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Validity and utility of the current definition of binge eating
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 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]
In the citing paper
“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 ICD ‐11 and DSM ‐5 (2021) · cites this paper as [70]
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Body image and food consumption: Three laboratory studies of perceived calorie content
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Validity of test meals for determining binge eating.
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Bulimia nervosa: a syndrome of feast and famine
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Flagged first, then by citations
4 of the 127 references couldn’t be matched to a known paper.
Research works printed but not linked: 9
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Metadata
- 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.
- 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
- 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
- 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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