Should Binge Eating Disorder Be Included in the DSM-V? A Critical Review of the State of the Evidence
Abstract
Binge eating disorder (BED) was introduced in 1994 as a provisional eating disorder diagnosis. The core symptom is recurrent binge eating in the absence of inappropriate compensatory behaviors and/or extreme dietary restraint. This review examines the status of the literature on BED according to five criteria that have been proposed to determine whether BED warrants inclusion in the psychiatric nosology as a distinct eating disorder. We conclude that each of these criteria was met. There is a commonly accepted definition of and assessment approach to BED. The clinical utility and validity of BED have been established, and BED is distinguishable from both bulimia nervosa and obesity. BED should be included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders.
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The addition of BED as a formal diagnosis follows two decades of research on the clinical significance and validity of this diagnostic construct.
“The addition of BED as a formal diagnosis, which parallels changes in the DSM-5, follows two decades of research on the clinical significance and validity of this diagnostic construct [88]”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [88]
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- Authors
- Striegel-Moore, R. H., & Franko, D. L.
- Affiliations
- Department of Psychology, Wesleyan University, Middletown, Connecticut 06459;
- Northeastern University (US)
- ORCID
- Franko, Debra L.
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2008-04-01
- Volume
- 4
- Issue
- 1
- Pages
- 305-324
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- OpenAlex
- W2131466830
- Cited by
- 146
- References
- 111
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 12 · 2016: 8 · 2015: 17 · 2014: 12 · 2013: 15 · 2012: 11
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating disorder, DSM-5, psychiatric classification, eating disorders, diagnostic criteria, bulimia nervosa, obesity, binge eating, diagnostic validity, clinical utility
- MeSH terms
- Humans, Severity of Illness Index, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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