RecruitingNCT05149859

Compuls-BED-Severity

Reconsidering Severity Classification for Binge Eating Disorder (BED): the Role of Impulsivity, Compulsivity and Co-occurring Disorders

Sponsor

Laval University

Enrollment

200 participants

Start Date

Mar 7, 2023

Study Type

OBSERVATIONAL

Conditions

Binge-Eating Disorder

Summary

* 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

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria7

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 Criteria9

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.
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%.