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The aim of this study was to examine the qualitative characteristics of eating dyscontrol in obese patients who engage in binge eating (BE<\/jats:styled-content>) compared with those who do not (NBE<\/jats:styled-content>), and to analyse the relationship between eating dyscontrol and axis\u2010I<\/jats:styled-content>, axis\u2010II<\/jats:styled-content>, spectrum psychopathology using instruments that explore mood, panic\u2013agoraphobic, social\u2013phobic, obsessive\u2013compulsive and eating disorders spectrum psychopathology (SCI\u2010MOODS\u2010SR<\/jats:styled-content>, SCI\u2010PAS\u2010SR<\/jats:styled-content>, SCI\u2010SHY\u2010SR<\/jats:styled-content>, SCI\u2010OBS\u2010SR<\/jats:styled-content>, SCI\u2010ABS\u2010SR<\/jats:styled-content>). This was a cross\u2010sectional study involving a clinical sample of adult obese patients with severe obesity (average body mass index\u2009=\u200945\u2009\u00b1\u20098\u2009kg\u2009m\u22122<\/jats:sup>) and candidate to bariatric surgery who were recruited between N<\/jats:styled-content>ovember 2001 and N<\/jats:styled-content>ovember 2010 at the O<\/jats:styled-content>besity C<\/jats:styled-content>enter of the E<\/jats:styled-content>ndocrinology U<\/jats:styled-content>nit, U<\/jats:styled-content>niversity H<\/jats:styled-content>ospital of P<\/jats:styled-content>isa. All participants completed a face\u2010to\u2010face interview, including a diagnostic assessment of axes\u2010I<\/jats:styled-content> and II<\/jats:styled-content> mental disorders (using the S<\/jats:styled-content>tructured C<\/jats:styled-content>linical I<\/jats:styled-content>nterview for M<\/jats:styled-content>anual of M<\/jats:styled-content>ental D<\/jats:styled-content>isorders, fourth edition [SCID<\/jats:styled-content>]\u2010I<\/jats:styled-content> and SCID\u2010II<\/jats:styled-content>) and filled out self\u2010report spectrum instruments. Among obese patients not affected by BE<\/jats:styled-content>, eating dyscontrol was highly represented. Indeed, 39.7% (N<\/jats:italic><\/jats:styled-content>\u2009=\u2009177) of subjects endorsed six or more items of the A<\/jats:styled-content>norexia\u2013B<\/jats:styled-content>ulimia S<\/jats:styled-content>pectrum S<\/jats:styled-content>elf\u2010R<\/jats:styled-content>eport, lifetime version domain exploring this behaviour. The cumulative probability of having axis\u2010I<\/jats:styled-content>, axis\u2010II<\/jats:styled-content> and a spectrum condition disorder increased significantly with the number of eating dyscontrol items endorsed. In both BE<\/jats:styled-content> and NBE<\/jats:styled-content> obese subjects, eating dyscontrol may represent an independent dimension strongly related to the spectrum psychopathology and axes I\/II<\/jats:styled-content> disorders. A systematic screening for eating dyscontrol symptoms by means of self\u2010report spectrum instruments may be valuable to assign specific treatment strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cob.12080","type":"journal-article","created":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T20:46:50Z","timestamp":1421182010000},"page":"22-30","source":"Crossref","is-referenced-by-count":3,"title":["Exploring the concept of eating dyscontrol in severely obese patients candidate to bariatric surgery"],"prefix":"10.1111","volume":"5","author":[{"given":"A.","family":"Calderone","sequence":"first","affiliation":[{"name":"Obesity Center at the Endocrinology Unit Department of Clinical and Experimental Medicine University Hospital of Pisa Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mauri","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Department of Clinical and Experimental Medicine University Hospital of Pisa Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. 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