Association between binge eating disorder and psychiatric comorbidity profiles in patients with obesity seeking bariatric surgery

• Published in: Comprehensive psychiatry 2018-11, Vol.87, p.79-83
• Main Authors: Borgès Da Silva, Virginie, Borgès Da Silva, Roxane, Prud'homme, Alexandre, Campan, Pierre, Azorin, Jean Michel, Belzeaux, Raoul
• Format: Article
• Language: English
• Subjects: Adult; Anxiety; Bariatric Surgery - psychology; Binge eating; Binge-Eating Disorder - psychology; Bipolar disorder; Body Mass Index; Bulimia; Comorbidity; Eating disorders; Female; Gastrointestinal surgery; Human health and pathology; Humans; Life Sciences; Logistic Models; Male; Mental Disorders - psychology; Middle Aged; Obesity; Obesity - psychology; Obesity - surgery; Obsessive compulsive disorder; Panic attacks; Psychiatrics and mental health
• ISSN: 0010-440X; 1532-8384
• DOI: 10.1016/j.comppsych.2018.09.004

Eating disorders could be an important factor in the development of obesity, but psychiatric comorbidities are very heterogeneous in patients with obesity. Moreover, relationship between binge eating disorder and other psychiatric comorbidities is not clear. Our objective was to identify psychiatric comorbidity profiles of bariatric surgery candidates and to analyze the association between these profiles and binge-eating disorder. Our sample consisted of bariatric surgery candidates (n = 92) with mean Body Mass Index at 41.3 ± 0.6 kg/m2. To construct profiles, we classified patients according to their psychiatric comorbidities using cluster analysis techniques. We used logistic regression modelling to analyze associations between the presence of binge-eating disorder and the psychiatric comorbidity profiles. We identified four profiles of psychiatric phenotypes. One of these profiles was not associated with any psychiatric disorder. Binge eating disorder was significantly associated with two profiles (p