Binge eating disorder: Disorder or marker?
Article first published online: 30 JUL 2003
Copyright © 2003 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Special Issue: The Current Status of Binge Eating Disorder
Volume 34, Issue S1, pages S107–S116, 2003
How to Cite
Stunkard, A. J. and Allison, K. C. (2003), Binge eating disorder: Disorder or marker?. Int. J. Eat. Disord., 34: S107–S116. doi: 10.1002/eat.10210
- Issue published online: 30 JUL 2003
- Article first published online: 30 JUL 2003
- Manuscript Accepted: 28 MAR 2003
- binge eating disorder;
- pharmacologic treatment
To describe the evidence for the constellation of symptoms known as binge eating disorder (BED) and to evaluate the utility of this diagnosis.
Examination of the definition, prevalence, psychiatric comorbidity, and treatment of BED through a selective review of the literature.
The objective definition of a binge (its size and duration) remains problematic. Persons with BED have extensive comorbid psychopathology. Pharmacologic treatments effectively reduce binge eating, but only somewhat more than placebos, whereas psychotherapeutic treatments reduce binge eating, but do not produce weight loss. Traditional behavioral weight loss programs produce both weight loss and decreases in binge eating. The course of BED is variable and often remits with nonspecific attention or during wait-list conditions.
Although there is consensus on the criteria for BED, its great variability limits the implications that can be drawn from its diagnosis, and it may be most useful as a marker of psychopathology. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: S107–S116, 2003.