Objective and subjective bulimic episodes in the classification of bulimic-type eating disorders: Another nail in the coffin of a problematic distinction
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We sought to further explore the validity of the distinction between objective bulimic episodes (OBEs) and subjective bulimic episodes (SBEs) in the study of bulimic-type eating disorders. Drawing on data obtained at the second, interview phase of a large-scale epidemiological study, we identified mutually exclusive subgroups of women with bulimic-type eating disorders who engaged in regular OBEs but not SBEs (n = 37) or regular SBEs but not OBEs (n = 52). These subgroups were compared on a wide range of outcomes, including socio-demographic characteristics, current levels of eating disorder psychopathology, general psychological distress and impairment in role functioning, current and lifetime impairment in quality of life specifically associated with an eating problem, (self)-recognition of an eating problem, health service utilization and use of psychotropic medication. The only difference between groups was that participants who reported regular OBEs were heavier than those who reported regular SBEs. The findings converge with those of previous research in suggesting that bulimic-type eating disorders characterized by regular SBEs, but not OBEs, do not differ in any clinically meaningful way from those characterized by regular OBEs, but not SBEs. Inclusion of bulimic-type eating disorders characterized by regular SBEs as a provisional category requiring further research in DSM-V appears warranted.
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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 [92]
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- Authors
- Mond, J. M., Latner, J. D., Hay, P. H., Owen, C., & Rodgers, B.
- Affiliations
- Western Sydney University (AU)
- University of Hawaiʻi at Mānoa (US)
- Australian National University (AU)
- Corresponding author
- Mond, J.M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 48
- Issue
- 7
- Pages
- 661-669
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2050361075
- Cited by
- 129
- References
- 77
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 9 · 2017: 12 · 2016: 8 · 2015: 11 · 2014: 8 · 2013: 12 · 2012: 9
- FWCI
- 10.16
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline at James Cook University (James Cook University) (submittedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- ANU Open Research (Australian National University) (submittedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- 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
- DSM-5 classification, binge eating, psychological distress, quality of life, health care utilization, psychotropic drug use, women
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Body Weight, Bulimia, Feeding Behavior, Female, Humans, Interview, Psychological, Surveys and Questionnaires, Young Adult
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