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. Author manuscript; available in PMC: 2020 Jan 1.
Published in final edited form as: J Consult Clin Psychol. 2019 Jan;87(1):79–90. doi: 10.1037/ccp0000365

Table 1.

Diagnostic criteria for DSM-5 eating disorders

Eating Disorder
Anorexia
nervosa
  • BMI less than 85% of the median expected for age and gender

  • Definite fear of weight gain more than 75% of the days for at least 3 months

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

Bulimia
nervosa
  • At least 4 uncontrollable binge-eating episodes per month for at least 3 months

  • At least 4 compensatory behavior episodes per month for at least 3 months

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

Binge eating disorder
  • At least 4 uncontrollable binge-eating episodes/days per month for at least 3 months

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

  • Marked distress about binge eating

  • Binge eating 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

Other Specified Feeding or Eating Disorder
Atypical
anorexia
nervosa
  • BMI 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 one definitely an aspects of self-evaluation

Subthreshold
bulimia
nervosa
  • At least 2 uncontrollable binge-eating episodes per month for at least 3 months or at least 6 episodes over a shorter period

  • At least 2 compensatory behavior episodes (i.e., self-induced vomiting, laxatives or diuretic use, fasting, and excessive exercise to compensate for overeating) per month for at least 3 months or at least 6 episodes over a shorter period

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

Subthreshold
binge eating
nervosa
  • At least 2 uncontrollable binge-eating episodes/days per month for at least 3 binge eating months or at least 6 episodes over a shorter period

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

  • Marked distress about binge eating

  • Binge eating characterized by three 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 4 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 were one of the main aspects of self-evaluation

Note: Anorexia nervosa took diagnostic precedence over bulimia nervosa and binge eating disorder.