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Subjective or objective binge: is the distinction valid?

S H Niego1, E M Pratt, W S Agras

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305-5542, USA.

The International Journal of Eating Disorders
|November 1, 1997
PubMed
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This study found no significant differences between objective and subjective binge episodes in women undergoing cognitive-behavioral therapy (CBT). However, objective binge episodes decreased more rapidly during treatment.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders

Background:

  • The distinction between objective and subjective binge eating episodes is a key diagnostic criterion.
  • Understanding the validity of this distinction is crucial for accurate diagnosis and effective treatment.

Purpose of the Study:

  • To examine the validity of differentiating between objective and subjective binge episodes.
  • To assess the relationship between binge episode type, psychopathology, and treatment response.

Main Methods:

  • Analysis of data from 101 women treated with cognitive-behavioral therapy (CBT) for binge eating.
  • Binge episodes were classified as subjective or objective using the Eating Disorder Examination rating guidelines.
  • Unpaired t tests were used to compare binge types with psychopathology and treatment outcomes.

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Main Results:

  • No significant differences were found between objective and subjective binge episodes in terms of psychopathology or descriptive measures.
  • Objective binge episodes showed a trend towards more rapid decrease during CBT compared to subjective episodes.

Conclusions:

  • The current findings question the diagnostic utility of the "large amount of food" criterion for binge eating.
  • Further research is needed to validate and refine the criteria for binge eating episodes.