Binge Eating Disorder: A Stable Syndrome

Pope, Harrison G.; Lalonde, Jasmin; Pindyck, Lindsay J.; Walsh, Timothy; Bulik, Cynthia M.; Crow, Scott J.; McElroy, Susan L.; Rosenthal, Norman; Hudson, James I.

doi:10.1176/ajp.2006.163.12.2181

Cited by 78 publications

(34 citation statements)

References 8 publications

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“…12 A recent study retrospectively assessing the stability of BED in a community sample found that the mean lifetime duration of BED was 14.4 years, sig-nificantly longer than for either BN or AN. 21 Similarly, data from a nationally representative survey demonstrated that the mean number of years with BED was 8.1 years, with the majority of respondents reporting at least some role impairment. 16 In addition, individuals with AN and BN, as compared to those with BED, seem more likely to move between diagnostic categories over time.…”

Section: Bed As a Valid Disordermentioning

confidence: 98%

“…More recent evidence suggests that, in fact, individuals with BED have the disorder for long periods of time, and that it is clinically significant over the duration. 16,21 Data from the prospective McKnight longitudinal study on the course of eating disorders, which includes older participants, showed that at the end of 1 year only about 7% of those diagnosed with BED were recovered. 12 A recent study retrospectively assessing the stability of BED in a community sample found that the mean lifetime duration of BED was 14.4 years, sig-nificantly longer than for either BN or AN.…”

Section: Bed As a Valid Disordermentioning

confidence: 99%

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Classification of eating disorders: Toward DSM-V

Wilfley

Bishop

Wilson

et al. 2007

Int. J. Eat. Disord.

150

117

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Objective: A goal of the DSM-IV revision is to increase clinical and research utility by improving diagnostic validity through reliance on empirical evidence. Currently defined eating disorder (ED) categories have limited validity and require refinement based on data. Method:The available scientific evidence is considered in evaluating the current ED nosology.Results: Specific recommendations include modifying ED classification by retaining categories but adding a dimensional component; removing the amenorrhea criterion for anorexia nervosa (AN); removing the subtypes for AN and bulimia nervosa (BN); making binge eating disorder (BED) an official diagnosis; and unifying the frequency and duration cut-points for BN and BED to once per week for 3 months. Priority research areas should include epidemiologic studies of full-range ED symptomatology and should focus on empirical validation for individual criterion.Conclusion: There are significant issues to address in revising ED nosology as we move toward a more valid and useful DSM-V. V V C 2007 by Wiley Periodicals, Inc.

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Section: Bed As a Valid Disordermentioning

confidence: 98%

Section: Bed As a Valid Disordermentioning

confidence: 99%

Classification of eating disorders: Toward DSM-V

Wilfley

Bishop

Wilson

et al. 2007

Int. J. Eat. Disord.

150

117

View full text Add to dashboard Cite

show abstract

“…2,3 It is common, with a lifetime prevalence of about 2-3%, often chronic, and associated with psychopathology, obesity, reduced quality of life, and disability. 2,[4][5][6] BED frequently co-occurs with depressive disorders, including major depressive disorder and dysthymic disorder. 2,4,6 BED patients with comorbid psychiatric disorders, including depressive disorders, may have a more severe illness than patients without comorbid psychiatric disorders, characterized by earlier age at first diet, higher lifetime body mass index (BMI), greater distress, less dietary restraint, lower self-esteem, more frequent binge eating, higher levels of negative affect, more frequent trauma and abuse histories, less successful weight loss, and overall poorer treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

Duloxetine in the treatment of binge eating disorder with depressive disorders: A placebo‐controlled trial

Guerdjikova

McElroy

Winstanley

et al. 2011

Intl J Eating Disorders

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“…Recent studies, however, have provided further support for the BED research diagnosis. BED is a stable construct (i.e., as chronic as BN and AN; Pope et al, 2006) that is associated with heightened psychiatric comorbidity, psychosocial impairment, and medical problems (Hudson et al, 2007) and is a distinct familial phenotype in obese persons (Hudson et al, 2006). …”

mentioning

confidence: 99%

Overvaluation of shape and weight in binge eating disorder and overweight controls: Refinement of a diagnostic construct.

Grilo¹,

Hrabosky²,

White³

et al. 2008

Journal of Abnormal Psychology

179

194

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Debate continues regarding the nosological status of binge eating disorder (BED) as a diagnosis as opposed to simply reflecting a useful marker for psychopathology. Contention also exists regarding the specific criteria for the BED diagnosis, including whether, like anorexia nervosa and bulimia nervosa, it should be characterized by overvaluation of shape/weight. The authors compared features of eating disorders, psychological distress, and weight among overweight BED participants who overvalue their shape/weight (n = 92), BED participants with subclinical levels of overvaluation (n = 73), and participants in an overweight comparison group without BED (n = 45). BED participants categorized with clinical overvaluation reported greater eating-related psychopathology and depression levels than those with subclinical overvaluation. Both BED groups reported greater overall eating pathology and depression levels than the overweight comparison group. Group differences existed despite similar levels of overweight across the 3 groups, as well as when controlling for group differences in depression levels. These findings provide further support for the research diagnostic construct and make a case for the importance of shape/weight overvaluation as a diagnostic specifier. Keywordsovervaluation; binge eating disorder; obesity; body image; diagnosis Binge eating disorder (BED), a research category in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994), is characterized by recurrent binge eating without extreme compensatory weight-control behaviors. The BED research diagnosis is more common than the two formal eating disorder et al., 2006) that is associated with heightened psychiatric comorbidity, psychosocial impairment, and medical problems (Hudson et al., 2007) and is a distinct familial phenotype in obese persons (Hudson et al., 2006).As we move toward the development of the DSM-V (Brown & Barlow, 2005), a pressing question regarding the BED research diagnosis is whether revisions or additions to its criteria would improve the construct (Masheb & Grilo, 2000. Included in the DSM-IV criteria for AN and BN, but not for BED, is the presence of overvaluation of shape and weight, or the "undue influence of body weight or shape on self-evaluation" (American Psychiatric Association, 1994, p. 545). Although patients with BED appear to have similar levels of overvaluation of shape and weight as those with BN and AN (Wilfley, Schwartz, Spurrell, & Fairburn, 2000), little empirical attention has been given to the potential utility of such a body-image related cognitive criterion or specifier for this research diagnostic construct.Two recent studies have specifically examined the significance of shape/weight overvaluation in BED. Hrabosky, Masheb, White, and Grilo (2007) assessed 399 patients with BED using the investigator-based Eating Disorder Examination (EDE; Fairburn & Cooper, 1993) and found that overvaluation significantly predicted degree of eating-...

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Binge Eating Disorder: A Stable Syndrome

Abstract: These findings suggest that binge eating disorder is at least as chronic as the well-validated disorders anorexia nervosa and bulimia nervosa and likely represents a stable syndrome.

Cited by 78 publications

References 8 publications

Classification of eating disorders: Toward DSM-V

Classification of eating disorders: Toward DSM-V

Duloxetine in the treatment of binge eating disorder with depressive disorders: A placebo‐controlled trial

Overvaluation of shape and weight in binge eating disorder and overweight controls: Refinement of a diagnostic construct.

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