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A comparative analysis of role attainment and impairment in binge-eating disorder and bulimia nervosa: Results from the WHO World Mental Health Surveys

dc.creatorKessler, Ronald C.
dc.creatorShahly, Victoria
dc.creatorHudson, James I.
dc.creatorSupina, Dylan
dc.creatorBerglund, Patricia A.
dc.creatorChiu, Wai Tat
dc.creatorGruber, Michael
dc.creatorAguilar-Gaxiola, Sergio
dc.creatorAlonso, Jordi
dc.creatorAndrade, Laura Helena
dc.creatorBenjet, Corina
dc.creatorBruffaerts, Ronny
dc.creatorDe Girolamo, Giovanni
dc.creatorDe Graaf, Ron
dc.creatorFlorescu, Silvia E.
dc.creatorHaro, Josep Maria
dc.creatorMurphy, Samuel D.
dc.creatorPosada-Villa, Jose
dc.creatorScott, Kate
dc.creatorXavier, Miguel
dc.date.accessioned2017-06-29T03:40:50Z
dc.date.available2017-06-29T03:40:50Z
dc.date.issued2014es_ES
dc.identifier2502es_ES
dc.identifier.issn2045-7960es_ES
dc.identifier.urihttps://doi.org/10.1017/S2045796013000516        es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4351
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisheres_ES
dc.relation23(1) 27-41p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshes_ES
dc.titleA comparative analysis of role attainment and impairment in binge-eating disorder and bulimia nervosa: Results from the WHO World Mental Health Surveyses_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Ave., Boston, MA. Tel. (617) 432-3587, Fax (617) 432-3588es_ES
dc.contributor.emailKessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoEPIDEMIOL PSYCHIATR SCIes_ES
dc.relation.journalEpidemiology and Psychiatric Scienceses_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2014es_ES
dc.identifier.organizaciones_ES
dc.identifier.eissn2045-7979es_ES
dc.identifier.doi10.1017/S2045796013000516es_ES
dc.description.monthMares_ES
dc.description.abstractotrodiomaBackground—Cross-national population data from the WHO World Mental Health surveys are used to compare role attainments and role impairments associated with binge-eating disorder(BED) and bulimia nervosa (BN). Methods—Community surveys assessed 23,000 adults across 12 countries for BED, BN, and 10 other DSM-IV mental disorders using the WHO Composite International Diagnostic Interview. Age-of-onset was assessed retrospectively. Ten physical disorders were assessed using standard conditions checklists. Analyses examined reciprocal time-lagged associations of eating disorders with education, associations of early-onset (i.e., prior to completing education) eating disorders with subsequent adult role attainments, and cross-sectional associations of current eating disorders with days of role impairment. Results—BED and BN predicted significantly increased education (females). Student status predicted increased risk of subsequent BED and BN (females). Early-onset BED predicted reduced odds of current (at time of interview) marriage (females) and reduced odds of current employment (males). Early-onset BN predicted increased odds of current work disability (females and males). Current BED and BN were both associated with significantly increased days of role impairment (females and males). Significant BED and BN effects on adult role attainments and impairments were explained by controls for comorbid disorders. Conclusions—Effects of BED on role attainments and impairments are comparable to those of BN. The most plausible interpretation of the fact that these associations are explained by comorbid disorders is that causal effects of eating disorders are mediated through secondary disorders. Controlled treatment effectiveness studies are needed to trace out long-term effects of BED-BN on secondary disorderses_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koBinge eatinges_ES
dc.subject.koBulimia nervosaes_ES
dc.subject.koEating disorderes_ES
dc.subject.koComorbidityes_ES
dc.subject.koOutcomees_ES
dc.subject.koEducationes_ES
dc.subject.koIncomees_ES
dc.subject.koRole impairmentes_ES
dc.subject.koAchievementes_ES
dc.subject.koEpidemiologyes_ES
dc.subject.koWHO World Mental Health Surveyses_ES


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