Relationships between emotional disorders, personality dimensions, and binge eating disorder in French obese adolescents.
Archives de Pédiatrie. 2019-04-01; 26(3): 138-144
DOI: 10.1016/j.arcped.2019.02.008
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1. Arch Pediatr. 2019 Apr;26(3):138-144. doi: 10.1016/j.arcped.2019.02.008. Epub
2019 Mar 18.
Relationships between emotional disorders, personality dimensions, and binge
eating disorder in French obese adolescents.
Carriere C(1), Michel G(2), Féart C(2), Pellay H(2), Onorato O(1), Barat P(3),
Thibault H(4).
Author information:
(1)Réseau de prévention et de prise en charge de l’obésité pédiatrique en
Aquitaine, RéPPOP Aquitaine, 22 rue Sainte Monique, 33000 Bordeaux, France.
(2)Inserm, UMR 1219, Bordeaux Population Health Research Center, université
Bordeaux, 33000 Bordeaux, France.
(3)Unité d’endocrinologie et de diabétologie pédiatrique, hôpital des Enfants,
CHU de Bordeaux, 33000 Bordeaux, France.
(4)Réseau de prévention et de prise en charge de l’obésité pédiatrique en
Aquitaine, RéPPOP Aquitaine, 22 rue Sainte Monique, 33000 Bordeaux, France;
Inserm, UMR 1219, Bordeaux Population Health Research Center, université
Bordeaux, 33000 Bordeaux, France; Unité d’endocrinologie et de diabétologie
pédiatrique, hôpital des Enfants, CHU de Bordeaux, 33000 Bordeaux, France.
Electronic address: .
PURPOSE: Binge eating disorder (BED) is associated with higher psychopathology,
including emotional and personality disorders, in the adult population, whether
or not they are obese; although few data are available on adolescents,
particularly among obese adolescents.
OBJECTIVE: To explore the association of both emotional disorders and personality
dimensions with BED in obese adolescents.
METHODS: The sample consisted of 115 French adolescents enrolled at a clinical
unit for the multidisciplinary care of their overweight or obesity. BED was
defined using the Binge Eating Scale (BES). Emotional disorders and personality
dimensions were assessed using the following tools: Beck Depression Inventory
(BDI), Beck Anxiety Inventory (BAI), Junior Temperament and Character Inventory
(JTCI); impulsivity was determined by the Barratt Impulsiveness Scale (BIS) and
the Toronto Alexithymia Scale (TAS). Associations between emotional disorders
(BDI/BAI) and personality dimensions (TAS/BIS/JTCI), considered first separately
and then jointly with BED were determined with multivariate analysis.
RESULTS: More severe depression (β=0.27, CI [0.06; 0.48], P=0.011), a higher
level of excess weight (β=1.91, CI [0.22; 3.59], P=0.027), older age (β=1.28, CI
[0.43; 2.14], P=0.003), and greater cooperativeness (β=0.36, CI [0.07; 0.66],
P=0.017) were independently significantly associated with the presence of BED.
CONCLUSIONS: This cross-sectional study underlines the co-occurrence of emotional
and personality disorders with BED. This points out the importance of a
multidisciplinary approach and the relevance of a joint diagnosis of binge
eating, emotional disorders, and personality dimensions in obese adolescents, for
better prevention and treatment of pediatric obesity.
Copyright © 2019 Elsevier Masson SAS. All rights reserved.
DOI: 10.1016/j.arcped.2019.02.008
PMID: 30898314 [Indexed for MEDLINE]