Treatment of binge eating disorder

摘要

Binge eating disorder (BED) was originally included in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) as a provisional eating disorder diagnosis within the category of Eating Disorder Not Otherwise Specified. It is now listed as a free-standing diagnosis among the proposed Draft Revisions to DSM Disorders and Criteria for DSM-5. BED is defined by recurrent binge eating (once a week, on average, over the previous 3 months) without the regular use of inappropriate compensatory weight control methods. Binge eating itself is characterized by (a) eating, in a discrete period of time, an amount of food that is unambiguously greater than most people would eat in a similar period of time under similar conditions, and (b) a sense of lack of control over eating during the episode. The criteria also include marked distress over binge eating and 3 or more of the following indicators of loss of control (LOC), namely "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, and feeling disgusted with oneself, depressed, or very guilty afterwards.