2024, Number 1
Binge eating disorder symptomatology and its association with depression, anxiety and stress: a cross-sectional study in medical students
Language: English
References: 51
Page: 53-64
PDF size: 219.24 Kb.
ABSTRACT
Medical students have a higher risk of developing eating disorders, including binge eating disorder (BED), in relation to the general population. The aim of this research was to identify if medical education influences the presence of BED symptoms in two samples of medical students in a university in Mexico City. A cross-sectional study was conducted in which a survey was applied among two representative samples; one of first-year medical students and the other of final-year medical students. The instruments applied were DASS-21 and QEWP-5, and overall, a high prevalence of BED (12%) was found in both samples. Final-year students were 2.63 (OR) times more likely to have BED symptoms than first-year students. BED had a strong association with depression (OR = 9.1), anxiety (OR = 4.3) and stress (OR = 5.38). Regardless of academic level, females showed an increased probability of developing depression (OR = 1.82), anxiety (OR = 1.7) and stress (OR = 1.5) compared to males. BED symptomatology had a high prevalence among medical students who participated in this study and it correlates with psychosocial factors as well as academic grade.REFERENCES
Bentley, C., Gratwick-Sarll, K., Harrison, C., & Mond, J.(2015). Sex differences in psychosocial impairment associatedwith eating disorder features in adolescents:A school-based study: Adolescent Sex Differences inED Impairment. The International Journal of Eating Disorders,48(6), 633–640. https://doi.org/10.1002/eat.22396
Brumboiu, M. I., Cazacu, I., Zunquin, G., Manole, F.,Mogosan, C. I., Porrovecchio, A., Peze, T., Tavolacci,M.-P., & Ladner, J. (2018). Nutritional status and eatingdisorders among medical students from the Cluj-NapocaUniversity centre. Medicine and Pharmacy Reports,91(4), 414–421. https://doi.org/10.15386/cjmed-1018
Carriere, C., Michel, G., Féart, C., Pellay, H., Onorato, O.,Barat, P., & Thibault, H. (2019). Relationships betweenemotional disorders, personality dimensions, andbinge eating disorder in French obese adolescents. Archivesde Pediatrie: Organe Officiel de La Societe Francaisede Pediatrie, 26(3), 138–144. https://doi.org/10.1016/j.arcped.2019.02.008
Cassioli, E., Rossi, E., Squecco, R., Baccari, M. C., Maggi, M.,Vignozzi, L., Comeglio, P., Gironi, V., Lelli, L., Rotella,F., Monteleone, A. M., Ricca, V., & Castellini, G. (2020).Reward and psychopathological correlates of eatingdisorders: The explanatory role of leptin. PsychiatryResearch, 290(113071), 113071. https://doi.org/10.1016/j.psychres.2020.113071
Donato, K., Ceccarini, M. R., Dhuli, K., Bonetti, G., Medori,M. C., Marceddu, G., Precone, V., Xhufi, S., Bushati,M., Bozo, D., Beccari, T., & Bertelli, M. (2022). Genevariants in eating disorders. Focus on anorexia nervosabulimia nervosa and binge-eating disorder. https://doi.org/10.15167/2421-4248/JPMH2022.63.2S3.2772
Guízar, D. P., Sampieri, R., Inclán, V., & Muñoz, A. (2023).Perceived academic stress in Mexican medical students.The role of sex emotional distress, burnout,academic-social support, current abuse experiences,and coping strategies. Salud mental (Mexico City,Mexico), 46(3), 155–163. https://doi.org/10.17711/sm.0185-3325.2023.020
Javaras, K. N., Laird, N. M., Reichborn-Kjennerud, T., Bulik,C. M., Pope, H. G., & Hudson, J. I. (2008). Familialityand heritability of binge eating disorder: Results of acase-control family study and a twin study. The InternationalJournal of Eating Disorders, 41(2), 174–179. https://doi.org/10.1002/eat.20484
Keski-Rahkonen, A. (2021). Epidemiology of binge eatingdisorder: prevalence, course, comorbidity, and riskfactors. Current Opinion in Psychiatry, 34(6), 525–531.https://doi.org/10.1097/yco.000000000000075024. Kjeldbjerg, M. L., & Clausen, L. (2023). Prevalence ofbinge-eating disorder among children and adolescents:a systematic review and meta-analysis. EuropeanChild & Adolescent Psychiatry, 32(4), 549–574. https://doi.org/10.1007/s00787-021-01850-2
Leyrolle, Q., Cserjesi, R., Mulders, M. D. G. H., Zamariola,G., Hiel, S., Gianfrancesco, M. A., Rodriguez, J.,Portheault, D., Amadieu, C., Leclercq, S., Bindels, L.B., Neyrinck, A. M., Cani, P. D., Karkkainen, O., Hanhineva,K., Lanthier, N., Trefois, P., Paquot, N., Cnop,M., … Delzenne, N. M. (2021). Specific gut microbial,biological, and psychiatric profiling related to bingeeating disorders: A cross-sectional study in obese patients.Clinical Nutrition (Edinburgh, Scotland), 40(4),2035–2044. https://doi.org/10.1016/j.clnu.2020.09.025
Micioni Di Bonaventura, E., Botticelli, L., Del Bello,F., Giorgioni, G., Piergentili, A., Quaglia, W.,Cifani, C., & Micioni Di Bonaventura, M. V. (2021).Assessing the role of ghrelin and the enzyme ghrelinO-acyltransferase (GOAT) system in food reward, foodmotivation, and binge eating behavior. PharmacologicalResearch: The Official Journal of the Italian PharmacologicalSociety, 172(105847), 105847. https://doi.org/10.1016/j.phrs.2021.105847
Ragab, E. A., Dafallah, M. A., Salih, M. H., Osman, W. N., Osman,M., Miskeen, E., Taha, M. H., Ramadan, A., Ahmed, M.,Abdalla, M. E., & Ahmed, M. H. (2021). Stress and itscorrelates among medical students in six medicalcolleges: an attempt to understand the current situation.Middle East Current Psychiatry, 28(1). https://doi.org/10.1186/s43045-021-00158-w
Schag, K., Leehr, E. J., Meneguzzo, P., Martus, P., Zipfel, S.,& Giel, K. E. (2021). Food-related impulsivity assessedby longitudinal laboratory tasks is reduced in patientswith binge eating disorder in a randomized controlledtrial. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-87231-w
Steward, T., Mestre-Bach, G., Vintró-Alcaraz, C., Agüera, Z.,Jiménez-Murcia, S., Granero, R., & Fernández-Aranda,F. (2017). Delay discounting of reward and impulsivityin eating disorders: From anorexia nervosa to bingeeating disorder: Delay discounting and EDs. EuropeanEating Disorders Review: The Journal of the Eating DisordersAssociation, 25(6), 601–606. https://doi.org/10.1002/erv.2543
Veit, R., Schag, K., Schopf, E., Borutta, M., Kreutzer, J., Ehlis,A.-C., Zipfel, S., Giel, K. E., Preissl, H., & Kullmann,S. (2021). Diminished prefrontal cortex activation inpatients with binge eating disorder associates withtrait impulsivity and improves after impulsivity-focusedtreatment based on a randomized controlledIMPULS trial. NeuroImage. Clinical, 30(102679), 102679.https://doi.org/10.1016/j.nicl.2021.102679
West, C. E., Goldschmidt, A. B., Mason, S. M., & Neumark-Sztainer, D. (2019). Differences in risk factorsfor binge eating by socioeconomic status in a community-based sample of adolescents: Findings fromProject EAT. The International Journal of Eating Disorders,eat.23079. https://doi.org/10.1002/eat.230749