Binge Eating Flashcards
Binge eating disorder in DSM-4 versus DSM-5?
DSM-4: ‘a diagnosis in need of further study’ DSM-5: classified as a disorder
what is a subjective binge eating episode?
a subjectively large amount of food, not objectively. e.g. a slice of cake - and loss of control present
frequency criteria for BED?
at least once a week for 3 months
what change was made to the BED frequency criteria in DSM-5 and what was the impact
lowered the frequency criteria - people who previously had ED NOS now meet criteria - good for treatment
differential diagnosis of BED and BN?
BED has no compensatory behaviours. BED tend to gain weight while BN tend to maintain
BED specifier?
severity mild -> extreme based on no. of binge eating episodes per week
number of episodes for each BED specifier?
mild = 1-3 moderate = 4-7 severe = 8-13 extreme = 14+
how many obese people meet BED criteria
about 50%
how many people with BED have had obesity?
88%
what is the population prevelance for BED
13% once weekly binge. compared to only 2.7% in 1998
whats the HRQoL for BED
health related quality of life is attenuated over time and recurrent episodes. score similarly to population norms
what is distress commonly associated with for BED
50% say they dont experience distress related to binge eating but to QoL impairment and days out of role.
what is most common comorbidity for BED
depression
what would it mean to class BED as an impulse control disorder
theory that BED is an urge or impulse paired with an inability to control that impulse. like substance-disorder
3 assessment tools for BED
SCOFFS (any ED), BES and BEDS-7
