Overview
- Binge Eating Disorder (BED) has been fairly recently introduced into the Diagnostic and
Statistical Manual 5 psychiatric classification and its severity criteria are still not
well established.
- Moreover, it remains unclear whether BED is associated with greater metabolic severity or more somatic comorbidities, especially in obesity.
- Improved BED severity staging could lead to a better definition of management strategies and , therefore, facilitate screening and care.
The investigators' hypothesis is that an improved assessment of the impulsivity-compulsivity spectrum, emotional regulation, attentional impairment and somatic or psychiatric comorbidities will result in a better distinction between the severe form of BED (e.g., highly impulsive and somatically complicated) from milder form (e.g., more compulsive and less somatically complicated).
Eligibility
Inclusion Criteria:
- men or women aged 1
- participants eligible for bariatric surgery (BMI>40, or BMI>35 with severe comorbidities)
- participants scheduled for medical evaluation and treatment of obesity at the IUCPQ Obesity Clinic (BMI≥30)
- participants scheduled for evaluation and treatment of BED at the CEPIA with obesity (BMI≥30)
- for the group with BED: positive BEDS-7 screen and Binge Eating Scale score >16;
- for the control group: have a negative BEDS-7 screen and Binge Eating Scale score<12
- be fluent in French and able to consent.
Exclusion criteria :
- participants with severe neurological disorder and/or major neurocognitive deficits;
- participants with previous bariatric surgery or with introduction or change of anti-obesity medication (liraglutide or naltrexone/bupropion) in the previous 3 months;
- participants who cannot read and/or understand French;
- participants under guardianship or curatorship;
- participants already included in a study with a conflict of interest with this study;
- inability to use a computer or iPad;
- inability to access an Internet connection or to visit one of the inclusion sites.
Secondary exclusion criteria:
- participants with a discordance between BEDS-7 (positive) and Binge Eating Scale (score ≤ 16) results found secondarily
- participants who did not participate in part of the assessments (e.g., self-questionnaires or neurocognitive tests) and participants with a rate of missing data>10%.