Zusammenfassung
Einzelnen Berichten zufolge leiden Untergruppen adipöser Kinder, darunter Kinder mit
Essanfällen, unter einer erhöhten Psychopathologie. Der vorliegende Beitrag gibt einen
Überblick über den Forschungsstand zur „Binge-Eating”-Störung (BES) im Kindesalter.
Zudem wird eine Studie zur Psychopathologie vorgestellt. Die Ergebnisse zeigen, dass
Essanfälle bei Kindern zwischen 8 - 13 Jahren mit essensbezogenen Sorgen, Figur- und
Gewichtssorgen, Depressivität sowie Übergewicht und Adipositas einhergingen, jedoch
nicht mit vermehrten psychischen Störungen oder Verhaltensauffälligkeiten. Die Psychopathologie
war erst bei wiederkehrenden Essanfällen klinisch signifikant erhöht, die DSM-IV-Diagnose
einer BES war jedoch nur in wenigen Fällen erfüllt. Die DSM-IV-Kriterien und auch
weitere, speziell für Kinder vorgeschlagene Forschungskriterien waren wenig bis moderat
mit der Essanfallshäufigkeit korreliert. Psychologische Merkmale, die für wiederkehrende
Essanfälle im Kindesalter kennzeichnend sind, bedürfen weiterer Untersuchung.
Abstract
Emerging evidence suggests that subgroups of obese children, including children with
binge eating, suffer from an increased psychopathology. The current study provides
an overview of research on binge eating disorder (BED) symptomatology in childhood.
Data from a community-based investigation in children aged 8 - 13 years show that
binge episodes co-occurred with eating concerns, weight and shape concerns, depressiveness,
and overweight and obesity, but not with psychiatric diagnoses or general behavioral
disturbances. Recurrent binge eating was associated with clinically significant eating
disorder psychopathology, but a BED diagnosis was present in only a few cases. The
DSM-IV criteria and further proposed research criteria for children showed low to
moderate associations with binge eating frequency. Psychological characteristics associated
with recurrent binge eating in children are in need of further study.
Key words
obesity - children - binge eating - eating disorders - psychopathology
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PD Dr. Anja Hilbert
Fachbereich Psychologie, Philipps-Universität Marburg
Gutenbergstraße 18
35032 Marburg
Email: hilbert@staff.uni-marburg.de
