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Binge eating disorder: a review.

A E Dingemans1, M J Bruna, E F van Furth

  • 1Robert-Fleury Stichting, National Centre for Eating Disorders, Leidschendam, The Netherlands. a.dingemans@robertfleury.nl

International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity
|March 16, 2002
PubMed
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Binge eating disorder (BED) is a recognized eating disorder characterized by binge eating without compensatory behaviors. Cognitive behavioral therapy is the primary treatment, focusing first on stopping binge eating episodes.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders

Background:

  • Binge eating disorder (BED) is a proposed eating disorder characterized by binge eating episodes without compensatory behaviors.
  • While not a formal DSM-IV diagnosis, BED is widely accepted in clinical practice, particularly among individuals seeking weight loss treatment.

Purpose of the Study:

  • To provide a comprehensive overview of binge eating disorder (BED).
  • To review the epidemiology, characteristics, etiology, diagnostic criteria, course, and treatment of BED.

Main Methods:

  • Literature review of epidemiological studies, comparative studies of BED, bulimia nervosa (BN), and obesity.
  • Review of randomized controlled trials (RCTs) for BED treatment.

Main Results:

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  • BED is highly prevalent in weight loss treatment seekers (1.3-30.1%).
  • Individuals with BED exhibit psychopathology levels between those with BN and obesity.
  • Cognitive behavioral treatment (CBT) is the leading treatment, with interpersonal psychotherapy, self-help, and SSRIs also showing effectiveness.

Conclusions:

  • The primary treatment goal for BED is the cessation of binge eating.
  • Weight management interventions can be considered after binge eating is controlled.