Binge Eating Disorder

Question 1

how many criteria are there for binge eating disorder

Answer 1

5

Question 2

criterion A for binge eating disorder

Answer 2

recurrent episodes of binge eating.

an episode of binge eating is characterized by BOTH of the following:

1. eating, in a discrete period of time, i.e within any two hour period, an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances
2. a sense of lack of control over eating during the episode i.e a feeling that one cannot stop eating or control what or how much one is eating

Question 3

criterion B for binge eating disorder

Answer 3

binge eating episodes are associated with THREE or MORE of the following:

• eating much more rapidly than normal
• eating until feeling uncomfortably full
• eating large amounts of food when not feeling physically hungry
• eating alone because of feeling embarrassed by how much one is eating
• feeling disgusted with oneself, depressed or very guilty afterwards

Question 4

criterion C for binge eating disorder

Answer 4

marked distress regarding binge eating is present

Question 5

criterion D for binge eating disorder

Answer 5

the binge eating occurs, on average, at least ONCE A WEEK for THREE MONTHS

Question 6

criterion E for binge eating disorder

Answer 6

binge eating is not associated with the recurrent use of inappropriate compensatory behaviours as in BN and does not occur exclusively during the course of BN or AN

Question 7

on what is the minimum level of severity based on for binge eating disorder

Answer 7

frequency of episodes of binge eating (episodes per week)

Question 8

define mild binge eating disorder

Answer 8

1-3 binge eating episodes per week

Question 9

define moderate binge eating disorder

Answer 9

4-7 binge eating episodes per week

Question 10

define severe binge eating disorder

Answer 10

8-13 binge eating episodes per week

Question 11

define extreme binge eating disorder

Answer 11

14+ binge eating episodes per week

Question 12

what is the essential feature of binge eating disorder

Answer 12

recurrent episodes of binge eating that must occur, on average, at least once a week for three months

Question 13

what is the general weight seen in those presenting for treatment for binge eating disorder

Answer 13

normal weight/overweight and obese individuals

–> reliable associated with overweight and obesity in treatment seeking individuals

Question 14

is binge eating disorder the same as obesity

Answer 14

no, it is distinct
–> most obese individuals do not engage in recurrent binge eating

–> compared with weight matched obese individuals without binge eating disorder , those with binge eating disorder consume more calories, have greater functional impairement, lower QoL, more subjective distress and greater psychiatric comorbidity

Question 15

what is the 12 month prevalence of binge eating disorder

Answer 15

among US adults (18+)–>

females: 1.6%
males: 0.8%

Question 16

what is the gender ratio for binge eating disorder

Answer 16

far less skewed than in BN or AN

Question 17

how does dysfunctional dieting usually present in binge eating disorder? how does this differ from BN?

Answer 17

in binge eating disorder, dieting often follows the development of binge eating disorder

in BN, dysfunctional dieting often preceeds the onset of binge eating

Question 18

when does binge eating disorder typically begin

Answer 18

typically in adolescence or young adulthood but can begin in late adulthood

Question 19

how do remission rates for binge eating disorder compare to those for BN and AN

Answer 19

remission rates are comparatively higher for binge eating disorder (in both natural course and treatment groups)

Question 20

how does the course of binge eating disorder compared to BN

Answer 20

appears to be relatively persistent and course is comparable to that of BN in terms of severity and duration

Question 21

list genetic and physiological risk factors for binge eating disorder

Answer 21

binge eating disorder appears to run in families

Question 22

list functional consequences of binge eating disorder

Answer 22

social role adjustment problems

impaired health-related QoL and life satisfaction

increased medical morbidity and mortality

increased health care utilization compared with BMI-match control subjects

Question 23

ddx binge eating disorder

Answer 23

bulimia nervosa

obesity

bipolar and depressive disorders

borderline PD

Question 24

what are the most common psychiatric comorbidities with binge eating disorder

Answer 24

bipolar disorders

depressive disorders

anxiety disorders

SUDs (less common)