What is this thing called BED? Current status of binge eating disorder nosology

被引:62
作者
Devlin, MJ
Goldfein, JA
Dobrow, I
机构
[1] New York State Psychiat Inst & Hosp, Unit 116, Eating Disorders Res Unit, New York, NY 10032 USA
[2] Columbia Univ, Dept Psychiat, Coll Phys & Surg, New York, NY 10027 USA
关键词
binge eating disorder; obesity; psychopathology; body image distress;
D O I
10.1002/eat.10201
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Although binge eating has been recognized as a clinically relevant behavior among the obese for more than four decades, the concept of binge eating disorder (BED) as a distinct psychiatric diagnosis is of much more recent origin. This article presents four ways of conceptualizing BED: a distinct disorder in its own right, as a variant of bulimia nervosa, as a useful behavioral subtype of obesity, and as a behavior that reflects psychopathology among the obese. It also summarizes the evidence supporting and disconfirming each model. Method: The literature subsequent to the development of DSM-IV regarding the reliability and validity of BED and related conditions was reviewed selectively. Results: The preponderance of the evidence suggests that BED differs importantly from purging bulimia nervosa and that BED is not a strikingly useful behavioral subtype of obesity. Discussion: Further study is needed to definitively determine the validity of BED as a distinct eating disorder. (C) 2003 by Wiley Periodicals, Inc.
引用
收藏
页码:S2 / S18
页数:17
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