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. Author manuscript; available in PMC: 2010 Aug 1.
Published in final edited form as: J Abnorm Psychol. 2009 Aug;118(3):587–597. doi: 10.1037/a0016481

Table 1.

Diagnostic Criteria for Eating Disorders

Subthreshold
anorexia
nervosa
  • BMI of between 90% and 85% of that expected for age and gender

  • Definite fear of weight gain more than 25% of the days for at least 3 months

  • Weight and shape were definitely an aspect of self-evaluation

  • Missed one period in a three month period (unless on birth control)

Threshold
anorexia
nervosa
  • BMI of less than 85% of that expected for age and gender

  • Definite fear of weight gain more than 50% of the days for at least 3 months

  • Weight and shape were one of the main aspects of self-evaluation

  • Missing menstrual cycles in a three month period (unless on birth control)

Subthreshold
bulimia
nervosa
  • At least 2 uncontrollable binge eating episodes (a.k.a., objective binge eating episodes) per month for at least 3 months

  • At least 2 compensatory behavior episodes (i.e., self-induced vomiting, laxatives use, diuretic use, fasting, and excessive exercise to compensate for overeating) per month for at least 3 months

  • Weight and shape was definitely an aspect of self-evaluation

Theereshold
bulimia
nervosa
  • At least 8 uncontrollable binge eating episodes per month for at least 3 months

  • At least 8 compensatory behavior episodes per month for at least 3 months

  • Weight and shape was definitely one of the main aspects of self-evaluation

Subthreshold
binge eating
disorder
  • At least 2 uncontrollable binge eating episodes/days per month for at least 6 months

  • Less than 1 compensatory behaviors on average per month during this period

  • Marked distress about binge eating

  • Binge eating was characterized by 3 or more of the following: rapid eating, eating until uncomfortably full, eating large amounts when not physically hungry, eating alone because of embarrassment, feeling disgusted, depressed, or guilty after overeating

Threshold
binge eating
disorder
  • At least 8 uncontrollable binge eating episodes/days per month for at least 6 months

  • Less than 1 compensatory behaviors on average per month during this period

  • Marked distress about binge eating

  • Binge eating was characterized by 3 or more of the following; rapid eating, eating until uncomfortably full, eating large amounts when not physically hungry, eating alone because of embarrassment, feeling disgusted, depressed, or guilty after overeating

Purging
disorder
  • At least 8 episodes of self-induced vomiting or diuretic/laxative use for weight control purposes per month for at least 3 months

  • Less than 1 uncontrollable binge eating episode on average per month during this period

  • Weight and shape was definitely an aspect of self-evaluation

Note: A diagnosis of threshold or subthreshold AN took precedence over threshold and subthreshold diagnosis of BN and BED, and PD. Although it was not possible with the definitions we used, a diagnosis of threshold or subthreshold BN took precedence over threshold or subthreshold BED and PD.