Binge eating in primary school children: Towards a definition of clinical significance
Article first published online: 25 NOV 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 42, Issue 3, pages 235–243, April 2009
How to Cite
Hilbert, A. and Czaja, J. (2009), Binge eating in primary school children: Towards a definition of clinical significance. Int. J. Eat. Disord., 42: 235–243. doi: 10.1002/eat.20622
- Issue published online: 4 MAR 2009
- Article first published online: 25 NOV 2008
- Manuscript Accepted: 5 OCT 2008
- German Research Foundation. Grant Number: HI 1111/1-1
- German Ministry of Education and Research. Grant Number: 01GP0491
- binge eating;
- eating disorders;
- child development;
- classification systems
This study investigated the diagnostic validity of the DSM-IV-TR criteria for binge eating disorder as well as proposed diagnostic criteria in younger children with and without loss of control (LOC) eating.
A total of 60 children with at least one episode of loss of control over eating within the past 3 months and 60 matched children without LOC history were recruited from the community. Clinical interviews and self-report questionnaires were used to assess psychopathology.
Hierarchical cluster analyses produced clusters of high recurrent LOC eating, low recurrent LOC eating, and no or sporadic LOC eating. The children with high recurrent LOC eating had eating disorder and general psychopathology comparable to that documented in clinical eating disorders. The DSM-IV-TR criteria and the criterion of “undue influence of weight or shape on self-evaluation” could at lower thresholds than for adults be used to identify children with high recurrent LOC eating.
Overall, this evaluation of the diagnostic validity of binge eating disorder in middle childhood suggests that only a few modifications to the adult DSM-IV-TR criteria are necessary to identify children with LOC eating suffering from clinically significant eating disorder psychopathology and increased general psychopathology. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009