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Refining the definition of binge eating disorder and nonpurging bulimia nervosa
Author(s) -
Cooper Zafra,
Fairburn Christopher G.
Publication year - 2003
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.10208
Subject(s) - overeating , bulimia nervosa , binge eating disorder , binge eating , psychology , psychiatry , eating disorders , obesity , clinical psychology , medicine , endocrinology
The diagnostic concept of binge eating disorder (BED) was introduced in response to the clinical observation of Stunkard (1959) that some people with obesity have recurrent episodes of binge eating. We suggest that the DSM‐IV concept of BED has resulted in the recruitment of heterogeneous research samples, amongst which are some people with BED, as described by Stunkard, some with bulimia nervosa, some with other types of eating disorder, and some with no eating disorder. We consider the difficulties distinguishing BED from other forms of overeating, especially in patients with obesity, and from nonpurging bulimia nervosa. We propose revised diagnostic criteria for BED and bulimia nervosa that are designed to minimize these problems. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: S89–S95, 2003.