Impact of binge eating disorder on functional impairment and work productivity in an adult community sample in the United States

Abstract

SummaryAimThis study compared functioning and productivity in individuals meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐5) diagnostic criteria for binge eating disorder (BED) to those without BED.MethodsA sample of US adults from the National Health and Wellness Survey completed an Internet survey in October 2013. In addition to BED diagnostic criteria, the survey assessed functional impairment and productivity, respectively, using the Sheehan Disability Scale (SDS) and Work Productivity and Activity Impairment (WPAI) questionnaire. Differences between BED and non‐BED respondents were assessed using multivariate models controlling for factors, including age, sex and comorbidities.ResultsOf 22 397 respondents, 344 were categorised as BED respondents and 20 437 as non‐BED respondents. Compared with non‐BED respondents, BED respondents exhibited significantly (all P<.001) greater functional impairment on the SDS, as measured by mean±SD total (14.04±9.46 vs 3.41±6.36), work/school (3.86±3.62 vs 1.01±2.21), social life/leisure activities (5.29±3.49 vs 1.22±2.33) and family life/home responsibilities (4.89±3.44 vs 1.18±2.26) scores. Adjusted odds ratios (95% CIs) indicated that BED respondents were more impaired than non‐BED respondents on the work/school (4.24 [3.33–5.40]), social life/leisure activities (6.37 [4.97–8.15]) and family life/home responsibilities (5.76 [4.51–7.34]) domains of the SDS. On the WPAI, BED respondents reported significantly (all P<.001) higher percentages (mean±SD) of absenteeism (9.59%±19.97% vs 2.90%±12.95%), presenteeism (30.00%±31.64% vs 10.86%±20.07%), work productivity loss (33.19%±33.85% vs 12.60%±23.22%) and activity impairment (43.52%±34.36% vs 19.94%±27.22%) than non‐BED respondents.ConclusionsThe findings suggest individuals with BED experience considerable impairment in functioning and work productivity compared with individuals without BED.

Strategies for eating and body change among Brazilian women and men

“…However, we believe that the increased availability of spare time for students who do not work may have influenced the greater frequency of use of strategies to increase muscle tone. Meanwhile, the significant path between work and binge eating has been discussed in recent studies 39 that reported work as an activity that has relevance for people's eating patterns; students who work may have little time to prepare a more balanced diet, resulting in changes in food intake. Moreover, physical activity level was significant for BIBCI subscales in women and men, and this relationship is commonly reported in previous studies.…”

The influence of oxytocin on eating behaviours and stress in women with bulimia nervosa and binge eating disorder

“…This recurrent binge eating is a source of significant distress for individuals with bulimia nervosa and binge eating disorder (American Psychiatric Association, 2013;Mitchison et al, 2018), and the disorders are associated with functional impairment and lower health-related quality of life (Ágh et al, 2016;Pawaskar, Witt, Supina, Herman, & Wadden, 2017).…”

Combining cognitive bias modification training (CBM) and transcranial direct current stimulation (tDCS) to treat binge eating disorder: study protocol of a randomised controlled feasibility trial

“…Around 30% of treatment-seeking obese people7–9 and up to 47% of bariatric surgery candidates have full or partial BED 1 10 11. While BED itself has considerable individual and societal costs,12 the combination of BED and obesity is associated with more severe obesity, greater medical and psychiatric comorbidity, greater functional impairment and perinatal complications 12–15. Treatments for BED and obesity are sub-optimally effective, with cognitive behavioural therapy (CBT)16 and some medications17 reducing binge eating and related psychopathology,1 and approximately 50%–60% of patients achieving abstinence from bingeing at the end of treatment18 with some sustained cessation at follow-up 19.…”