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Subthreshold binge eating disorder.

R H Striegel-Moore1, F A Dohm, E E Solomon

  • 1Department of Psychology, Wesleyan University, Middletown, CT 06459, USA. Rstriegel@wesleyan.edu

The International Journal of Eating Disorders
|March 1, 2000
PubMed
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Subthreshold binge eating disorder (BED) shares clinical features with full BED, including concerns about weight and shape. Further evaluation of BED diagnostic criteria is needed for treatment access.

Area of Science:

  • Clinical Psychology
  • Psychiatry
  • Eating Disorders

Background:

  • Subthreshold binge eating disorder (BED) represents a significant clinical population.
  • Understanding the clinical profile of subthreshold BED is crucial for accurate diagnosis and treatment.

Purpose of the Study:

  • To investigate the clinical characteristics of women diagnosed with subthreshold BED.
  • To compare these features with those of women with full BED and healthy controls.

Main Methods:

  • Community-based recruitment for an ongoing study on BED risk factors.
  • Comparison of 44 women with subthreshold BED, 44 with BED, and 44 healthy controls.
  • Assessment of demographics, BMI, eating disorder symptomatology, and psychiatric distress using the EDE and BSI.

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Main Results:

  • After adjusting for BMI, subthreshold BED and BED groups showed no significant differences in weight/shape concerns.
  • No significant differences were found in restraint, psychiatric distress, or treatment history between the two eating disorder groups.
  • These findings suggest considerable overlap in clinical presentation between subthreshold and full BED.

Conclusions:

  • The clinical similarity between subthreshold and full BED warrants further examination of the BED severity criterion.
  • Diagnostic criteria may need refinement to ensure appropriate access to treatment for all individuals with BED.