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Binge eating disorder: its further validation in a multisite study

R L Spitzer1, S Yanovski, T Wadden

  • 1Department of Psychiatry, Columbia University.

The International Journal of Eating Disorders
|March 1, 1993
PubMed
Summary
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Binge eating disorder (BED) is a newly identified eating disorder characterized by recurrent binge eating without compensatory behaviors. This study found BED is prevalent in weight control programs and common in the community, impacting social functioning and mental health.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders Research

Background:

  • Binge eating disorder (BED) is defined by recurrent binge eating without compensatory behaviors, distinguishing it from bulimia nervosa.
  • BED affects a significant population, necessitating further research into its prevalence and validity.

Purpose of the Study:

  • To investigate the prevalence and validity of binge eating disorder (BED) in diverse populations.
  • To examine the associations of BED with functional impairment and psychopathology.

Main Methods:

  • A multisite study involving 1,785 subjects from weight control programs, 942 from community samples, and 75 with bulimia nervosa.
  • Diagnostic criteria for BED were applied to assess prevalence and associated factors.

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Main Results:

  • Approximately 29% of subjects in weight control programs met BED criteria.
  • BED was more common than purging bulimia nervosa in community samples.
  • BED showed strong associations with impaired social functioning, body image concerns, general psychopathology, dieting history, depression, and substance abuse.

Conclusions:

  • The study validates BED as a distinct diagnosis with significant clinical implications.
  • BED is a common eating disorder associated with substantial psychological and functional impairment.
  • Findings highlight the need for targeted interventions for BED in clinical and community settings.