The comorbidity of depression and eating dysregulation processes in a diet-seeking obese population: a matter of gender specificity.

Journal Article (Journal Article)

OBJECTIVE: To explore gender differences in depression vulnerability among an obese, treatment-seeking population and to discern those components of eating-related phenomena that discriminate the depression-comorbid obese from their noncomorbid counterparts. METHOD: This sample consisted of 1,184 self-admitted patients enrolled in a residential weight loss program between 1990 and 1995. Subjects were administered several questionnaires including (a) the Beck Depression Inventory, (b) 5-point scales of eating-related foci, and (c) 7-point scales of subject's confidence in their eating control under various circumstances. Data were analyzed via analyses of variance (ANOVAs) and stepwise regression. RESULTS: Greater depression was accompanied by more disruptive, dysregulatory eating tendencies, and stronger inclination to engage in affectively and socially disrupted eating. Regression results revealed gender-specific predictors of comorbid depression. For obese females, negative-emotion disrupted eating and binge-purge behaviors were prominent predictors of depression. For males, eating induced by experiences of social or physical inadequacy and fasting relating to eating behaviors were the depression-relevant variables. DISCUSSION: These results are discussed in terms of their theoretical implications for gender-mediated models of obesity-depression comorbidity, and in terms of their clinical significance.

Full Text

Duke Authors

Cited Authors

  • Musante, GJ; Costanzo, PR; Friedman, KE

Published Date

  • January 1998

Published In

Volume / Issue

  • 23 / 1

Start / End Page

  • 65 - 75

PubMed ID

  • 9429920

International Standard Serial Number (ISSN)

  • 0276-3478

Digital Object Identifier (DOI)

  • 10.1002/(sici)1098-108x(199801)23:1<65::aid-eat8>;2-#


  • eng

Conference Location

  • United States