Validity and utility of the current definition of binge eating

Wolfe, Barbara E.; Baker, Christina Wood; Smith, Adrian T.; Kelly‐Weeder, Susan

doi:10.1002/eat.20728

Cited by 233Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Validity and utility of the current definition of binge eating

Wolfe, Barbara E., Baker, Christina Wood, Smith, Adrian T., Kelly‐Weeder, Susan·2009·International Journal of Eating Disorders

DOI 10.1002/eat.20728

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Abstract

Objective: Binge eating, a cardinal symptom of bulimia nervosa (BN) and binge eating disorder (BED), continues to pose challenges in terms of its definition and thus construct validity and clinical utility. This article reviews the available empirical data that support or refute the current DSM‐IV‐TR defined characteristics of a binge episode. Method: A systematic literature review was conducted using Medline/PubMed electronic database on DSM‐IV‐TR defined binge characteristics and associated attributes. Results: Data support the current DSM guidelines indicating that binge episodes typically occur in less than 2 h. Size of binge episodes has variability across BN and BED diagnostic groups. Loss of control (LOC) continues to be a core feature of binge eating. Negative affect is the most widely reported antecedent. Strikingly, little is known about binge episodes among individuals with anorexia nervosa‐binge/purge subtype. Discussion: Available empirical evidence supports the current DSM duration and LOC attributes of a binge episode in BN and BED. However, a more controversial issues is the extent to which size is important in the definition of a binge episode (e.g., subjective vs. objective episodes) across diagnostic categories and the extent to which binge size informs prognosis, treatment, and clinical outcomes. Further study of binge eating attributes in AN is needed. © 2009 American Psychiatric Association. Int J Eat Disord 2009

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Increasing evidence suggests that the subjective experience (most notably a sense of loss of control) is more important than the quantity eaten during binge-eating episodes.
“increasing evidence suggesting that the subjective experience (most notably a sense of loss of control) is more important that the quantity eaten during those episodes [92, 93]”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [93]
Studies to date indicate that individuals with subjective binge eating report comparable distress, psychological disturbance, and reduction in quality of life as those whose binge eating is defined objectively.
“Studies to date 69-72 indicate that individuals with subjective binge eating report comparable distress, psychological disturbance, and reduction in quality of life as those whose binge eating is defined objectively.”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in <scp>ICD</scp> ‐11 and <scp>DSM</scp> ‐5 (2021) · cites this paper as [70]

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Brewerton (2000) · doi:10.1002/1098-108x(200011)28:3
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Mussell (2000) · doi:10.1002/(sici)1098-108x(200003)27:2
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French (1997) · doi:10.1002/(sici)1098-108x(199711)22:3
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Fichter (1998) · doi:10.1002/(sici)1098-108x(199811)24:3
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van Strien (1986) · doi:10.1002/1098-108x(198602)5:2

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Goldschmidt, A. B., Wall, M. M., Zhang, J., Loth, K. A., & Neumark‐Sztainer, D. (2015) · Developmental Psychology · doi:10.1037/dev0000086 · Cited by 98 · see citing works
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A thematic content analysis of #cheatmeal images on social media: Characterizing an emerging dietary trend
Pila, E., Mond, J., Griffiths, S., Mitchison, D., & Murray, S. B. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22671 · Cited by 94 · see citing works
Trait anxiety, but not trait anger, predisposes obese individuals to emotional eating
Schneider, K. L., Appelhans, B. M., Whited, M. C., Oleski, J. L., & Pagoto, S. (2010) · Appetite · doi:10.1016/j.appet.2010.10.006 · Cited by 93 · see citing works
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Escalation in high fat intake in a binge eating model differentially engages dopamine neurons of the ventral tegmental area and requires ghrelin signaling
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A two‐stage epidemiological study of eating disorders and muscle dysmorphia in male university students in B uenos A ires
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Withdrawal from chronic, intermittent access to a highly palatable food induces depressive-like behavior in compulsive eating rats
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Animal models of eating disorders
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Revision of ICD – status update on feeding and eating disorders
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Different Moderators of Cognitive-Behavioral Therapy on Subjective and Objective Binge Eating in Bulimia Nervosa and Binge Eating Disorder: A Three-Year Follow-Up Study
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Pre-meal affective state and laboratory test meal intake in adolescent girls with loss of control eating
Ranzenhofer, L. M., Hannallah, L. M., Field, S. E., Shomaker, L. B., Stephens, M. B., Sbrocco, T., Kozlosky, M., Reynolds, J. C., Yanovski, J. A., & Tanofsky‐Kraff, M. (2013) · Appetite · doi:10.1016/j.appet.2013.03.018 · Cited by 60 · see citing works
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Executive functioning and behavioral impulsivity of young women who binge eat
Kelly, N. R., Bulik, C. M., & Mazzeo, S. E. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22096 · Cited by 57 · see citing works
Latent profile analysis to determine the typology of disinhibited eating behaviors in children and adolescents.
Vannucci, A., Tanofsky‐Kraff, M., Crosby, R. D., Ranzenhofer, L. M., Shomaker, L. B., Field, S. E., Mooreville, M., Reina, S. A., Kozlosky, M., Yanovski, S. Z., et al. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0031209 · Cited by 55 · see citing works
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An investigation of objective and subjective types of binge eating episodes in a clinical sample of people with co-morbid obesity
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An examination of the Clinical Impairment Assessment among women at high risk for eating disorder onset
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Negative Social-Evaluative Fears Produce Social Anxiety, Food Intake, and Body Dissatisfaction
Levinson, C. A., & Rodebaugh, T. L. (2014) · Clinical Psychological Science · doi:10.1177/2167702614548891 · Cited by 50 · see citing works
An Evolutionary Genetic Perspective of Eating Disorders
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Problematic Eating Behaviors and Psychopathology in Patients Undergoing Bariatric Surgery: The Mediating Role of Loss of Control Eating
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Behavioral and neurodevelopmental precursors to binge-type eating disorders: support for the role of negative valence systems
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Conceptualizing and studying binge and loss of control eating in bariatric surgery patients—time for a paradigm shift?
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Classification of bulimic-type eating disorders: from DSM-IV to DSM-5
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A qualitative analysis of men's experiences of binge eating
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Characterizing emotional overeating among patients with and without binge-eating disorder in primary care
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Cheat meals: A benign or ominous variant of binge eating behavior?
Murray, S. B., Pila, E., Mond, J., Mitchison, D., Blashill, A. J., Sabiston, C. M., & Griffiths, S. (2018) · Appetite · doi:10.1016/j.appet.2018.08.026 · Cited by 36 · see citing works
Considerations about rodent models of binge eating episodes
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Untitled work
Fichter (1998) · doi:10.1002/(sici)1098-108x(199811)24:3

Authors: Wolfe, B. E., Baker, C. W., Smith, A. T., & Kelly‐Weeder, S.
Affiliations: Boston College (US)
Harvard University (US)
Corresponding author: Wolfe, Barbara E.
ORCID: Wolfe, Barbara E.
Kelly‐Weeder, Susan
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2009-07-16
Volume: 42
Issue: 8
Pages: 674-686
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.20728
OpenAlex: W1991734026
Cited by: 233
References: 127
Citations by year: 2026: 3 · 2025: 8 · 2024: 12 · 2023: 7 · 2022: 9 · 2021: 12 · 2020: 11 · 2019: 15 · 2018: 15 · 2017: 14 · 2016: 16 · 2015: 25 · 2014: 21 · 2013: 17 · 2012: 23
FWCI: 2.16
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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, DSM-IV-TR, bulimia nervosa, binge eating disorder, loss of control, negative affect, construct validity, eating disorder diagnosis
MeSH terms: Bulimia, Feeding Behavior, Humans, Surveys and Questionnaires, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Binge-Eating Disorder

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Validity and utility of the current definition of binge eating

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