Relationship between anxiety, depressive symptoms and compulsive overeating disorder in patients with cardiovascular diseases.
Géssica Damares Garcia, Daniele Alcalá Pompeo, Letícia Palota Eid and 3 others
PMID 30183873WHAT IT FOUND
In 111 overweight or obese cardiovascular inpatients, compulsive overeating was absent in 91, moderate in 15 and severe in 5.
Higher BMI was linked to binge eating, and anxiety was higher when it was present.
Key findings
01In 111 overweight or obese inpatients with cardiovascular disease, compulsive overeating was absent in 91, moderate in 15 and severe in 5.
02Compulsive overeating was associated with elevated BMI.
03Anxiety was associated with compulsive overeating when grouped as present or absent, but not when grouped as absent, moderate or severe, and depression was not associated.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it cannot show that compulsive overeating, anxiety or depression caused cardiovascular problems or that one followed another. It used consecutive non-probabilistic sampling from one hospital cardiovascular unit, so the patients may not represent other settings or normal-weight cardiovascular patients. Only five patients had severe compulsive overeating, so findings about severity are very limited. The authors did not check laboratory data, mental-health history or coping, which could affect the associations.
The easy way to misread this
Do not read this as proof that binge eating causes cardiovascular disease or that nurse screening improves outcomes. The study measured factors at one time in a small hospital sample and did not test any treatment.