Characteristics of binge eating disorder in relation to diagnostic criteria
Denise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: The o...
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Dove Medical Press
2016
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oai:doaj.org-article:43ed0161093c4d3abadfa93f4b3b3aee2021-12-02T07:54:18ZCharacteristics of binge eating disorder in relation to diagnostic criteria1178-2021https://doaj.org/article/43ed0161093c4d3abadfa93f4b3b3aee2016-08-01T00:00:00Zhttps://www.dovepress.com/characteristics-of-binge-eating-disorder-in-relation-to-diagnostic-cri-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Denise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: The objective of this review was to examine the evidentiary basis for binge eating disorder (BED) with reference to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) diagnostic criteria for BED. A PubMed search restricted to titles and abstracts of English-language reviews, meta-analyses, clinical trials, randomized controlled trials, journal articles, and letters using human participants was conducted on August 7, 2015, using keywords that included “binge eating disorder,” DSM-5, DSM-IV, guilt, shame, embarrassment, quantity, psychological, behavior, and “shape and weight concerns.” Of the 257 retrieved publications, 60 publications were considered relevant to discussions related to DSM-5 diagnostic criteria and were included in the current review, and 20 additional references were also included on the basis of the authors’ knowledge and/or on a review of the reference lists from relevant articles obtained through the literature search. Evidence supports the duration/frequency criterion for BED and the primary importance of loss of control and marked distress in identifying individuals with BED. Although overvaluation of shape/weight is not a diagnostic criterion, its relationship to the severity of BED psychopathology may identify a unique subset of individuals with BED. Additionally, individuals with BED often exhibit a clinical profile consisting of psychiatric (eg, mood, obsessive–compulsive, and impulsive disorders) and medical (eg, gastrointestinal symptoms, metabolic syndrome, and type 2 diabetes) comorbidities and behavioral profiles (eg, overconsumption of calories outside of a binge eating episode and emotional eating). Future revisions of the BED diagnostic criteria should consider the inclusion of BED subtypes, perhaps based on the overvaluation of shape/weight, and an evidence-based reassessment of severity criteria. Keywords: binge eating disorder, diagnosis, obesity, psychotherapy, pharmacotherapy, psychopathologyWilfley DECitrome LHerman BKDove Medical Pressarticlebinge eating disorderdiagnosisobesitypsychotherapypharmacotherapypsychopathologyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2213-2223 (2016) |
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binge eating disorder diagnosis obesity psychotherapy pharmacotherapy psychopathology Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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binge eating disorder diagnosis obesity psychotherapy pharmacotherapy psychopathology Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wilfley DE Citrome L Herman BK Characteristics of binge eating disorder in relation to diagnostic criteria |
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Denise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: The objective of this review was to examine the evidentiary basis for binge eating disorder (BED) with reference to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) diagnostic criteria for BED. A PubMed search restricted to titles and abstracts of English-language reviews, meta-analyses, clinical trials, randomized controlled trials, journal articles, and letters using human participants was conducted on August 7, 2015, using keywords that included “binge eating disorder,” DSM-5, DSM-IV, guilt, shame, embarrassment, quantity, psychological, behavior, and “shape and weight concerns.” Of the 257 retrieved publications, 60 publications were considered relevant to discussions related to DSM-5 diagnostic criteria and were included in the current review, and 20 additional references were also included on the basis of the authors’ knowledge and/or on a review of the reference lists from relevant articles obtained through the literature search. Evidence supports the duration/frequency criterion for BED and the primary importance of loss of control and marked distress in identifying individuals with BED. Although overvaluation of shape/weight is not a diagnostic criterion, its relationship to the severity of BED psychopathology may identify a unique subset of individuals with BED. Additionally, individuals with BED often exhibit a clinical profile consisting of psychiatric (eg, mood, obsessive–compulsive, and impulsive disorders) and medical (eg, gastrointestinal symptoms, metabolic syndrome, and type 2 diabetes) comorbidities and behavioral profiles (eg, overconsumption of calories outside of a binge eating episode and emotional eating). Future revisions of the BED diagnostic criteria should consider the inclusion of BED subtypes, perhaps based on the overvaluation of shape/weight, and an evidence-based reassessment of severity criteria. Keywords: binge eating disorder, diagnosis, obesity, psychotherapy, pharmacotherapy, psychopathology |
format |
article |
author |
Wilfley DE Citrome L Herman BK |
author_facet |
Wilfley DE Citrome L Herman BK |
author_sort |
Wilfley DE |
title |
Characteristics of binge eating disorder in relation to diagnostic criteria |
title_short |
Characteristics of binge eating disorder in relation to diagnostic criteria |
title_full |
Characteristics of binge eating disorder in relation to diagnostic criteria |
title_fullStr |
Characteristics of binge eating disorder in relation to diagnostic criteria |
title_full_unstemmed |
Characteristics of binge eating disorder in relation to diagnostic criteria |
title_sort |
characteristics of binge eating disorder in relation to diagnostic criteria |
publisher |
Dove Medical Press |
publishDate |
2016 |
url |
https://doaj.org/article/43ed0161093c4d3abadfa93f4b3b3aee |
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AT wilfleyde characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria AT citromel characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria AT hermanbk characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria |
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