3rd DSM-IV category. Subvariant for full blown syndrome. An but still period or BN but binging time doesn't meet requirement.
Prevalence between 3
AN<BN<EDNOS (with binge eating disorder being most common)
chewing food but spitting it out
Binge eating disorder (BED)
only binging but no purging behavior. Severity is still as serious as AN and BN.
obesity was seen as serious. Then BN overeating pathological Eating syndrome. 1992-Binge eating disorder became official.
eating more than a normal person would in 2 hour period, lack of control. 2 days per week for 6 months. for BN, eating and purging happens 2 times a week for 3 months. And for AN, no criteria for the binge under binge/purge type. So looking more at time.
Loss of control
increased distress, emotional disturbance, depression, greater appearance dissatisfaction, and poor mental health related quality of life.
Binge Characteristics B
eating more than regularly and large amounts when not hungry. Alone because embarrassed about how much is eating, hoarding food, feeling disgusted after eating. If have 3 of these, then episode of binge.
marked distressed regarding binge is present
least 2 days a week for 6 months
can't have ENNOS and AN, binge eating is different in that no purging behavior
once a week for months. Not associated with large binge episodes so doing it without binges. Purging does not occur exclusively during the course of An or An
Night eating syndrome
eating large amount of food during the evening or night. Sleeplessness. Almost sleepwalking
Prevalence of BED
1-4% of population. Usually in weight control program. Male: Female ratio: 40%:60%.
Antecedent to a binge
bored, loneliness, and other emotional states
feelings after a binge
numbness, dissociation, calmness, regaining of inner equilibrium but shortlived.
behavioral and emotion problems of BED only but NOT EDNOS
abusing alc, impulsive behavior, feeling out of control, isolation, ignoring and avoiding emotions
Complications of BED
diabetes, high cholesterol, high blood pressure, gallbladder disease, heart disease, psychological distress.
work on compulsivity with food, inability to control food intake, plan to avoid binge, using food as a method of coping with anxiety or other underlying issues.
15-20% who try to lose weight have BED. More common in those who are severely obese. Become overweight at a younger age, leads to yo-yo dieting.
food as way to cope instead of seeking human comfort or self soothing. Secretive.