorder seeking weight management. Eat Weight Disord 12, e19–e23 (2007). https://doi.org/10.1007/BF03327777
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DOI: https://doi.org/10.1007/BF03327777