Binge eating disorder: Disorder or marker?
Abstract
OBJECTIVE: To describe the evidence for the constellation of symptoms known as binge eating disorder (BED) and to evaluate the utility of this diagnosis. METHODS: Examination of the definition, prevalence, psychiatric comorbidity, and treatment of BED through a selective review of the literature. RESULTS: The objective definition of a binge (its size and duration) remains problematic. Persons with BED have extensive comorbid psychopathology. Pharmacologic treatments effectively reduce binge eating, but only somewhat more than placebos, whereas psychotherapeutic treatments reduce binge eating, but do not produce weight loss. Traditional behavioral weight loss programs produce both weight loss and decreases in binge eating. The course of BED is variable and often remits with nonspecific attention or during wait-list conditions. CONCLUSIONS: Although there is consensus on the criteria for BED, its great variability limits the implications that can be drawn from its diagnosis, and it may be most useful as a marker of psychopathology.
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This result is consistent with studies comparing behavioral weight loss treatment and CBT in the treatment of BED, indicating similar effects on binge eating in the short-term.
“This is consistent with studies comparing behavioral weight loss treatment and CBT in the treatment of BED, indicating similar effects on binge eating in the short-term [51].”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [51]
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- Authors
- Stunkard, A. J., & Allison, K. C.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Stunkard, Albert J.
- ORCID
- Allison, Kelly C.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2003
- Volume
- 34
- Issue
- S1
- Pages
- S107-S116
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W1978477251
- Cited by
- 119
- References
- 60
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 2 · 2013: 11 · 2012: 3
- FWCI
- 15.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- binge eating disorder, diagnostic criteria, psychiatric comorbidity, pharmacotherapy, psychotherapy, behavioral weight loss, remission, eating disorders
- MeSH terms
- Bulimia, Clinical Trials as Topic, Combined Modality Therapy, Diagnosis, Differential, Diet, Reducing, Humans, Infant, Psychotropic Drugs, Comorbidity, Cognitive Behavioral Therapy
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